Having good health insurance is a crucial part of enjoying your retirement. When you’re healthy and feeling great, you can make your retirement dreams a reality. 

Whether your plans include traveling the country in an RV or gardening in your backyard, you want to minimize the amount of time spent managing your healthcare coverage and spend time enjoying life. 

Luckily it’s 2021, and nearly anything can be done virtually, including finding the right Medicare Part D prescription drug plan. It doesn’t matter if it’s 6 a.m. or 6 p.m.; you can compare plans online and choose from among several private insurance companies that provide Medicare coverage in your service area

Ready to shop plans now? Use the Insurify Medicare comparison tool to find the right Medicare plan for you. Start with your ZIP code to compare Medicare Advantage, Medigap, and prescription drug plans. Try it today!

 

 

What Are the Best Medicare Part D Plans in Oklahoma?

While each plan varies in cost, Medicare Part D coverage is very similar from plan to plan. To find the best plan for your needs, consider the plan’s cost and formulary. You need a plan that covers your medications and fits within your budget. 

These are the top eight plans based on their availability, star rating, monthly premium, and deductible. To learn more about each plan, you can check each provider’s website. 

#1: WellCare Classic S4802-014 (PDP)

    • Monthly Premium: $26.80
    • Deductible: $445
    • Rating: 4/5

This four-star plan from WellCare offers both a low monthly premium and inexpensive generic drugs. Monthly premiums are $26.80 per month, Tier 1 drugs are $0–$9, Tier 2 are $3–$30, and Tier 3 costs $30–$111. The coinsurance for Tier 4 is between 33 and 41 percent, while Tier 5 specialty drugs cost 25 percent coinsurance

Medications in the lower four tiers can be bought at a preferred pharmacy or by mail order, making it easy to ensure you always have your prescription on hand. Both generic and brand-name drugs cost 25 percent coinsurance in the gap coverage phase, when you reach $4,130 in annual drug spending.  

#2: WellCare Value Script S4802-156 (PDP)

    • Monthly Premium: $17.70
    • Deductible: $445
    • Rating: 4/5

Another solid prescription drug plan from WellCare, this plan has a lower monthly premium, though some tiers have a higher co-pay and coinsurance. Tier 1 drugs are $0 for preferred retail cost-sharing and $5 for standard retail cost-sharing. Tier 2 ranges from $6 to $33, and Tier 3 is $43–$141. Tier 4 have coinsurance that ranges from 47 to 50 percent, and Tier 5 cost 25 percent. 

These prices are the same whether you buy them in a brick-and-mortar pharmacy or if you have them delivered by mail. Medications in the gap coverage phase are 25 percent, and in the catastrophic phase, they are the greater of 5 percent coinsurance or $3.70 for generic drugs and $9.20 for brand-name drugs. 

#3: WellCare Wellness Rx S4802-192 (PDP)

    • Monthly Premium: $15.70
    • Deductible: $445
    • Rating: 4/5

Rounding out the four-star plans is the final WellCare plan on this list. It’s also the least expensive one here, which makes it a great option if you don’t need coverage now but want to avoid the late-enrollment penalty down the road. And if you do need medications before then, the prices are reasonable. 

Tier 1 drugs range from $0 to $24, Tier 2 are $6–$45, and Tier 3 are $40–$141. Non-preferred brand-name drugs require 46–50 percent coinsurance, and Tier 5 requires 25 percent. Like the previous WellCare plans, once you reach the gap coverage phase, medications cost 25 percent, and if you get to the catastrophic stage, the cost drops to just 5 percent or $3.70 (generics) and $9.20 (brand-name) for your prescription drugs. 

#4: AARP MedicareRx Preferred S5820-022 (PDP)

    • Monthly Premium: $88.70
    • Deductible: $0
    • Rating: 3.5/5

This is the only no-deductible plan to make Insurify’s list of best Medicare Part D plans in Oklahoma. While the monthly premium is significantly higher than any other plans on this list, if you want to avoid paying full price until you meet a deductible, this is one to consider. 

