Am I Eligible for Medicare Part D?
Eligibility for Medicare Part D is not open to everyone. You must meet certain criteria to enroll in a Medicare Part D plan. Specifically, you must fall into one of the following categories:
- You are age 65 or older
- You have a qualifying disability for which you have been receiving Social Security Disability Insurance (SSDI) for more than 24 months1
- You have been diagnosed with End-Stage Renal Disease (permanent kidney failure requiring a kidney transplant or dialysis)
- You are entitled to Medicare Part A and/or enrolled in Medicare Part B
Who Should Enroll in Medicare Part D?
When you are eligible for Medicare, you are eligible for Medicare Part D.
You are encouraged to enroll in a Medicare prescription drug plan when you
are eligible unless you have other creditable prescription drug coverage.
If you don’t enroll during your Initial Enrollment Period, Medicare will
add a Late Enrollment Penalty to your monthly Part D premium. You should
enroll in a Medicare prescription drug plan if:
- You use prescription drugs on a regular basis
- You think you may need prescription drugs in the future
- You do not have creditable prescription drug coverage (as good as Medicare’s)
- You are worried about increasing prescription drug costs
- You are having trouble paying for your prescription drugs
Medicare Part D offers programs that may help pay for your prescription drug expenses if you qualify.
By enrolling in a prescription drug plan, your drug costs can be lower. If you are eligible for
Medicare, you should seriously consider a prescription drug plan and learn when
to enroll today.
1During the 7-month period that starts 3 months before your 25th month of getting Social Security or RRB disability benefits and ends 3 months after your 25th month of getting disability benefits. Your coverage will begin the first day of the month after you ask to join a plan. If you join during one of the 3 months before you first get Medicare, your coverage will begin the first day of your 25th month of entitlement to disability payments.