Aurora Pharmacy manages the complex details of insurance billing so that you can focus on what matters: your health. Aurora is committed to working with your prescription insurance or Medicare plans to verify your prescription coverage and get your medications approved whenever possible. This commitment reduces stress and simplifies your bills.
In outpatient settings, we bill your prescription insurance or Medicare when you receive care. As a result, you know exactly what you’ll pay when you receive your medications. There’s no large bill later.
Sometimes, medications require a prior authorization from your insurance company. In these cases, Aurora Pharmacy handles the paperwork, saving you time and worry.
To see if you can enroll in health insurance through the Affordable Care Act marketplace, visit HeathCare.gov.
Prescription drug coverage is available to anyone with Medicare. This health benefit is known as the Medicare Prescription Drug Plan or Medicare Part D. To get this coverage, you have to sign up for a plan offered by a Medicare-approved insurance company.
Anyone who receives health coverage through Medicare is eligible for prescription drugs. This coverage is voluntary, and you may choose not to sign up for it. There may be a penalty for not signing up, see the Medicare Website.
Your prescription costs will depend on the plan you choose, the type of medicine you need and your income level. Many people will have to pay a monthly premium, a deductible and other out-of-pocket costs.
Medicare users with low income and few assets may be eligible for extra help with out-of-pocket costs. Medicare beneficiaries who have Medicaid coverage may also be eligible for assistance with their out-of-pocket costs.
The government doesn’t require every plan to offer the same drugs, so your coverage will depend on the plan you choose. Each plan can design its own list of covered drugs, commonly called the drug formulary. Medicare prescription drug plans all include medications commonly prescribed to Medicare beneficiaries who are elderly or have disabilities.
In order to decide which specific plan may be best for your situation, see the Medicare website.
Visit the Medicare website.
October 15 is the first day to sign up for a Medicare Part D plan for health insurance. Enrollment continues through December 7. January 1 is the first day you can use Medicare prescription drug coverage (if you enrolled prior to December 7 of the previous year).
You don’t have to do anything. Your coverage will continue from that provider.
If you’re going to change your current health coverage, then you must sign up for a new Medicare Part D plan. If you enroll between October 15 and December 7, it helps to ensure that you get the prescriptions you need on January 1 of the following year. The enrollment process can be completed on the Medicare website or by calling (800) MEDICARE (800-633-4227).
In these cases, the plan must notify you and provide information on other available plans. You’ll receive a letter from your plan prior to open enrollment.
No, but your monthly premium is related to your income. A person whose income falls within a certain level will not have to pay a premium. If your income is at a higher level, expect to pay a monthly premium.
The government approves private drug plans to provide prescription coverage. You can search for plans on the Medicare website.
We accept the majority of Medicare Part D plans that have been approved in Wisconsin. You’ll be able to verify pharmacy participation as you review plans.
Yes. Medicare would be billed first, then SeniorCare.