Insurance & Medicare coverage
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.
Learn about your options in the Health Insurance Marketplace and see if you can enroll in health insurance through the Affordable Care Act marketplace.
If you’re looking for a Medicare Advantage plan, Aurora Health Quartz Medicare Advantage HMO coverage offers you access to your trusted Aurora Health Care providers and top-rated hospitals.
Similar to an employer’s HMO, these bundled plans offer you additional benefits and often lower out-of-pocket costs, such as $0 copay on some drugs.
Aurora Health Care participates in other Medicare Advantage plans. For a full list of health care insurers, visit Medicare.gov.
Medicare part D FAQs
What is the Medicare prescription drug plan?
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.
A Medicare Advantage plan, also referred to as Medicare Part C, incorporates the benefits of Medicare Part A, Medicare Part B and most often Medicare Part D all into one plan.
Aurora Health Quartz Medicare Advantage plans offer additional benefits including prescription drug coverage with $0 copay on some drugs in select plans. No matter what kind of Medicare plan you have now, Aurora Health Quartz Medicare Advantage can help you get more from your Medicare coverage. See the full list of Aurora Quartz Medicare Advantage benefits including pharmacy coverage.
Who is eligible for Medicare part D?
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.
What will Medicare part D prescriptions cost?
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. Because Aurora Pharmacy is the preferred pharmacy for Aetna Medicare D, people with Aetna plans have access to copays as little as $2 to absolutely free for generic medications.
What prescription drugs will be covered?
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.
If you’re currently enrolled in Aurora Health Quartz Medicare Advantage, you can review the full list of pharmacy benefits and the latest list of covered drugs at quartzbenefits.com/aurora.
How do I know if I should sign up for Medicare part D?
In order to decide which specific plan may be best for your situation, see the Medicare website.
How can I sign up for Medicare part D?
Visit the Medicare website.
What are the important dates to keep in mind?
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).
What do I do if I’m satisfied with my current Medicare part D plan & want to continue receiving that coverage?
You don’t have to do anything. Your coverage will continue from that provider.
What if I want to change to a new Medicare part D plan?
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).
What if my current Medicare part D plan is no longer available?
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.
Is Medicare part D only available to people with limited incomes?
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.
Who offers Medicare part D plans?
The government approves private drug plans to provide prescription coverage. You can search for plans on the Medicare website.
A Medicare Advantage plan, also referred to as Medicare Part C, incorporates the benefits of Medicare Part A, Medicare Part B and most often Medicare Part D all into one plan.
Aurora Health Quartz Medicare Advantage plans offer additional benefits including prescription drug coverage with $0 copay on some drugs in select plans. No matter what kind of Medicare plan you have now, Aurora Health Quartz Medicare Advantage can help you get more from your Medicare coverage. See the full list of Aurora Quartz Medicare Advantage benefits including pharmacy coverage.
Are all plans accepted at Aurora pharmacy?
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.
Can Wisconsin's SeniorCare program be used as a secondary payer?
Yes. Medicare would be billed first, then SeniorCare.
What if I have more questions?
Check with your Aurora pharmacist, call (800) MEDICARE (800-633-4227) or visit the Medicare website.
Refills with LiveWell
Using our LiveWell app or website makes it easy to request refills and access your records.