Tennessee residents have a number of options when it comes to Medicare prescription drug plans. See the top drug health plans available in the state, learn more about plan eligibility, and find answers to frequently asked questions.

Finding the right mix of health coverage can be difficult, especially with a number of plan options from tons of insurance companies. If you’re eligible for Medicare, this can certainly be the case when seeking a Medicare Part D prescription drug plan.

Part D coverage is a great way to make your prescription drugs more affordable. Finding the right plan requires you to compare factors like plan premiums, deductibles, co-pays, and covered drugs. Luckily, comparing plans doesn’t have to be difficult.

See the drug plan options available in your service area, and find your best option. Give the Insurify Medicare comparison tool a try today.

 

 

What Are the Best Medicare Part D Plans in Tennessee?

Below, you’ll find the top eight prescription drug plans for Tennessee residents. Comparing these plans and others that you may be interested in can help you figure out the best option for your budget and health needs before talking with an insurance agent.

Top plans were chosen for a number of factors, such as out-of-pocket costs for Medicare beneficiaries (monthly premium and drug costs), plan deductibles, and the plan’s Medicare star rating. If you’re looking for additional information on which prescriptions are covered with each plan, visit the plan provider’s website for a formulary. The plan’s formulary will detail which drugs are covered and which tier they fit under.

#1 WellCare Classic S4802-071 (PDP)

  • Premium: $27.20
  • Deductible: $445
  • Rating: 4/5

In this plan, Tier 1 drugs have a very low cost of $0–$3. Tier 2 drugs are $2–$24, and Tier 3 drugs are $30–$108. For Tier 4 drugs, you can expect to pay 34–40 percent coinsurance, and for covered Tier 5 prescriptions, you’ll pay 25 percent coinsurance. Considering the plan’s reasonable premium costs, this one provides a nice overall value.

#2 WellCare Value Script S4802-147 (PDP)

  • Premium: $17.80
  • Deductible: $445
  • Rating: 4/5

This WellCare plan’s costs are a bit higher than the previous plan. Tier 1 drugs cost $0–$15, Tier 2 drugs cost $6–$33, and Tier 3 drugs cost $43–$141. For Tier 4 drugs, you’ll pay 47–50 percent coinsurance, and for covered Tier 5 prescriptions, the cost is 25 percent coinsurance.

#3 WellCare Wellness Rx S4802-181 (PDP)

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

The final WellCare plan on the list has even higher drug costs than the previous plans, but it also has the lowest monthly premium. Tier 1 drugs cost $0–$24, Tier 2 drugs cost $5–$45, and Tier 3 drugs cost $40–$141. Tier 4 drugs require 46–50 percent coinsurance, and covered Tier 5 prescriptions require 25 percent coinsurance.

#4 AARP MedicareRx Preferred S5820-011 (PDP)

  • Premium: $86.50
  • Deductible: $0
  • Rating: 3.5/5

This plan’s drug co-pays are a bit high, especially when considering the high monthly premium. Tier 1 drugs cost $5–$45, Tier 2 drugs cost $10–$60, and Tier 3 drugs cost $45–$141. Tier 4 drugs require 40–45 percent coinsurance, and covered Tier 5 prescriptions require 33 percent coinsurance. In the gap coverage phase, some Tier 2 drugs cost $0–$60, while other drugs in this phase require the standard 25 percent coinsurance.

#5 AARP MedicareRx Saver Plus S5921-357 (PDP)

  • Premium: $28.60
  • Deductible: $445
  • Rating: 3.5/5

This plan has relatively low Tier 1 drug costs of $1–$18, and Tier 2 drugs cost $5–$30. For Tier 3 drugs, expect a co-pay of $36–$123, and for Tier 4 drugs, you’ll pay 40 percent coinsurance. Covered Tier 5 drug supplies require 25 percent coinsurance.

#6 AARP MedicareRx Walgreens S5921-393 (PDP)

  • Premium: $31.90
  • Deductible: $445
  • Rating: 3.5/5

This plan’s drug costs are a bit high, especially considering that the plan premium isn’t lower. Tier 1 drugs cost $0–$45, Tier 2 drugs cost $6–$60, and Tier 3 drugs cost $40–$141. For Tier 4 drugs, expect to pay 40–45 percent coinsurance, and Tier 5 covered drugs require 25 percent coinsurance. In the plan’s gap coverage phase, some Tier 2 drugs cost $6–$60, while other drugs in the phase require the standard 25 percent coinsurance.

#7 BlueRx Enhanced Plus S1030-001 (PDP)

  • Premium: $139.40
  • Deductible: $0
  • Rating: 3.5/5

This plan’s drug costs are reasonable, but with a high premium, the overall value of the plan is a bit low. Tier 1 drugs cost $2–$27, Tier 2 drugs cost $10–$51, and Tier 3 drugs cost $40–$141. Tier 4 drugs require 45–50 percent coinsurance, and Tier 5 drugs require 33 percent coinsurance

#8 BlueRx Enhanced S1030-010 (PDP)

  • Premium: $90.40
  • Deductible: $445
  • Rating: 3.5/5

This plan’s drug costs are similar to the previous plan, but the plan also has a lower premium. The trade-off is that this plan requires a deductible, while the previous plan doesn’t. Tier 1 drugs cost $2–$27, Tier 2 drugs cost $8–$45, and Tier drugs 3 cost $40–$141. Tier 4 drugs require 45–50 percent coinsurance, and Tier 5 drugs require 25 percent coinsurance.

