RS Family Health Insurance Agency
Prescription Drug Coverage Guide

Prescription RX Coverage

Understand your options for affordable prescription drug coverage. We help you find plans that cover your medications at the lowest cost.

What Is Prescription Drug Coverage?

Prescription drug coverage (also known as Part D for Medicare beneficiaries) helps pay for the medications your doctor prescribes. Without coverage, prescription costs can add up quickly—especially for brand-name or specialty drugs.

Types of Prescription Coverage

Medicare Part D

Standalone prescription drug plans for Medicare beneficiaries. Covers a wide range of medications with tiered pricing.

Medicare Advantage with RX

Many Medicare Advantage plans include prescription drug coverage, combining medical and drug benefits in one plan.

ACA Plan Drug Coverage

All Cover California and ACA-compliant health plans include prescription drug coverage as an essential health benefit.

Supplemental RX Plans

Additional prescription discount programs and supplemental plans to help reduce out-of-pocket medication costs.

Understanding Drug Tiers

Most prescription plans organize medications into tiers, which affect your out-of-pocket cost:

Tier 1 – Preferred generics (lowest cost)

Tier 2 – Non-preferred generics

Tier 3 – Preferred brand-name drugs

Tier 4 – Non-preferred brand-name drugs

Tier 5 – Specialty medications (highest cost)

How We Help

Review your current medications and find plans that cover them

Compare costs across different plans and pharmacies

Check if your preferred pharmacy is in-network

Help you understand copays, coinsurance, and the coverage gap

Assist with enrollment during open or special enrollment periods

Important Dates

Medicare Part D enrollment follows the same schedule as Medicare: the Annual Enrollment Period runs from October 15 through December 7. For ACA plans, open enrollment typically runs November 1 through January 31. Don't miss your window—contact us to get started early.

Need Help With Prescription Coverage?

Our licensed agents will review your medications and find the most affordable plan for you.