Tier 1 drugs cost $5–$45 when you buy from a local pharmacy but are $0 if you get preferred mail-order generics. The same holds true for Tier 2. Mail order is $0, but you’ll pay $10–$60 in-store. Tier 3 ranges from $45 to $141, Tier 4 costs 40–45 percent coinsurance, and Tier 5 is 33 percent. 

If you reach the gap coverage phase, also known as the “donut hole,” Tier 2 drugs retain the same pricing, while all others are 25 percent coinsurance. The standard catastrophic coverage costs apply if your annual spending exceeds $6,350.  

#5: AARP MedicareRx Saver Plus S5921-368 (PDP)

    • Monthly Premium: $26.60
    • Deductible: $445
    • Rating: 3.5/5

AARP and UnitedHealthcare have teamed up to offer this prescription drug plan, which features both a low monthly payment and lower-end pricing on all five drug tiers. For Tier 1, you’ll pay $1–$18, Tier 2 medications cost $5–$30, and Tier 3 are $31–$108. Drugs in Tier 4 cost 40 percent coinsurance, and Tier 5 is 25 percent coinsurance

When your yearly spending exceeds $4,130, you are eligible for coverage gap pricing, 25 percent for both generic and brand-name drugs. If your annual out-of-pocket costs exceed $6,350, you’ll pay the standard catastrophic coverage rates. 

#6: AARP MedicareRx Walgreens S5921-404 (PDP)

    • Monthly Premium: $33.30
    • Deductible: $445
    • Rating: 3.5/5

Here’s another plan with costs that are in the mid-range when compared to the other plans. For a monthly premium of $33.30, you can expect Tier 1 drugs to cost $0–$45, Tier 2 are $6–$60, and Tier 3 are $40–$141. In Tier 4, the coinsurance rate goes up to 45 percent, and in Tier 5, it’s 25 percent. 

In the gap coverage phase, all drugs except Tier 2 cost 25 percent coinsurance. Tier 2 drugs cost $6–$60, depending on whether you get a 30-day or 90-day prescription. 

#7: Blue Cross MedicareRx Basic S5715-015 (PDP)

    • Monthly Premium: $31.30
    • Deductible: $445
    • Rating: 3.5/5 

This three-and-a-half-star plan from Blue Cross and Blue Shield of Oklahoma offers good coverage at an affordable price. At around a dollar a day, you get Tier 1 drugs for as little as $1 for a 30-day supply and Tier 2 for $4. Tier 3 drugs require up to 15 percent coinsurance, Tier 4 goes up to 48 percent, and Tier 5 is 25 percent. 

You can order your prescription drugs from a local pharmacy or by mail. The only exception is Tier 5 drugs; mail order isn’t available for these. 

When the total drug costs paid by you and your plan reach $4,130, gap coverage kicks in, and you only pay 25 percent of your prescription’s price. If you get to the $6,350 out-of-pocket threshold, you can expect to pay the higher of 5 percent or $3.70 for generics and $9.20 for brand-name drugs.  

#8: Blue Cross MedicareRx Choice S5715-018 (PDP)

    • Monthly Premium: $21.00
    • Deductible: $445
    • Rating: 3.5/5 

If the previous plan looked appealing, you should also consider this one, as it’s also a Blue Cross and Blue Shield plan, offers similar prescription drug pricing, and is $10 less per month. The main difference in pricing is with Tier 4 drugs; on this plan, you can pay up to 11 percent less. 

Tier 1 drugs cost $1–$3, Tier 2 costs $4–$12, and Tier 3 costs $47–$141. Tier 4 is a flat rate of 35 percent coinsurance, while Tier 5 is 25 percent. When you reach the gap coverage phase, you’ll pay the standard 25 percent coinsurance rate. 

These are just the top eight plans; there are 22 more to choose from in Oklahoma, including the popular Blue Cross MedicareRX Value plan and plans from Mutual of Omaha. You can use the Insurify Medicare comparison tool to find plans in your area. Enter your ZIP code to get started. Try it now!

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How Much Does Medicare Part D Cost in Oklahoma?