Looking for stats on plans from other providers like Cigna, Elixir Insurance, or Express Scripts Medicare? Take the Insurify Medicare comparison tool for a spin, and see all of your options in one place.

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How Much Does Medicare Part D Cost in Tennessee?

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In 2021, the average monthly premium cost for prescription drug coverage is $32. While plan deductibles vary and can be as low as $0, they also have a maximum possible cost of $445 in 2021. 

When you enroll in a plan, keep in mind that the actual cost for prescription medications depends on the coverage phase that you’re in. After you pay your deductible and before you reach the initial coverage limit of $4,130, you’re in the initial coverage phase. When you reach the annual out-of-pocket maximum of $6,350, you’re in the catastrophic phase where you’ll pay low co-payments or coinsurance for your prescriptions. 

The gap between those two phases is the gap coverage phase, or “donut hole.” You’re in the donut hole when plan payments (including some from the health insurance plan) reach $4,130. In the coverage gap, you’ll typically pay 25 percent coinsurance for brand-name and generic drugs.

If the costs for a plan seem too high for your budget, check to see if you qualify for the Extra Help program. This program—meant for those with limited resources and income—can help you pay your plan’s premiums, deductibles, and coinsurance. Learn more about qualifying for Extra Help at the Social Security Administration website, ssa.gov.

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What Is Medicare Part D?

Medicare Part D drug plans let you add prescription drug coverage to your Medicare coverage to help cover the costs of your medications. You typically become eligible for a Part D plan as soon as your Medicare eligibility begins, and you have a seven-month enrollment window (in lieu of a Medicare drug plan Open Enrollment Period). If you choose to enroll outside of this window, you could pay a late-enrollment penalty along with your monthly premium.

If you need help choosing a plan or managing your benefits and care after you select one, you don’t have to figure it out alone. Tennessee’s State Health Insurance Assistance Program (SHIP) is there to answer your questions. Learn more about SHIP at tn.gov.

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

If you’re looking for a prescription drug plan, you have a few coverage options. One is to get a stand-alone prescription drug plan like the options listed above. If you get a stand-alone plan, you can have it in addition to Original Medicare (Medicare Part A and Part B) or other types of coverage like cost plans, some private fee-for-service plans, and medical savings account plans. 

You can also get drug coverage that is included with other Medicare coverage. For example, you could purchase a Medicare Advantage plan (Medicare Part C) that bundles Original Medicare with other options that can include medical, dental, vision, and health program coverage.

 

 

FAQ: Tennessee Medicare Part D

 What’s the best Medicare prescription drug plan in Tennessee?

Although the best plan for you is a personal decision that should be made based on your health needs, budget, and how prepared you want to be for the future, there are a few plans that stand out from the rest. The first three WellCare plans on the list have a nice balance of affordable premiums and reasonable drug costs. The AARP MedicareRx Saver Plus has a nice mix of relatively low costs as well.

I have a Medicare Supplement Insurance plan. Can I enroll in a prescription drug plan, too?

Medicare Supplement plans, or Medigap plans, can be compatible with drug plans if your Medigap plan does not provide drug coverage. If it does, you’ll need to let your insurance provider know, and they can remove the drug coverage from your Medigap plan. Learn more about the compatibility of Medigap plans and prescription drug plans at Medicare.gov.

I receive Medicaid benefits. Can I enroll in a prescription drug plan? 

If you receive Medicaid benefits and also qualify for Original Medicare, you could be eligible for dual enrollment in Medicare and Medicaid (including Medicare options like a prescription drug plan). To find out your eligibility for dual enrollment, visit the Centers for Medicare & Medicaid Services at cms.gov.

Conclusion: Start Comparing Your Drug Plan Options to Find the Best One

When searching for a Medicare prescription drug plan, you’ll likely have a number of options available in your county. Knowing what stands out about the top plans can help you compare the value of the plans you’re eligible for. 

To pick the best option, consider not only a plan’s costs (monthly premium, co-pays, coinsurance, deductible, etc.) but also the Medicare star rating and any specific eligibility requirements the plan provider may have. Comparing these factors now can save you money later when you’re ready to purchase a plan.

Comparing prescription drug plans doesn’t have to be difficult. See all your plan options in one place and compare their benefits quickly with the Insurify Medicare comparison tool.

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Updated May 11, 2021

Jasmine Fleming is a freelance digital content marketer and strategist. She loves crafting helpful content that readers can use to make important decisions. You can learn more about Jasmine at her website, www.jasminefleming.com.