Medicare Prescription Drug Calculator Tutorial
Yes, I realize how silly this is that this is online, when many seniors don’t feel comfortable with computers, but I’ll do my best. Medicare also has its own walk-through, but it’s 137 steps long. (Nope, not joking!) You can also call 1-800-MEDICARE (1-800-633-4227) for help, but I have no idea how long the wait will be.
Before we start, I’d recommend getting your pill bottles or list of medications in front of you. And maybe a glass of water. This may take awhile. Here we go, kids:
Hold down the shift key and click on this link. (When I say click, I mean take the left mouse button–or the only mouse button on some computers–and click.) This will take you to the Medicare Calculator and open a new window, while leaving this one open. Here’s a clip of what you’ll see (without the pink and grey box):

That pink and grey box is your key. That usually means there’s something important. Click on that first link, “Compare Medicare Prescription Drug Plans.” That’ll bring you here:

Now click on the orange arrow on the right side of “Find a Medicare Prescription Drug Plan.” Okay so far?

Next, if you’d like, you can enter all your info from your Medicare card in the top area that says “Personal Information.” To enter information throughout this tutorial, you left-button click on the box where you’d like to enter information, and then start typing, just like this one:
For the general search, which will work just fine, click the “General Search” box:

Now it gets confusing. First, enter your zip code in the box. That’s #1 on the graphic.
The next step requires your own personal information. If you have some other way that you get medications–maybe through Medicaid, your previous or current employer, etc, click the appropriate box. For most people, just click the box next to “None of the above.” It’s pink-grey highlighted as #2. (Any box you check takes you to almost the same page anyway. Sigh.)
Next, are you qualified for an extra discount on drugs according to your income and the Social Security Office? If not, click “No,” #3.
Then click continue, #4:

Next, click “Choose a Drug Plan Type.” Keep going, you’re doing great!

Now they want to know if you have Medicare Advantage, also known as Medicare+Choice, which is already helping pay for your prescription drugs now. If you have no idea what I’m talking about, click the lower box, “Search for Medicare Prescription Drug Plans.” Otherwise click the top box. Now you’ll see:

From here, you can start viewing the plans in your area. However, since the best deal you’ll get is based on the medications you take, I’d recommend entering them in the system. If you don’t want to do this, just click “View Plan List.” If you’d like to follow my recommendation, select “Enter my Medications.” Great!

Here’s why I had you get your medicine bottles out: You need to enter the name of each (either the brand name or generic name is fine) in Box #1. The click the button (#2) to add the medication.

If all goes according to plan, the medication will appear down below, in this new pink-grey box #1. If there are multiple medications with the same name, or if the system is confused about a generic name, it’ll make a display like in box #2. Simply click the medication name you wanted, and click box #3. Once you’ve got everything entered and every medicine appears in box #1, click box #4. (Note: some medications will not be in the system, and I have no idea what this is. I tried different medications, spelled correctly, and they couldn’t be found. I’m not sure what to do about this. I’m sorry.)

Once you click the “Continue” box, you’ll stay on the same page, but another box will pop up.

If you’d like to enter your specific medication dosage (10 mg or 20mg or 40mg, for example), click the “Choose My Drug Dosage” button. In the effort of simplification, we’ll skip this step–besides, you can do it later if you’d like.

Likewise, if you want to pick up your meds at a specific pharmacy in your area, you can do that now with the “Select My Preferred Pharmacy.” But note: certain plans may work with some pharmacies and not others. If you want the absolute lowest cost, click “Continue to Plan List.” If you want to pick your pharmacy from one locally, click “Select My Preferred Pharmacy.” Also note: if you want to get your meds by mail, the Plan List page will show you which plans will mail your drugs to you.

Finally! We’re on the list of your plans! They’re sorted by lowest yearly price. The rest of this just explains the final plan page with letters:


A: Click this box and up to 2 others to compare three plans. Click C to do the comparison.
B: Click this box for more options about the plan–the exact costs, how much you could save if you only used generics, enroll in the plan, etc.
C: See A.
D: Change your mind about wanting a specific pharmacy? You can do that here.
E/F/G/H: Here you can update the pill strength of each medication, or add more.
Now, if you want to sort the plans by something other than total yearly price, you can click on the column title and change it. Note that all these numbers really depend on what drugs you take, so it’s important to enter them accurately. Remember, Annual Deductible is how much you pay until Medicare starts paying its 75% for your first $2,250. Monthly Drug Premium is how much you pay per month to take part in the plan no matter how many drugs you use, and Monthly Cost Share is how much you pay as a co-pay when you get the drug.
I really hope this helped someone. Damn long writeup by my standards.
They should add a counter where it tells you how much this gargantuan boondoggle is going to add to the deficit: $300 billion in just five years acc. to Washington Post columnist Paul Samuelson. Thanks a lot, Mr. President!
http://www.washingtonpost.com/wp-dyn/content/article/2005/11/01/AR2005110101292.html
I am on Medicare but could not press on your link and keep open your page and the Medicare goverment site.
Is there something I am doing wrong?
Any help will be appreciated.
You seem to have done a decent job of explaining where to begin with this mind boggling ‘medication benefit’ for those of us poor and on Medicare.
(I am disabled, have been for more than 20+ years, single and poor as I have been unable to work due to my disablitly).
Kathleen,
If you press on the link and hold down the shift key at the same time, it should open the other page in a new window, so you can see both pages at once. If this doesn’t work, it’s fin to just press on the link without opening a new window.
I called the Medicare number and only got recorded questions. Is there a way to get a real person? ARNP trying to figure this out for my patients. Patti-art@verizon.net
Thank you for caring about us Seniors. Your advice and instructions made this long, long journey through the gov. maze tolerable. I felt like I had someone who cared with me. I now feel like I have made the best decision for med ins. for my husband and myself. Please keep up your web site and blogs.
Thank you so much! Believe it or not, I am a medical professional currently on disability and had no idea where to even begin. Your tutorial is excellent and I thank you for the blood, sweat and tears you put into this project to help decrease the amount of the same stuff we would have to be sacrificing by trying to figure it out on our own! Hats off to you!
Very helpful indeed. I’m an RN who is attempting to navigate this system for my grandparents, and having a damn difficult time doing it. If I had not read the article about your Blog in MedScape, I would still be banging my head!!! Thanks for the good work.
Thank you for this stunning tutorial. Now, since I am 75 years old and relatively healthy, can you instruct me as to what serious illnesses and the medications for same to which I will be subjected before I shuffle off? I am also allergic to many medications and, once I find one that I can tolerate, I cannot play around with trying generics or shopping for price. If I sign with one provider that furnishes coverage for the meds I need, will I have to change providers if a doctor prescribes something new which is not covered by the plan? I know I will have to make a choice, but I will continue to advocate for a single-payer plan that would be easier to operate than the requirements of the IRS regulations.
Hi Graham-
Perhaps you know by now that you are describing web tricks for Imternet Explorer. Shift-Click opens a new window in IE, but not Netscape–Netscape has its own bag of tricks. Many people do use Netscape and perhaps that is what reader Kathleen was using. I know it is too complicated to gear your narrative for multiple browsers, and it is too severe to say “You must use Internet Explorer to read this site. Why don’t you just say something like “This works with Internet Explorer but may not worl with your browser” (I know you can simplify this) — so Seniors won’t they they don’t know hoe to use a computer.
-John Givens-
I found this on MedScape a month ago and just tried using it today to look for drugs for my parents (I am an RN). Just wanted to thank you for the short cut instructions they were extremely helpful and I can now navigate the site pretty well to find what I want (a goverment site that’s easy to navigate?) Thank for all your time and effort.