Part D is a Medicare plan that covers prescription drugs. A Part D plan is optional for people who are Medicare-eligible. Part D plans are offered by various insurance companies under the government’s rules and guidelines. People with Part D must pay a monthly premium for this coverage, and the amount of the premium will vary from one company to the next.

At Members Health Insurance we always want to point you in the right direction when it comes to your health care coverage. If you are a Medicare beneficiary of Part A and/or B then considering the Part D prescription drug plan is the logical next step. We think it’s important to provide you the information you need to select a Part D plan that best suits your needs and your budget.

Members Health Insurance offers two Part D Prescription Drug plans that provide added layers of protection from the high costs of prescription drug needs. This coverage is available in all counties in Alabama.

Our plans include:

  • Choice of having a deductible
  • Five Tiers of prescription drug coverage
  • Optional home delivery for maintenance drugs for up to a 90 day supply
  • Coverage for brand name and generic prescription drug medications
  • Large pharmacy network

Eligibility & When to Enroll

If you are new to Medicare, turning 65, retiring, moving, qualify for assistance, or have another qualifying situation, you may be eligible to enroll or change your plan.

Learn More About MHI's two Medicare Part D Prescription Drug Plans

Once enrolled, you’ll have access to more than 67,000 pharmacies. Click here to view the Alabama Network Pharmacy Directory.

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You may also use a pharmacy that is not in our network. However, if you go to a pharmacy outside the network, you may have to pay more for your prescriptions, and you may have to file a claim to be reimbursed. You will be responsible for payment of any difference between the non-network pharmacy’s charge and the amount the plan allows. 

If you would like to request a printed copy, please call 844-368-8739 (TTY 711), 8am to 8pm, 7 days a week.

Medicare beneficiaries with limited incomes may qualify for the Medicare Part D “Extra Help” program. This is also known as the Low Income Subsidy (LIS) program.

The program was designed to help people with limited incomes pay for prescription drugs. If you qualify for Medicare Part D Extra Help, you will pay less in drug premiums and copayments or coinsurance. You also will be covered during the Coverage Gap (the “Donut Hole”), and you will not have to pay late enrollment penalties. For more information on the LIS Extra Help Program, click here

Click Here for a 2018 summary of monthly plan premiums for those eligible for extra help.

If you have multiple chronic conditions you may be invited to participate in the Medication Therapy Management Program (MTM). The program is designed for those who have two (2) or more chronic conditions and take a minimum of six (6) different chronic/maintenance medications, or are likely to incur more than $3,697 in annual drug costs. The MTM program offers participants direct access to health care professionals to help them better manage their health and health care expenses. Participation is optional, and you may choose not to participate.

For more about who is eligible for MTM and how the program can help you, click here.

Medicare beneficiaries may also enroll in Farm Bureau Essential Rx or Farm Bureau Select Rx through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.

Members Health Insurance Company is a Part D plan with a Medicare Contract. Enrollment in Members Health Insurance Company depends on contract renewal. You must continue to pay your Medicare Part D premium. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply.

Beneficiaries generally must use network pharmacies to access their prescription drug benefit. Benefits, formulary, pharmacy network, premium and or copayments/ coinsurance may change January 1 of each year. The Formulary and/or Pharmacy Network may change at any time. You will receive notice when necessary.