Save on Medications with Medicare Part D

Predictable costs, vast pharmacy networks, and peace of mind for your prescriptions.

Why Expert Review is Essential

As a Veteran and Cancer Survivor, Mr. Bill Toth knows that life-saving medication shouldn't be a financial burden. During his own treatment, Bill saw the importance of having the right drug coverage to focus on recovery—not the pharmacy bill.

What is Medicare Part D?

Prescription Drug Plans (Part D) are Medicare-approved plans offered by private companies to help cover the cost of medications. These plans are designed to reduce out-of-pocket expenses for both generic and brand-name drugs.

Understanding Drug "Tiers":

Most plans categorize drugs into "Tiers" which determine your cost:

  • Tier 1: Preferred Generic (Lowest cost).
  • Tier 2: Generic.
  • Tier 3: Preferred Brand.
  • Tier 4: Non-Preferred Drug.
  • Tier 5: Specialty Tier (Highest cost).

How Part D Works

With Part D, you typically pay a monthly premium and an annual deductible. Platinum Choice Medicare helps you understand the different coverage phases:

  • Initial Coverage: You pay a copay or coinsurance until a set limit is reached.
  • The "Donut Hole": A coverage gap where you might pay a larger percentage of drug costs (Note: This is changing significantly in 2026!).
  • Catastrophic Coverage: Protects you from very high drug costs once you reach a certain out-of-pocket threshold.

Common Part D Questions

What is a "Formulary"?
A formulary is the list of drugs covered by a specific plan. Every plan has its own unique formulary. Bill Toth will help you cross-reference your specific medications against different plans to find the best match.
Will I be penalized if I don't sign up for Part D?
Yes. If you go 63 days or more without "creditable" drug coverage after your Initial Enrollment Period, you may have to pay a late enrollment penalty for as long as you have Medicare drug coverage.
How does the 2026 $2,000 Cap work?
Starting in 2025/2026, there is a new annual out-of-pocket cap of $2,000 on prescriptions covered by your Part D plan. This is a major benefit for seniors with high-cost medications.

Take Control of Your Medication Costs

Don't overpay at the pharmacy. Let Bill Toth find the plan that covers your medications at the lowest price.

📞 Compare Phoenix Drug Plans

Platinum Choice Medicare helps seniors in Phoenix, Scottsdale, and Mesa navigate Part D formularies. Bill Toth is an independent broker. Part D plans are provided by private insurance companies and are subject to annual changes in costs and coverage.