Medicare Part D: Prescription Drug Coverage That Actually Fits Your Life
How We Help You Choose the Right Part D Plan
We don't hand you a brochure and send you home. We sit down with you, review the medications you take, and compare plans from the carriers we work with to find the coverage that makes sense for your situation.
Step 1: Review Your Medications
We start with your current prescriptions — names, dosages, and how often you fill them. This is the foundation of every Part D comparison we run.
Step 2: Compare Formularies and Costs
We check each plan's formulary to confirm your medications are covered, identify which tier they fall under, and calculate your estimated annual out-of-pocket costs across the plans that fit.
Step 3: Confirm Your Pharmacy
We verify that your preferred pharmacy is in-network for the plans we're recommending. If it isn't, we flag it before you enroll — not after.
Step 4: Enroll You in the Right Plan
Once you've made your decision, we handle the enrollment. No forms to figure out on your own, no carrier hold music.
Finding a Part D plan that covers your medications without draining your budget takes more than a quick online search — it takes someone who knows the plans, knows the carriers, and knows how to read a formulary.
At PG Financial Group, we help Rhode Island and Massachusetts residents compare Medicare Part D options side by side so you can enroll with confidence, not guesswork.
Medicare Part D is the prescription drug benefit available to anyone enrolled in Original Medicare or a standalone Supplement plan. Plans are offered through private insurance carriers approved by Medicare, and the differences between them — which drugs are covered, at what tier, and at what cost — can be significant.
Choosing the wrong plan can mean paying far more than necessary for medications you take every month. Choosing the right one means your prescriptions are covered predictably, your pharmacy is in-network, and your annual costs stay manageable.
- Part D plans vary by premium, deductible, copay structure, and drug formulary
- Each plan maintains its own list of covered medications, organized by cost tier
- Formularies and costs change annually, so a plan that worked well last year may not be the best fit this year
- Low-income residents may qualify for Extra Help, a federal program that reduces or eliminates Part D premiums and copays
What Medicare Part D Covers — and Why Plan Choice Matters
Independent Means We Work for You, Not the Carrier
PG Financial Group is an independent agency contracted with 15+ A-rated insurers, including major carriers operating in Rhode Island and Massachusetts. We have no incentive to steer you toward any single plan — our job is to find the one that fits your prescriptions and your budget.
That independence matters most during Annual Enrollment Period, when plan formularies change and costs shift. We review your coverage every year so you're not caught off guard.
Who Qualifies for Extra Help with Part D Costs?
Extra Help — also called the Low Income Subsidy — is a federal assistance program that can significantly reduce what you pay for Part D coverage. Eligible enrollees may pay little to nothing in monthly premiums, and copays for covered drugs are often reduced to just a few dollars.
You may qualify for Extra Help if your income and assets fall within the program's limits. Eligibility is determined by the Social Security Administration, and many people who qualify don't realize it.
We help clients across Rhode Island and Massachusetts determine whether they qualify and, if so, walk them through the application process.
Real Clients, Real Experiences
When Can You Enroll in or Change a Part D Plan?
What is the Initial Enrollment Period for Part D?
Your Initial Enrollment Period runs for seven months — the three months before your 65th birthday, your birthday month, and the three months after. Enrolling during this window helps you avoid the late enrollment penalty.Your Initial Enrollment Period runs for seven months — the three months before your 65th birthday, your birthday month, and the three months after. Enrolling during this window helps you avoid the late enrollment penalty.What is the Annual Enrollment Period?
The Annual Enrollment Period runs from October 15 through December 7 each year. This is when anyone with Medicare can switch, drop, or add a Part D plan for the coming year.The Annual Enrollment Period runs from October 15 through December 7 each year. This is when anyone with Medicare can switch, drop, or add a Part D plan for the coming year.What happens if I miss my enrollment window?
If you go without creditable prescription drug coverage for 63 or more consecutive days after your Initial Enrollment Period ends, Medicare may assess a late enrollment penalty added to your monthly premium. The penalty is permanent for as long as you have Part D coverage.If you go without creditable prescription drug coverage for 63 or more consecutive days after your Initial Enrollment Period ends, Medicare may assess a late enrollment penalty added to your monthly premium. The penalty is permanent for as long as you have Part D coverage.Can I change my Part D plan outside of open enrollment?
In most cases, no — but certain life events trigger a Special Enrollment Period that allows you to make changes outside the standard windows. Moving, losing employer coverage, or qualifying for Extra Help are common qualifying events.In most cases, no — but certain life events trigger a Special Enrollment Period that allows you to make changes outside the standard windows. Moving, losing employer coverage, or qualifying for Extra Help are common qualifying events.Do I need Part D if I have a Medicare Advantage plan?
Most Medicare Advantage plans include prescription drug coverage, so a separate Part D plan is typically not needed — and in some cases not permitted. If you're on Original Medicare with a Medicare Supplement plan, a standalone Part D plan is how you get drug coverage.Most Medicare Advantage plans include prescription drug coverage, so a separate Part D plan is typically not needed — and in some cases not permitted. If you're on Original Medicare with a Medicare Supplement plan, a standalone Part D plan is how you get drug coverage.
Proudly Serving Rhode Island and Massachusetts
PG Financial Group is based in Lincoln, RI, and we serve clients throughout Rhode Island and Massachusetts — in person, by phone, and in both English and Spanish. Whether you're in Providence, Cranston, Pawtucket, Warwick, Cumberland, or Central Falls, we're close by and ready to help.
Our A+ BBB accreditation and 25+ years of combined industry experience reflect the standard we hold ourselves to for every client we work with — not just at enrollment, but every year after.
Call us at (401) 487-5077 or request a quote online. We'll review your prescriptions, compare your options, and help you enroll in a plan that works — before the enrollment window closes.
