Pharmacy Benefits for Medicare Plans

Basic Plan
WSHIP’s Basic Plan does not offer pharmacy benefits except for secondary coverage of drugs covered under Medicare Part B.
 
Basic Plus Plan
WSHIP’s Basic Plus Plan is closed to new enrollment.  This plan provides secondary coverage of drugs covered under Medicare Part B and Medicare Part D.   Basic Plus enrollees must be enrolled in a Medicare Part D Prescription Drug Plan.
 
View Frequently Asked Questions and Answers about Basic Plus Plan

Download Coordination of Benefits/Direct Claim Form

Medicare Advantage Plans

If you are currently enrolled in WSHIP’s Basic or Basic Plus Plan, you may wish to consider enrolling in a Medicare Advantage Plan instead of continuing your WSHIP coverage.

• Premiums for Medicare Advantage Plans are usually less expensive than WSHIP’s Basic and Basic Plus premiums.
   
• You cannot be denied coverage due to health status except for end-stage renal disease.
• Some Medicare Advantage Plans include prescription drug coverage, while with others you must enroll separately in a Medicare Part D Prescription Drug Plan (PDP) if you want prescription drug coverage.

Before enrolling in a Medicare Advantage Plan, be sure to check with your doctor and other health care providers to see which Medicare Advantage Plans they accept.  For more information on these plans, call 1-800-MEDICARE or visit www.medicare.gov on the web.  Open enrollment for Medicare Advantage Plans is November 15 through December 31.