If you live in the Buckeye State, you’ll be pleased with the number of Medicare Part D drug plans you can choose from. Discover the eight highest-rated plans and how to choose the best one for your needs.

Depending on the Medicare plan you choose, you might be on the search for prescription drug coverage. For instance, Medicare beneficiaries who enroll in Original Medicare (Part A and Part B) may need to enroll in a stand-alone Part D plan to get prescription drug coverage. If this sounds like you, you’ll quickly realize that finding a Medicare Part D plan isn’t quite as straightforward as enrolling in Original Medicare.

Since Medicare Part D is offered by private insurance companies, you’ll come across multiple plans that vary in coverage details, monthly premiums, co-pays, and more. In Ohio, there are 30 Medicare Part D plans to choose from. While that number can seem overwhelming at first, narrowing down your options is easier than you’d think. 

Thanks to online resources and tools, like the Insurify Medicare comparison tool, you can get instantly matched with all the Medicare Part D plans available in your area and easily compare plans based on your medical needs, preferences, and budget.

Did you know you can use the Insurify Medicare comparison tool to find the best Medicare Part D plan for you? Just enter your ZIP code to uncover plan options near you.

 

 

What Are the Best Medicare Prescription Drug Plans in Ohio?

Ohio residents have plenty of plan options available when it comes to Medicare Part D. Here, we review the top eight highest-rated plans based on the Medicare star rating system. These plans were rated based on factors like monthly premiums, deductibles, and covered prescriptions. Below, you’ll find the associated costs for the plans, including the co-payments and coinsurance for all the plans’ formulary tiers. 

A prescription drug plan‘s formulary is essentially a list of the generic and brand-name prescription drugs it covers. A health plan‘s formulary is divided into four to five tiers that typically look like this:

    • Tier 1: Preferred generic drugs
    • Tier 2: Non-preferred generic drugs
    • Tier 3: Preferred brand-name drugs
    • Tier 4: Non-preferred brand-name drugs
    • Tier 5: Speciality drugs

If you’re currently taking prescription medications and are interested in a Medicare Part D plan, make sure to check with the insurer’s formulary to see if your prescriptions are covered and what tier they fall under. 

#1 WellCare Classic S4802-085 (PDP)

    • Monthly Premium: $23
    • Deductible: $445
    • Tier 1: $0
    • Tier 2: $3
    • Tier 3: $30
    • Tier 4: 34 percent coinsurance
    • Tier 5: 25 percent coinsurance 

Rated four out of five stars, this Medicare Part D plan offers an affordable monthly premium and low co-pays for generic drugs. Whether you’re purchasing a 30-day or 90-day supply, your co-pay for Tier 1 generic drugs is $0 when purchased through your health plan‘s preferred pharmacies. At other pharmacies, generic drugs are still a bargain at just a $2–$6 co-pay.

#2 WellCare Value Script S4802-149 (PDP)

    • Monthly Premium: $17.50
    • Deductible: $445
    • Tier 1: $0
    • Tier 2: $6
    • Tier 3: $43
    • Tier 4: 47 percent coinsurance 
    • Tier 5: 25 percent coinsurance

This four-star plan also offers a low monthly premium and low co-pays for Tier 1 generic drugs. With this plan, if your annual out-of-pocket costs exceed $6,350, you will enter the catastrophic coverage phase, which covers generic drugs with a $3.70 co-pay or five percent coinsurance and brand-name drugs with a $9.20 co-pay or five percent coinsurance (whichever is greater).

#3 WellCare Wellness Rx S4802-183 (PDP)

    • Monthly Premium: $15.60
    • Deductible: $445
    • Tier 1: $0
    • Tier 2: $5
    • Tier 3: $40
    • Tier 4: 46 percent coinsurance 
    • Tier 5: 25 percent coinsurance

Out of the eight highest-rated plans in Ohio, this Medicare Part D plan offers the lowest monthly premium—making it a great, affordable option. Plan beneficiaries will also enjoy low co-pays on Tier 1 and Tier 2 medications. Tier 2 medications range from $5 for a 30-day supply to $45 for a 90-day supply from a standard, non-preferred pharmacy. 

