The Medicare Prescription Payment Plan is a payment option that works with your current drug coverage to help you manage your out-of-pocket costs for drugs covered by your plan by spreading them across the calendar year (January-December). This payment option may help you manage your expenses, but it doesn’t save you money or lower your drug costs.
This payment option might not be the best choice for you if you get help paying for your prescription drug costs through programs like Extra Help from Medicare or a State Pharmaceutical Assistance Program (SPAP). Call your plan for more information.
You can also download and complete the participation request form from our Medicare Prescription Payment Plan page or call us at (866) 212-4582 (TTY/TDD 711) to submit your request via telephone.
If you have questions or need help completing this form, call us at (866) 212-4582. We are open October 1 to March 31, from 8:00 a.m. to 8:00 p.m. seven days a week (except Thanksgiving and Christmas) and from April 1 to September 30, 8:00 a.m. to 8:00 p.m. Monday through Friday (except holidays). TTY/TDD users can call 711.
Medicare Prescription Payment Plan Terms & Conditions
The Medicare Prescription Payment Plan is a new payment option within the Inflation Reduction Act. The Medicare Prescription Payment Plan work with your CommuniCare Advantage drug coverage to help manage out-of-pocket Medicare Part D drug costs by spreading them across the calendar year (January through December). Participation in the program is voluntary and there is no additional cost to participate in the Medicare Prescription Payment Plan.
By opting into the Medicare Prescription Payment Plan, you agree to the following terms and conditions:
- You must be enrolled in a Part D coverage plan.
- You understand that the Medicare Prescription Payment Plan provides the option to pay your out-of-pocket prescription drug costs in monthly installments over the course of the plan year, instead of paying the entire out-of-pocket costs at the pharmacy.
- You understand that participating in the Medicare Prescription Payment Plan is voluntary and you have the option to leave the Medicare Prescription Payment Plan at any time.
- You understand that leaving the Medicare Prescription Payment Plan does not eliminate your responsibility to pay for prescription drug costs already incurred.
- You will receive a bill from us each month for drug costs you wish to be spread over the calendar year. This payment is separate from any plan premiums (if applicable).
- Your payments may change each month if your prescriptions change month over month. You are responsible for paying your bill each month, on or before the due date.
- If you miss a payment, you will be sent a reminder to make your payment. If you do not pay your bill by the due date listed in the reminder, you will be subject to removal from the Medicare Prescription Payment Plan.
- Removal from the Medicare Prescription Payment Plan does not impact your payment requirements. If terminated from this program, you remain obligated to pay past due amounts and may continue to receive bills for outstanding payments.
- Late payments made pursuant to the Medicare Prescription Payment Plan are not subject to interest or additional fees.
- If you are removed from the Medicare Prescription Payment Plan, this will not impact your enrollment in current Part D drug plan.
- Removal from the Medicare Prescription Payment Plan may impact your eligibility to opt into the program in the future.