What's the biggest mistake seniors make when choosing a Medicare Part D plan?
Answered by 75 licensed agents
1) Not comparing plans: The biggest mistake is not comparing plans. This is critical to ensuring you are on the right plan to start out with, and each year during the annual enrollment period (AEP), because plans change annually. You must not assume that your plan will remain the same year to year. This goes for both Medicare Part D and Medicare Part C plans.
2) Not considering your prescriptions: Some plans may have a low premium, but your prescriptions may not be covered in that carriers formulary. Carriers may change their formularies each year, so this comparison should also be done during initial enrollment as well as each year during the AEP.
3) Not considering deductibles, copayments, and in network pharmacies: In 2026, several carriers added or increased their drug deductible and copays. In addition to considering these elements you should also ensure that you are using an in-network pharmacy. Not doing so could cost you several hundred dollars per prescription. All of these costs vary from carrier to carrier and many of these costs will change annually.
4) Missing enrollment periods: Missing your initial enrollment period in Medicare Part D or missing the annual enrollment period are key mistakes that seniors make. Seniors that are turning 65 or currently on a Medicare Plan, should work with a local broker at least 3 months in advance of their 65th birthday and each year during the AEP, which is October 15th-December 7th.
Answered by Michelle Sparks on February 17, 2026
Broker Licensed in KS, AR, FL, MO & TX
1) Not reviewing their medication list against the plan's formulary. A plan can look great on paper, but if one of your prescriptions isn't covered, or is in a higher tier than expected, you could end up paying far more than you planned.
2) Not understanding when the deductible applies. Some plans have no deductible, others have one that applies to certain drug tiers but not others and if you don't know how that works, your first few prescription fills of the year can come as a real surprise.
3) Going with a "name brand" without comparing options. A lot of people just re-enroll in the same well-known plan year after year, or pick whatever carrier they recognize, without ever running their actual medications through a comparison. The most recognizable name isn't always the cheapest or best fit for your specific drugs.
Answered by Trever Dahms on June 30, 2026
Broker Licensed in FL, NC, SC & WI
A Medicare beneficiary will want to check to see if their preferred pharmacy is in the network for the Part D Prescription Drug Plan. Each insurance carrier will have different preferred pharmacies within their network.
It is important that one identifies the correct prescription that will be taken when reviewing the formulary under the plan. It can make a difference if reviewing tablets versus capsules or brand name versus the generic option.
It is important to review the Part D plan annually as your needs may change with prescriptions, and the plans change annually. Premiums, deductibles and copays can shift each year. Also, prescription formularies can change tiers from year to year.
Also, it is a great idea to have a discussion with the medical professionals who prescribe prescriptions to identify which medications would work well to treat you and what options could potentially save you money.
It is always good to look at the bottom line. You always want to look at the total estimated costs rather than which plans offer you the lowest premium.
Answered by Steven Whetstine on June 21, 2025
Agent Licensed in AZ, AL, AR & 29 other states
The second biggest error is enrolling in a plan when turning 65 and having the monthly premium deducted from your monthly SS check. Over time, both plan premiums and member drug needs change and this is something that needs to be reviewed every year during AEP.
Most areas in the country will have $0 to low cost stand-alone PDP plans so do yourself a favor and don't bypass this when you are first eligible.
Answered by Terry Salak on December 11, 2025
Agent Licensed in FL, AL, AZ & 11 other states
Answered by Mel Stevens on April 15, 2025
Broker Licensed in AZ
Next, check all of your meds to make sure they are covered and what tier they fall under. Don’t assume that each plan will cover your meds. Each plan has a different list of medications or formulary.
Next know how much each medication would cost you each month. Also know what the monthly premium is.
Don’t assume that a plan that charges $0 premium is going to be the cheapest plan for you.
Lastly, check to see if your pharmacy is in the network. Plans also have a mail order pharmacy and on some plans you can save money by using them and they come right to your mail box.
Answered by Pamela Masters on October 12, 2025
Broker Licensed in NC
Before you overpay for a Part D plan, consider verifying your medications are on the plan's formulary for the year and compare the cost for the medications. When carriers have more than one Part D plan available, they can also have different cost share (co pays, coinsurance, and deductible requirements) and categorized in different tier levels that will impact your out of pocket cost for your medications.
If you need help, reach out to a local, trusted, Medicare advisor, SHIP, or visit the Medicare.gov website for more information, best practices, and resources to help you assess and compare your options for the upcoming year.
Answered by Steven Litzsinger on November 1, 2025
Broker Licensed in MO, AL, FL & 8 other states
Answered by Justin Scheiner on May 18, 2026
Agent Licensed in FL, CO, CT & 5 other states
1. Not verifying the listed prescription or tier level on the plan's formulary.
2. Enrolling in a plan where the monthly premium is excessive in comparison to the monthly cost of the prescriptions. Example: Paying a $103/month for plan for when you're only taking generic prescriptions.
