A standalone Medicare Part D prescription drug plan (PDP) is designed to provide drug coverage for eligible individuals. Who is eligible to enroll in a PDP?

• A. A PDP enrolls eligible individuals with Medicare Part A or Part B who want drug coverage
• B. A PDP enrolls anyone with private insurance
• C. A PDP enrolls only individuals enrolled in MA
• D. A PDP enrolls Medicaid beneficiaries only

Answer: (A)

Eligibility for a standalone Medicare Part D plan revolves around Medicare enrollment. You must be entitled to Medicare Part A or enrolled in Medicare Part B in order to enroll in a PDP and receive prescription drug coverage. This means most people already on Medicare can choose a PDP if they want or need additional drug coverage. The plan isn’t open to just anyone with private insurance, and it isn’t limited to only those enrolled in Medicare Advantage plans; dual-eligibles (Medicaid beneficiaries) can enroll if they have Part A or Part B, but that alone doesn’t define eligibility. The key rule is: you need Part A or Part B to enroll in a PDP.