Speak to a Licensed Sales Agent
Call Now 1-888-992-0738 TTY: 711
M-F 9am-8pm EST
Customer ID

Idaho State FlagMedicare Part D Plans in Idaho

Did you know that the population of Idaho is approximately 1.787 million people? That's a lot of people! And out of that 1.787 million, nearly 324,000 - over 18 percent - are enrolled in Medicare health plans, according to the Centers for Medicare & Medicaid Services (CMS). If you're getting ready to sign up for Medicare, it's important that you know about Part D prescription drug plans, as well.

Getting Medicare Part D in Idaho

In Idaho, Medicare provides Part D prescription drug coverage through private insurance companies. Getting a Medicare Part D prescription drug plan in Idaho depends on how you receive your other benefits, including Medicare Part A (hospital insurance) and Medicare Part B (medical insurance).

You can purchase a standalone Medicare Part D prescription drug plan (PDP) if you stay with Original Medicare (Parts A and B) or choose a Medicare Advantage (MA) plan that does not include prescription drug coverage. As of 2018, CMS reported that around 58 percent of Idahoans with Medicare chose standalone Part D plans. They also reported that there are approximately 25 stand-alone prescription drug plans available to Medicare beneficiaries in Idaho.

You may also choose a Medicare Advantage Prescription Drug plan, known as an MA-PD. Medicare Advantage Prescription Drug plans are offered by private insurance companies contracted with Medicare.

With Medicare Advantage Prescription Drug plans, you receive all the same services as Original Medicare, plus prescription drug coverage – all combined in a single plan. Also known as Medicare Part C, Advantage plans often include additional benefits such as vision, dental, and prescription drug coverage. According to CMS, around 42 percent of Idahoans with prescription drug coverage have an MA-PD plan. There are currently 43 Medicare Advantage plans available in Idaho.

Why Do I Need Medicare Part D in Idaho?

Original Medicare only covers prescription medications in extremely limited situations. Typically, this means medications administered by a provider, such as injections. Parts A and B do not cover the medications you take daily to manage conditions like high blood pressure, high cholesterol, arthritis, thyroid disease, or depression. To get coverage for these types of medications, you need a Medicare Part D Prescription Drug plan.

When Can I Register for Medicare Part D in Idaho?

The first time you can sign up for Medicare Part D coverage is during your Initial Enrollment Period (IEP).

If you’re aging into Medicare, your Initial Enrollment Period lasts for 7 months. It starts 3 months before you turn 65, includes the month of your birthday, and ends 3 months later. Your Initial Enrollment Period is the ideal time to sign up for Part D prescription drug coverage.

During this time, you can also sign up for a Medicare Advantage plan, with or without prescription drug coverage.

If you currently have Medicare, you may also enroll in a prescription drug plan during the Annual Enrollment Period (AEP). Options include:

  • Leaving Original Medicare for a Medicare Advantage plan
  • Switching from one MA plan to another
  • Switching from one Part D plan to another
  • Leaving your MA plan to return to Original Medicare

Annual Enrollment occurs every year from October 15 to December 7.

Medicare Advantage Open Enrollment is available to anyone who is currently enrolled in an MA plan. During this time, you may:

  • Change to a new Advantage plan
  • Return to Original Medicare

If the changes you make during Open Enrollment result in you not having prescription drug coverage, you may also enroll in a Part D plan.

Medicare Advantage Open Enrollment occurs annually from January 1 through March 31.

Finally, if you qualify for a Special Enrollment Period (SEP), and can choose a new plan at that time. There are dozens of ways to qualify. Find the full list here.

Other Things to Know About Medicare Part D in Idaho

If you delay enrollment in a Medicare Part D plan AND you do not have creditable prescription drug coverage elsewhere, you face lifelong late enrollment penalties when you do finally sign up.

Find a Plan today!
Call a Licensed Sales Agent

1-888-992-0738 TTY User: 711

M-F 9am-8pm EST