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Ilsa

(63,672 posts)
Mon Nov 24, 2025, 09:44 PM Nov 24

Has anyone had any problems with $0 premium

Medicare Part D coverage? I won't meet my deductible (I take 4 prescription meds) on this or if I renewed my 2025 plan which is doubling in cost.

29 replies = new reply since forum marked as read
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Has anyone had any problems with $0 premium (Original Post) Ilsa Nov 24 OP
Who offers it? SheltieLover Nov 24 #1
Humana and WellCare. nt Ilsa Nov 24 #8
I've had the Wellcare one & np with it. SheltieLover Nov 24 #12
Same here. murielm99 Nov 25 #26
My senior center hosting Council on Aging folks is precisely how I found my gap & Part D coverages! SheltieLover Nov 25 #27
You might check UpInArms Nov 24 #2
Thank you. There were two $0 premium plans Ilsa Nov 24 #7
I had Wellcare last year and will keep it next year RussBLib Nov 24 #18
There are drugs on Wellcare that are well over $30. Ms. Toad Nov 25 #21
I'm sure you are right RussBLib Nov 25 #25
Actually - it is still the best plan most of the time. Ms. Toad Nov 25 #28
Just use the website and it'll tell you your total cost for the year including premiums and drugs NoRethugFriends Nov 24 #3
Look up your state or county Department of Insurance or 1WorldHope Nov 24 #4
Thanks, I'll check out SHIIP. nt Ilsa Nov 24 #9
I just signed up for PXR-5 Nov 24 #5
I have that from Wellcare KT2000 Nov 24 #6
I thought Wellcare (0 dollars premium) was great for us last year - we are staying with it despite the premium going to NewHendoLib Nov 24 #10
Will taking no action renew it for me? SheltieLover Nov 24 #13
Yup. Medigap supplementals and part D plans autorenew if no new elections are made. NewHendoLib Nov 24 #16
Tyvm, NHL! SheltieLover Nov 24 #19
We use both GoodRx and Costco for some of our drugs. Ms. Toad Nov 25 #22
THANK YOU EVERYONE! nt Ilsa Nov 24 #11
I have Wellcare Part D and it's not 0 premium, not by a longshot. MIButterfly Nov 24 #14
You might be able to get your Part D quote Ilsa Nov 24 #15
It varies by geography. Ms. Toad Nov 25 #23
I have a giveback plan with Devoted to pay Part B...hubs and I have both have it. Demsrule86 Nov 24 #17
I've been on Wellcare $0 premium. Ms. Toad Nov 25 #20
I pay $0 for Wellcare. It's worked well for a year and I'm continuing with it next year. JustABozoOnThisBus Nov 25 #24
I have the WellCare one NameAlreadyTaken Nov 25 #29

murielm99

(32,547 posts)
26. Same here.
Tue Nov 25, 2025, 09:47 AM
Nov 25

I am sticking with it for next year.

We go to our senior center. A person from the state's department on aging compares plans and pharmacies for us and helps us find the best one. This help used to be the best kept secret in the area. I just walked in and got help. Now I need an appointment and I need to either mail or drop off a list of my meds so they can figure it out in advance for me and for my husband. Everyone should look for this type of help in their area.

SheltieLover

(75,520 posts)
27. My senior center hosting Council on Aging folks is precisely how I found my gap & Part D coverages!
Tue Nov 25, 2025, 10:09 AM
Nov 25

Great resource, free, & no ins broker involved to take advantage of us!

Ilsa

(63,672 posts)
7. Thank you. There were two $0 premium plans
Mon Nov 24, 2025, 10:21 PM
Nov 24

from WellCare in my zip code. It has the highest rating for no-cost, low-cost plans.

RussBLib

(10,382 posts)
18. I had Wellcare last year and will keep it next year
Mon Nov 24, 2025, 11:44 PM
Nov 24

Hard to beat a $0 premium and since all my meds are generic, the Rx's are $0 too. For the rare issue requiring a name-brand, those Rx's are never over $30. I thought they might increase costs for the next year, but I'll bet this one is a loss leader of some kind, taking a loss on $0 meds and enabling the company to write off elsewhere on their taxes, but I'm no accountant.

It's nice to find something that actually works well, and for me, it has.

Sounds like you got your answer.

Ms. Toad

(38,032 posts)
21. There are drugs on Wellcare that are well over $30.
Tue Nov 25, 2025, 12:47 AM
Nov 25

Jardiance and Januvia are. Potassium Citrate often is (although all plans have gotten better on that one). I'm sure there are others.

But they are as cheap on Wellcare are as on any other plan, when you take into account the $0 or low cost premiums.

RussBLib

(10,382 posts)
25. I'm sure you are right
Tue Nov 25, 2025, 09:40 AM
Nov 25

I have been lucky in that I've not needed any of those high-priced drugs. If you do, another plan is probably better.

Ms. Toad

(38,032 posts)
28. Actually - it is still the best plan most of the time.
Tue Nov 25, 2025, 10:31 AM
Nov 25

Paying higher premiums doesn't actually buy you cheaper drugs. Generally you are just paying a fortune on premiums (which aren't capped), and you have the same $2000-ish cap on drugs regardless of plan.

