Confused about the Medicare Part D Prescription Drug Benefit?
Problems with Medicare Part D?
The Disability Drug Benefit Helpline is here for you.
Medicare Part D, also called the Medicare Prescription Drug Benefit, is the medication coverage part of Medicare. Medicare beneficiaries purchase prescription drug plans from private insurance companies that have a contract with Medicare to provide this coverage. There are many different Part D plans available in Wisconsin, including stand-alone Prescription Drug Plans (PDPs) and Medicare Advantage plans with prescription drug coverage (MAPDs).
How We Help
Disability Rights Wisconsin operates a statewide helpline, the Medicare Part D Disability Drug Benefit Helpline, to help people with disabilities and their families or guardians with Medicare Part D. You can reach the helpline at 1-800-926-4862.
Disability Rights Wisconsin’s Part D helpline provides free accurate information and assistance with:
- Choosing a Part D plan or deciding whether to enroll in Part D at all
- Completing the application for a Part D plan
- Changing Part D plans
- Understanding Part D costs and programs to help with the costs
- Coverage issues
- Billing issues
- Appeal procedures
- Training and materials for consumers and professionals to help explain Medicare Part D
Help with Medicare Part D Costs
Medicare beneficiaries with low income and resources may be able to get help with their Medicare Part D costs. You can apply through Social Security for Extra Help for Part D drug plan copays, premiums and deductible. You can apply for Extra Help at your local Social Security office or online at ssa.gov. Anyone with Medicaid is automatically eligible for help with Medicare Part D copays, premiums and deductibles. Call the helpline if you have questions about eligibility.
Drug plan enrollment
October 15 to December 7 is the annual enrollment period when all Medicare beneficiaries can change plans for the upcoming year. Depending on your circumstances, other special enrollment periods may apply throughout the year. For example, if you have any form of Medicaid, or if you have “extra help” through Social Security, you can change plans outside of the annual enrollment period.
Medicare Part D Helpline helps individuals in Wisconsin that are:
- Age 18 and older,
- Have a disability, and
- Currently on Medicare or becoming eligible for Medicare.
- A family member/guardian of an individual with a disability regarding Medicare.
Our Helpline team is made up of highly knowledgeable advocates with a long history of navigating through the Medicare and Medicaid system. If you want to read more about our team members please go to our team directory.