Medicare Part D (Prescription Drug Coverage)
Optional outpatient prescription drug coverage offered through private insurers approved by Medicare.
About Medicare Part D (Prescription Drug Coverage)
Medicare Part D helps pay for outpatient prescription drugs. Coverage is offered through stand-alone Prescription Drug Plans (PDPs) that you add to Original Medicare, or it is bundled into a Medicare Advantage plan (MAPD).
Each Part D plan has its own formulary (list of covered drugs), preferred pharmacy network, and tier-based copays. Plans must include at least two drugs in most therapeutic categories and cover six protected drug classes such as antidepressants and antipsychotics.
Recent federal law caps annual out-of-pocket prescription costs for Part D enrollees and offers a Medicare Prescription Payment Plan that lets people spread drug costs across the year. Check Medicare.gov for the current year's cap.
- Brand-name and generic prescription drugs on the plan's formulary
- Most commercially available vaccines at $0 cost-sharing
- Insulin, with a federal monthly cost cap
- Six protected drug classes (e.g., antidepressants, antipsychotics, anticonvulsants)
- Specialty drugs, often on higher cost tiers
- Mail-order pharmacy options through preferred networks
- Drugs already covered under Part A or Part B
- Over-the-counter medications
- Drugs used for cosmetic purposes or weight management (with limited exceptions)
Anyone enrolled in Medicare Part A or Part B who lives in the plan's service area can join.
Plans set their own monthly premium, deductible, and copays. People with limited income may qualify for Extra Help (LIS), which lowers Part D costs. Premiums vary by county, age, household size, and plan year. Talk to a Yumi Health advisor for a personalized quote.
When you can enroll
Carriers active in New Jersey
These carriers offer this product to New Jersey residents. We shop across them to find the right fit.
New Jersey counties served
Yumi Health helps residents in all 21 New Jersey counties.
Sources
Information last reviewed: 2026-04-07. Specific premiums, networks, and benefits change every plan year — talk to a Yumi Health advisor for the most current details.
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