#4 AARP MedicareRx Preferred S5820-013 (PDP)

    • Monthly Premium: $88.10
    • Deductible: $0
    • Tier 1: $5
    • Tier 2: $10
    • Tier 3: $45
    • Tier 4: 40 percent coinsurance 
    • Tier 5: 33 percent coinsurance

Although this plan has a higher monthly premium, the $0 deductible is an attractive feature for those who regularly use prescription medications—especially if they are pricier brand-name or specialty drugs. From Tier 1 to Tier 3, the co-pays for a 30-day supply are pretty low, ranging from $5 to $45. This plan also offers a catastrophic coverage phase that kicks in when your annual out-of-pocket costs exceed $6,350, which covers generic drugs with a $3.70 co-pay or five percent coinsurance, and brand-name drugs with a $9.20 co-pay or five percent coinsurance (whichever costs more). 

#5 AARP MedicareRx Saver Plus S5921-359 (PDP)

    • Monthly Premium: $37.90
    • Deductible: $445
    • Tier 1: $1
    • Tier 2: $11
    • Tier 3: $40
    • Tier 4: 40 percent coinsurance 
    • Tier 5: 25 percent coinsurance

This 3.5-star plan is another solid option, with an affordable monthly premium and low co-pays for generic drugs. With this plan, once you reach the initial coverage limit of $4,130, you’ll enter the gap coverage phase and receive a 25 percent coinsurance for generic and brand-name drugs. After that, if your annual out-of-pocket costs exceed $6,350, you’ll enter the catastrophic coverage phase, which offers $3.70 co-pays for generic drugs and $9.20 co-pays for brand-name drugs—or five percent coinsurance, whichever costs more.

#6 AARP MedicareRx Walgreens S5921-395 (PDP)

    • Monthly Premium: $31.90
    • Deductible: $445
    • Tier 1: $0
    • Tier 2: $6
    • Tier 3: $40
    • Tier 4: 40 percent coinsurance 
    • Tier 5: 25 percent coinsurance

Like other plans on this list, this plan offers a gap coverage phase once you reach the plan’s initial coverage limit of $4,130. During that phase, beneficiaries get a 25 percent coinsurance on generic and brand-name drugs. Once your annual out-of-pocket costs exceed $6,350, you’ll pay a low $3.70 co-pay for generic drugs and $9.20 for brand-name drugs (or five percent coinsurance, whichever is greater).

#7 Anthem MediBlue Rx Enhanced S5596-072 (PDP)

    • Monthly Premium: $19.90
    • Deductible: $340
    • Tier 1: $0
    • Tier 2: $2
    • Tier 3: 20 percent coinsurance
    • Tier 4: 39 percent coinsurance 
    • Tier 5: 26 percent coinsurance

This plan has the third-lowest monthly premium of the plans on this top eight list. The co-pays for Tier 1 and Tier 2 generic drugs are low, ranging from just $0 for a 30-day supply from a preferred pharmacy to $21 for a 90-day supply from a non-preferred pharmacy. Most plans on this list have a co-pay for Tier 3 preferred drugs, but this plan offers a 20 percent coinsurance instead. 

#8 Anthem MediBlue Rx Plus S5596-014 (PDP)

    • Monthly Premium: $61.90
    • Deductible: $0
    • Tier 1: $1
    • Tier 2: $3
    • Tier 3: $43
    • Tier 4: 45 percent coinsurance 
    • Tier 5: 33 percent coinsurance

This plan has a monthly premium on the higher side, but you get a $0 deductible in exchange. Depending on what types of prescription drugs you take and the frequency you take them, a higher monthly premium may be worth it to get a zero-deductible plan. 

Saving money on Medicare is easy. Just use the Insurify Medicare comparison tool to find the right Medicare Part D plan for you. Uncover options in your area at no cost to you. Try it today!

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How Much Do Medicare Prescription Drug Plans Cost in Ohio?

It’s easy to focus on only the monthly premium cost when comparing plans. But as we reviewed in our top eight breakdown, there are many associated costs with any given Medicare Part D plan. Along with the monthly premiums, you should consider a plan’s deductible, the number of medications you take, and the tier(s) your prescription(s) fall under. These factors will heavily influence how much your Medicare prescription drug plan will end up costing you.

What Is Medicare Part D?

Medicare Part D is a prescription drug plan offered by private insurance companies that have contracts with the federal government. So while these plans are regulated by the Centers for Medicare & Medicaid Services, they are actually offered and sold by private insurers. This is why the cost and coverage details will vary from one plan to the next.

