FAQ and Additional Info

How does this program work? If I don’t opt-in?

If you choose to participate in this program, you will pay $0 for your prescription at the pharmacy. Instead, you will be billed by your health or drug plan, both for your premium (if applicable) and also for your share of total prescription cost- sharing, spread over the calendar year. Even if your payment is late, you will not pay any interest or fees under the Medicare Prescription Payment Plan. For example, instead of paying $2000 at once for a drug prescription in January, you would split that payment up over the next calendar year (12 months).

Are there any exceptions?

You may not benefit if:

• You receive Extra Help from Medicare
• You qualify for a Medicare Savings Program
• You get help paying for your prescription medications from other organizations, such as a State Pharmaceutical Assistance Program or other assisted health coverage

If I don’t opt-in?

The new out-of-pocket cap in Medicare Part D caps out- of-pocket medicine spending for everyone insured under Medicare at $2,000 starting in 2025. As a result, you won’t pay more than $2,000 in total out of pocket in 2025 for your prescription drugs, even if you do not opt into the Medicare Prescription Payment Plan

Can I leave the program? You can end your Medicare Prescription Payment Plan at any time! However, you will still need to pay any remaining balance owed under the program once you end your participation.

Where can I learn more?

Visit Medicare.gov/prescription-payment-plan, or call

1-800-MEDICARE (1-800-633-4227)

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About LULAC
The League of United Latin American Citizens (LULAC) is the nation's oldest and largest Latino civil rights organization. Founded in 1929, LULAC is committed to advancing the rights and opportunities of Latino Americans through advocacy, community building, and education. With a growing network of councils nationwide, LULAC remains steadfast in its mission to protect and empower millions of Latinos, contributing daily to America's prosperity. For more information about LULAC and its initiatives, please visit www.LULAC.org.