I have Original Medicare, a Medigap Plan G, and a Part D plan, but I'm still facing high costs for my specialty medication. What options exist for someone in my situation?

Answered by 3 licensed agents

Make sure that your Part D plan has the best possible coverage for your specialty medication. All plans are different and some will cover your specialty meds better than others.

Answered by Clarence "Mark" Christiansen on April 4, 2025

Agent Licensed in WI, AZ, CA & 16 other states

Answered by Clarence "Mark" Christiansen Medicare Insurance Agent
It depends where it is dispensed. If you get it at a local Pharmcy or mail order Pharmacy, then please contact your Insurance Company on the Part D Policy & ask the representative of the Insurance Company for a Tier Exception. They have so many specific hours to respond to you.

If it is administered by your Doctor's Office, then it falls under Medicare Part B. Thank you.

Andrew J. Zurbuch, MBA

Licensed Broker

Answered by Andrew Zurbuch, MBA on April 7, 2025

Broker Licensed in IN, FL, KY, MO, OH & TN

Answered by Andrew Zurbuch, MBA Medicare Insurance Agent
Is this an infusion medication? If it is administered in office it might be covered under Part B. You need a Broker like me who is smart and can help you.

Answered by Ellen Diehl on April 3, 2025

Broker Licensed in GA

Answered by Ellen Diehl Medicare Insurance Agent

Tags: Medicare Part D Medicare Supplement Prescription Drug

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