Stand-alone Medicare Part D plans are commonly used to fill the coverage gaps of Original Medicare (Medicare Part A and Medicare Part B), which doesn’t provide coverage for medications. Another option to consider is enrolling in a Medicare Advantage (Medicare Part C) plan, which typically already includes Part D coverage. This allows Medicare beneficiaries to get all their coverage in one plan, rather than having to shop for a stand-alone Part D plan to add to their health insurance

What Are Eligibility Requirements for Medicare Part D?

All U.S. citizens or permanent residents are eligible for Medicare benefits when they turn 65. In some cases, individuals may be eligible for Medicare even if they are under 65. If you are diagnosed with end-stage renal disease (ESRD) or have received Social Security Disability Insurance (SSDI) for 24 consecutive months, you may be eligible for Medicare coverage.

If you’re unsure about your Medicare Part D eligibility, you can visit www.Medicare.gov or call at 1 (800) 633-4227. TTY users can contact 1 (877) 486-2048.

What Is the Enrollment Process for Medicare Part D?

The best time to enroll in a Medicare Part D prescription drug plan is during your Initial Enrollment Period—a seven-month period that begins once you become eligible for Medicare coverage. While you’re not required to enroll in a prescription drug plan (PDP), you may face late-enrollment penalties if you don’t. This late-enrollment penalty is calculated by multiplying one percent of the national base premium by the number of months you did not have PDP coverage. That total is rounded to the nearest $0.10 and then permanently added to your monthly Part D premium.

In 2021, the national base premium is $33.06. While $0.33 each month doesn’t sound like a lot, it can quickly add up. In just two years, you could be looking at a fee of $8 added to your monthly premium ($0.33 x 24 months). So, even if you don’t regularly take prescription medications, it’s a good idea to enroll in a low-cost, basic plan during your Initial Enrollment Period just to avoid late enrollment penalties.

If you missed your Initial Enrollment Period, you can still enroll in a Medicare Part D plan during Open Enrollment, which happens each year from October 15 to December 7. If you’re switching from Original Medicare to Medicare Advantage, you can enroll in an MA plan with prescription drug coverage during the Open Enrollment Period or during the annual Medicare Advantage Open Enrollment Period from January 1 to March 31.

 

FAQ: Ohio Medicare Part D Plans

Is Medicare Part D free?

You might be able to find a premium-free Medicare Part D, but that is not exceptionally common. Most Part D plans have a monthly premium, as seen in our list of top-rated plans. If affording a Part D plan seems out of reach, you can contact the Centers for Medicare & Medicaid Services about the Extra Help program, which provides financial assistance for those who meet certain eligibility requirements. They can provide guidance on qualification requirements and how you can apply for assistance. 

Can I add a Medicare Part D plan to my Medicare Advantage plan?

If your Medicare Advantage plan includes prescription drug coverage (and most HMO or PPO plans do), you cannot add a stand-alone Medicare Part D plan on top of that. 

Can I have a Medicare Supplement Insurance (Medigap) plan and a Part D plan at the same time?

Typically, yes. However, if your Medigap plan includes prescription drug coverage, you won't be able to have a Medigap plan and a stand-alone Part D plan simultaneously. In that case, you will need to contact your insurer to remove drug coverage from your Medigap policy.

Conclusion: Comparing Part D Plans Before You Buy

Even if you don’t currently take many prescription medications now, enrolling in a Medicare prescription drug plan is a great step you can make to prepare for the future. And with the help of online resources and tools, comparing Part D plans is simple to do on your own. Long gone are the days of having to go through the hassle of contacting an insurance agent. Online tools empower you to make healthcare decisions on your own and find the best health insurance plans for your needs, preferences, and lifestyle. Plus, you can get matched with great plans in your area within minutes.

Comparing drug plans is easier than ever, thanks to the Insurify Medicare comparison tool. All you need is your ZIP code to start comparing the best plan options. And because we know your health plan choices can be overwhelming, we have licensed insurance agents available to provide objective assistance, free of charge. Give us a call at  1-844-965-1378 (TTY 711) Monday-Friday 8am – 8pm ET.

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Updated May 11, 2021

Emily Vasquez is a content marketing writer based in Tampa, Florida. A graduate from the University of South Florida, Emily has worked as a copywriter, communications lead, and content strategist for high-growth start-ups and global brands and retailers. You can learn more at www.emvwrites.com