In the 5 years we've been on Medicare, my spouse's total out of pocket cost has been lower on a more expensive plan only one time - and the free plan was a close second) We used a different plan for her twice (slightly higher overall cost - but fewer different drug sources to remember - so we paid a bit more for convenience)

NoRethugFriends

(3,628 posts)
3. Just use the website and it'll tell you your total cost for the year including premiums and drugs
Mon Nov 24, 2025, 09:57 PM
Nov 24

1WorldHope

(1,802 posts)
4. Look up your state or county Department of Insurance or
Mon Nov 24, 2025, 10:05 PM
Nov 24

look for the SHIIP program. Senior Health Insurance Information Program. They can help you find the best plan that fits you. They do it for free and they will do it yearly. Google it for your state.

PXR-5

(556 posts)
5. I just signed up for
Mon Nov 24, 2025, 10:07 PM
Nov 24

the Humana $4.40 plan. I don't take any meds, just didn't want to pay penalties in the future.
I think it has a 600$ deductible.

KT2000

(21,864 posts)
6. I have that from Wellcare
Mon Nov 24, 2025, 10:09 PM
Nov 24

and it works well for me. A couple of the ones I take cost $15 for 90 day supply. Check out the formulary to see what level the drugs you you take are on.

NewHendoLib

(61,485 posts)
10. I thought Wellcare (0 dollars premium) was great for us last year - we are staying with it despite the premium going to
Mon Nov 24, 2025, 10:23 PM
Nov 24

around 3.60. Using this, combined with GoodRX, gives us great prices for all of our meds.

Ms. Toad

(38,032 posts)
22. We use both GoodRx and Costco for some of our drugs.
Tue Nov 25, 2025, 12:49 AM
Nov 25

Although the number of drugs it was cheaper to buy of plan was near zero last year. I haven't done this year's calculations yet.

MIButterfly

(1,755 posts)
14. I have Wellcare Part D and it's not 0 premium, not by a longshot.
Mon Nov 24, 2025, 11:19 PM
Nov 24

I got a letter from them today and nowhere in that letter did they mention how much it's going up for 2026. I have been all over their website and nowhere does it say how much it will go up for 2026. I guess I'll have to call them tomorrow and waste 40 minutes trying to find out how much it will go up in 2026.

I have a Medigap supplemental but it's not Wellcare.

Ilsa

(63,672 posts)
15. You might be able to get your Part D quote
Mon Nov 24, 2025, 11:30 PM
Nov 24

from WellCare for 2026 on the Medicare.gov website. That's how I discovered my SilverScript was going to double.

Ms. Toad

(38,032 posts)
23. It varies by geography.
Tue Nov 25, 2025, 12:53 AM
Nov 25

But it's generally the cheapest, and often zero. This will be my 5th year on it. Premiums are $0 for 3 years, about $8 for next year, and under $10 the other year it wasn't $0.

Demsrule86

(71,463 posts)
17. I have a giveback plan with Devoted to pay Part B...hubs and I have both have it.
Mon Nov 24, 2025, 11:42 PM
Nov 24

Puts $370.00back in our pocket per month. We pay no premium for the plan also...been very happy with it...was quite sick this year...but hopefully it is resolved.

Ms. Toad

(38,032 posts)
20. I've been on Wellcare $0 premium.
Tue Nov 25, 2025, 12:39 AM
Nov 25

My spouse has, as well. No problems for either of us. My meds are relatively cheap. My spouse's are expensive (she's been on both Jardiance and Januvia). Most of the time it's the cheapest overall for both of us. Last year a $10 premium plan from Cigna was cheapest for her. This year Wellcare is best - but in our area it is around $7.

Diabetes testing supplies are always a pain, regardless of which plan we're on.

JustABozoOnThisBus

(24,517 posts)
24. I pay $0 for Wellcare. It's worked well for a year and I'm continuing with it next year.
Tue Nov 25, 2025, 09:25 AM
Nov 25

But you need to run your prescriptions through the Medicare web site to get the whole picture on your total costs.

Get moving, you only have a few weeks

NameAlreadyTaken

(2,184 posts)
29. I have the WellCare one
Tue Nov 25, 2025, 11:00 AM
Nov 25

I pay $0 per month this year, but it will be $2.75 per month next year.

The medications I take have generic equivalents, so it covers them and I have not had to pay for any out of pocket. There was only one antibiotic ointment that I had to pay $5 for, for some reason.

But my doctor wanted to prescribe a medication which is still under patent. It turned out my first month would have cost me $550.

And then a similar payment each month until I reached my out of pocket maximum of $2000. So I declined that medication, but it didn't really matter in the long run. But for some patients the expensive medication may be necessary.

I would study the formulary carefully to make sure all your medications are covered and what tier they are on. The WellCare site has a chat feature where you can ask directly what a particular medication would cost on your plan. That will give you the true picture of your costs.

The only annoying thing about WellCare is that they called me a lot and sent me a lot of texts snd email messages asking about my medications.

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