The average monthly cost of Medicare Part D plans in Oklahoma is $32, but prices range between $7.80 and $88.60. The cost of your plan will depend primarily on whether there’s a deductible and how much it is. In addition to the monthly premium, you will pay the medication’s full price until you meet the deductible and are eligible for the lower co-payments and coinsurance rates.

Another financial consideration is the different coverage levels that you could go through over a year. Here’s a brief look at each phase. 

    • Initial Coverage Phase: This is the first $4,130 that you spend on prescriptions. Once you’ve met your deductible, if any, you pay the plan’s co-pay and coinsurance rates until you reach this amount. 
    • Gap Coverage Phase: Also called the ‘donut hole,” this phase lasts between $4,130 and $6,350 in spending,  and you typically pay 25 percent of the drug costs. Some plans do offer lower co-pay prices for generics in the gap phase.
    • Catastrophic Coverage Phase: Once you exceed $6,350 in annual spending, you reach this phase. Prescriptions cost the higher amount of 5 percent coinsurance or $3.70 for generic drugs and $9.20 for brand-name drugs. 

For those on a limited income, you may qualify for Extra Help, which can be used to pay for some of the Medicare Part D plans

What Is Medicare Part D?

Medicare Part D is Medicare prescription drug coverage for those who are enrolled in Original Medicare. Original Medicare is comprised of:

    • Medicare Part A: hospital insurance
    • Medicare Part B: medical insurance
    • Medicare Part D: prescription drug insurance

Medicare beneficiaries can also choose from several Medicare Advantage plans that give the same level of coverage in a stand-alone plan. 

What Types of Medicare Part D Plans Are Available in Oklahoma?

Unlike Medicare Advantage (Medicare Part C) plans, which are generally HMO and PPO insurance plans, Medicare Part D is a stand-alone prescription drug plan that works with your Part A and Part B plans. 

With a Medicare Advantage prescription drug (MA-PD) plan, you have all your insurance in one convenient plan. You cannot add a PDP plan unless your Medicare Advantage plan doesn’t cover prescriptions. Typically, medical savings accounts (MSA) and private fee-for-service (PFFS) plans do not offer a PDP, so you can add a Part D plan. 

 

 

FAQ: Oklahoma Medicare Part D

Is every plan available statewide?

Not all Medicare Part D plans cover the entire state of Oklahoma, but you can easily find the ones that are available in your area by entering your ZIP code in the Insurify Medicare comparison tool. 

Do I need a Part D plan if I’m not on medication?

No, you are not required to have a plan; however, when you join a Medicare Part D plan in the future, you’ll be assessed a late-enrollment fee. This is a recurring monthly fee on top of your plan’s monthly premium, and the longer you wait to join, the higher the cost will be. 

For many people, it makes sense to join the cheapest plan in your area so that you permanently avoid the fee and you will have prescription drug coverage whenever you need it. If the plan is no longer sufficient, you can change to a new plan during the Open Enrollment Period. 

Which is the best Medicare Part D plan in Oklahoma? 

The bad news is that there’s no one-size-fits-all plan. The good news is that Oklahoma has more than two dozen plans, with many to choose from in each coverage area. Start by comparing plans based on medications used and the monthly premium that fits your budget. 

How do I enroll in Medicare?

You can enroll in the federal Medicare program when you reach eligibility at age 65. Visit your Social Security office, or go to the Medicare.gov website to sign up for this benefit from the U.S. government. 

Conclusion: Find a Part D Plan Today

There’s no need to call up an insurance agent to get the right PDP plan. It takes just minutes to search online and find insurers who serve your city. Use the Insurify Medicare comparison tool to uncover options in your area at no cost to you. Try it today!

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Updated May 16, 2021

Charlotte Edwards is a freelance writer with a passion for educating others in the areas of personal finance, health, and education. An educator-turned-writer, she has written for publications worldwide over the past decade. In her spare time, she enjoys reading, watching classic movies, and spending time with her husband and two children. You can learn more about her work and life abroad at www.livinginchinawithkids.com.