Answered by Timothy Brown on April 8, 2025
Broker Licensed in PA, CT, DE & 15 other states
Answered by Vachik Chakhbazian on July 29, 2025
Agent Licensed in CA, AL, AR & 22 other states
Hello, Robert Remin, Expert Medicare Plan Advisor, licensed and Medicare and Carrier certified in New York, Connecticut, New Jersey, and Florida. The biggest mistake people make when they try to choose a Part D prescription drug plan on their own is assuming the higher premium they pay, the lower the drug costs are. That is not necessarily the case. There's no reason to pay a large premium to a carrier if you are taking all generic drugs. It makes absolutely no economic sense. Some people do that in anticipation, thinking, "Oh, one day I'm gonna wind up with an expensive drug, so I need to pay the bigger premium now, so in case I wind up with an expensive drug, it will be less." That is the completely incorrect way to think about choosing a Part D Medicare plan. If you have additional questions, please call or text me.
Answered by Robert Remin on June 3, 2025
Agent Licensed in NY, CT, FL & NJ
Medicare agents have a resource for seniors, and we're happy and proud to be a part of giving the answers. What's the biggest mistake seniors make when choosing a Medicare Part D plan? Simple, they don't search out all of the options that are available on an annual basis for the Part D plans. The Part D plans change every year, just like Medicare Advantage, so you want to look at what options are out there.
What we do here at my State Farm agency on Kelly Street in Manchester, just like I did for my free appointment today, is we go on and look at the different options that are available. For the four medications that she was taking, the plans ranged from zero premiums to $51 a month for the same plan to cover the same prescriptions.
So work with someone like myself who's going to do that extra homework for you and make it work for you. Please work with someone like myself who will help you with that. We'll do all the legwork, and then any time every year you have to renew, we look at what's out there now, and we can help you with that. We'd be honored to help you. Thank you.
Answered by Tony Capraro III on August 11, 2025
Agent Licensed in NH & ME
Answered by Todd Bostic on June 2, 2025
Broker Licensed in TX, AL, AZ & 12 other states
Answered by Alisa Mathis on November 24, 2025
Broker Licensed in PA, IA, ME & 5 other states
Answered by Wayne Hartzler on September 8, 2025
Broker Licensed in OK
Answered by Steve and Sue Brauer on April 14, 2025
Broker Licensed in AZ & CA
Answered by Steve Adlman on January 26, 2026
Broker Licensed in AL
Answered by Joseph Lombardo on May 5, 2025
Agent Licensed in NY, CT, NJ & PA
Answered by Dan Calabrese on April 14, 2025
Agent Licensed in NY, CT & MA
The right thing to do in order to get the best fit for you, is to contact your insurance agent, let them know what drugs you take including the strength and let them figure out which plan is the best plan for you after analyzing all the information.
Answered by George Ibanez on May 21, 2026
Broker Licensed in AR, AL, AZ & 40 other states
Answered by Joseph Lipski on June 1, 2026
Broker Licensed in NJ, CA, DE & 17 other states
Answered by Alicia Tyring on November 10, 2025
Broker Licensed in IN, AL, AR & 42 other states
They also need to check for overall cost per Medicare.gov. They need to make sure that the pharmacy they use is covered and other options for Pharmacies are in the preferred network for the lowest cost for Meds.
Answered by Michael Pyers on April 28, 2025
Broker Licensed in OH & MI
Answered by Mark Boone on June 17, 2026
Agent Licensed in MN, FL, MI & NC, OH, SC & VA
The biggest mistake seniors make when choosing a Medicare Part D plan is focusing only on the monthly premium without checking whether their medication are covered or how much they'll actually pay out-of-pocket. Why this is a costly mistake?
Many seniors are drawn to the lowest premium plans, assuming they'll save money. But:
Look out for limited drug coverage with low premiums, pharmacy networks, and hidden costs.
All the best -Muriel
Answered by Muriel Evans on November 8, 2025
Broker Licensed in TX, AZ, GA & 5 other states
Answered by Lynn C Shurtleff on September 3, 2025
Broker Licensed in TN, AR, CO & 6 other states
Answered by Joe Graves on April 27, 2026
Agent Licensed in OK, AR, FL & 7 other states
Answered by Michael Denniston on July 24, 2025
Agent Licensed in FL, AL, AR & 11 other states
Answered by Pete Alberti on May 11, 2026
Broker Licensed in KY, FL, IN & 8 other states
Answered by Joseph Peck on August 5, 2025
Agent Licensed in MI, AL, CO, KS & TN
Answered by David Christian on April 8, 2025
Broker Licensed in CA & TX
Answered by Jason York on September 22, 2025
Broker Licensed in FL, AL, AR & 17 other states
Answered by Barb Koch on September 22, 2025
Agent Licensed in MO
Answered by Larry Jolley on October 27, 2025
Broker Licensed in TX, FL, SC & WA
Answered by Ron Cronwell on August 11, 2025
Agent Licensed in TN
Answered by Jaye Maxx Alexander II on December 26, 2025
Broker Licensed in NC, AK, AL & 47 other states
If you have a Med. Advantage plan, consider getting a plan that has a prescription drug plan already attached whose Drug Formulary supports the prescriptions you take.
