Part D plans look interchangeable. They aren’t — not for your specific prescriptions.
Medicare Part D prescription drug plans are private plans approved by Medicare to cover prescription drugs. Each plan has its own formulary, tier structure, deductible, and pharmacy network. The right plan depends entirely on the specific medications the beneficiary takes — and the right plan today may not be the right plan next year.
Most Part D programs aren’t underbought. They’re under-shopped. Beneficiaries enroll once and stay with the same plan year after year, never running their prescription list against the alternatives during Annual Election Period.
At Avanti Group, we run a Residential Risk Audit™ before we recommend any Part D plan. We run your specific prescription list through the available formularies, look at preferred pharmacy options, and compare total annual cost across the plans available in your area.
What We Compare
A complete Part D evaluation considers:
- Formulary inclusion of each of your specific medications
- Tier placement of each drug (which affects copay)
- Plan deductible and how it interacts with your annual usage
- Preferred pharmacy network and the difference between preferred and standard pharmacies
- Mail-order options for maintenance medications
- Total estimated annual cost across premium, deductible, and copays
What Most Part D Programs Get Wrong
Plans are chosen on premium alone. The lowest-premium plan isn’t always the lowest total cost when your specific drugs go through the formulary.
Annual Election Period is missed. Each fall, plans change their formularies and pricing. The plan that was right last year may not be right this year, and the comparison should be run annually.
Pharmacy preference isn’t checked. The same plan can have wildly different costs depending on whether you use a preferred or standard pharmacy.
How to Get Started
Medicare Part D isn’t a commodity product. Call our office or use the button below to start a conversation. We’ll run your prescriptions and let you know exactly where you stand before you ever enroll.