In Colorado, Medicare Prescription Drug Coverage is available to all Medicare beneficiaries. This benefit is also referred to as Medicare Part D.
According to the experts at Colorado SHIP, an important aspect of Part D coverage is the “tier” system which categorizes types of drugs and determines which are covered in what amounts. The important tiers are:
- Tier 1 - Preferred generic drugs
- Tier 2 - Other generic
- Tier 3 - Other brand name drugs
- Tier 4 - Specialty drugs
- Tier 5 - Injectable drugs
Most people pay a standard monthly Part D premium. In Colorado, during 2012, the premiums range from $45 to about $80.
Some Part C/Medicare Advantage plans include prescription drug coverage that follows the same rules as the Medicare Part D coverage. This Medicare Advantage Prescription Drug (MA-PD) coverage provides an integrated benefit covering their hospital, physician and drug costs. As we’ve noted: to qualify for a MA-PD in Colorado, you must be entitled to Medicare Part A and enrolled in Part B.
Please note that in the list below there may be some inaccuracies or omissions. There is also variance of plans depending on your city, county and region of Colorado. The information was provided by the CMS, Centers for Medicare & Medicaid Services.