Eligibility for Medicare Part D Prescription Drug Coverage

To be eligible for Part D, individuals must be:

  • Entitled to Part A and/or enrolled under Part B; and
  • A U.S. citizen or lawfully present in the United States on or before the enrollment effective date (CMS makes this determination)

Individuals meeting these criteria are generally eligible to obtain Part B benefits through any PDP offered in the area in which the individual permanently resides.

  • To obtain Part D benefits from other types of Medicare health plans, such as an MA-PD, Medicare Cost Plan, or PACE Plan, the individual will have to meet the additional eligibility criteria for those plans. For example, to enroll in an MA-PD, individuals must be both entitled to Part A and enrolled in Part B