Answered by William Scott on July 7, 2025
Broker Licensed in GA, CO, NC, OH, SC & TX
Answered by David Nelson on June 1, 2026
Broker Licensed in IL
Cost per company and Formulary teirs change every year.
You may be paying for more than you need to without an annual review.
Answered by William Gray on May 23, 2025
Broker Licensed in FL, GA, ID & 9 other states
Answered by Mary Green on October 26, 2025
Broker Licensed in AL, CO, FL, GA, TN & VA
Answered by Mike Henry on May 16, 2025
Agent Licensed in TX
Answered by Kerwyn Jones on April 8, 2025
Broker Licensed in FL, AL, AZ & 21 other states
1. Not using medicare.gov to compare all plans against your medications.
2. Not checking your drug coverage every year, by comparing new plans or if you were prescribed new meds
Answered by Joseph Meyers on May 12, 2025
Broker Licensed in MI, OH & TN
Answered by Annette Hartman on May 13, 2026
Broker Licensed in FL
Answered by Linda Davies on May 30, 2025
Agent Licensed in IL
Answered by Rene Apack on June 23, 2025
Broker Licensed in IL, AL, AR & 25 other states
Answered by Dino Pappadis on May 4, 2026
Broker Licensed in FL
Answered by Rick Boyd on May 19, 2025
Broker Licensed in KY, AZ, CA & OH, TN, TX & UT
Answered by Mike Alexander on March 17, 2026
Broker Licensed in TX, AL, AR & 16 other states
Answered by Steven Bleicher on May 29, 2025
Broker Licensed in AZ
Answered by Jason Marshall on November 15, 2025
Agent Licensed in CA
Answered by Diana Salisbury on May 11, 2025
Broker Licensed in OH, IN & MI
Answered by Maurice Ellis on August 30, 2025
Agent Licensed in MS, AL, AR & 17 other states
Answered by Sarah Frome on August 18, 2025
Agent Licensed in MD, MI & VA
Answered by Larry Dalton on April 17, 2025
Broker Licensed in OK & TX
Answered by Mal Varlack on July 31, 2025
Broker Licensed in FL, AZ, GA & 11 other states
Answered by David Schult on January 19, 2026
Agent Licensed in KY, IN & TN
Answered by Dina Todd on October 15, 2025
Broker Licensed in NC
Answered by Carol Thompson on September 16, 2025
Broker Licensed in FL, LA, MI & NC, SC, VA & WI
reference
https://www.medicare.gov/health-drug-plans/part-d/basics/costs
Answered by Satoshi Aoki on May 27, 2025
Agent Licensed in CA
I as an insurance agent helped my Medicare members by educating them on what the options are before we start looking at any plans this way we ensure getting the right fit for you.
Elisa Forte
Licensed insurance agent
Answered by Elisa Forte on January 26, 2026
Agent Licensed in NY, FL & OH
Answered by Lori Lipton on December 2, 2025
Agent Licensed in OH & FL
Best option is to call your local Agent, who is familiar with plans and costs in your area
Answered by Pat Papson on September 22, 2025
Agent Licensed in NM
Answered by Peter Joseph on June 2, 2025
Broker Licensed in CA, AL, AR & 36 other states
Answered by Vernon Jones on October 7, 2025
Broker Licensed in NC & SC
Answered by Blaine Shipe on October 12, 2025
Broker Licensed in AZ, CA, CO & VA
Answered by Jeffrey Sodikoff on February 9, 2026
Agent Licensed in FL
Answered by Kris Neupauer on September 29, 2025
Broker Licensed in MN, ND, SD & WI
Answered by Deborah Krump on October 27, 2025
Agent Licensed in MN
Answered by Nick Sarant on May 11, 2026
Agent Licensed in SC
On the Part D, (Prescription drug coverage).
I get a list of your prescriptions you are currently taking, then I go to the Medicare.gov
I check what plans cover the drugs and the pharmacies at the lowest cost, so you can get the best prices and control the budget for your cost for the year!
It is best to check all your cost at the pharmacy you use, (it might be costing you a lot, or it might be the best, the Medicare.gov site lets you know, call me, I can help!
Thx!
Answered by David Didier on March 26, 2025
Broker Licensed in LA & TX
Answered by Robert Nunn on October 6, 2025
Agent Licensed in FL, AL, AR & 36 other states
You should have an Agent do a proper needs assessment to make sure all of your medication is covered and review alternative options to meet your needs and budget.
Steve,
Answered by Steven Maicus II on November 5, 2025
Broker Licensed in NY
Answered by R Scott Bradley on June 9, 2025
Broker Licensed in WV & OH
Tags: Advice for Seniors Medicare Part D Prescription Drug
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