Medicare & Medicaid: How to Use Them at UltraCare Pharmacy?

Understanding how Medicare and Medicaid work at your local pharmacy can be confusing, especially when every plan seems to have different rules, copays, and formularies. At UltraCare Pharmacy in New Brunswick, we make insurance simple.

This guide explains exactly how to use Medicare and Medicaid at UltraCare, what is covered, how copays work, and how our team helps you maximize your benefits while minimizing out-of-pocket costs.

By the end, you’ll know which documents to bring, how billing works, what medications are covered, your options for delivery, and how UltraCare helps you navigate insurance without stress.

What Makes UltraCare a Trusted Medicare & Medicaid Pharmacy in NJ?

UltraCare Pharmacy is fully authorized to bill:

✔ Medicare Part D

✔ Medicare Part B

✔ New Jersey Medicaid (NJ FamilyCare)

✔ Dual-eligible plans (Medicare + Medicaid combined)

✔ Managed care Medicaid plans

✔ Most commercial Medicare Advantage plans

This makes UltraCare one of the most comprehensive insurance-friendly pharmacies in New Brunswick.

Pharmacist Insight:
“Our team verifies coverage before filling your medication. You will always know your copay and formulary options before we proceed.”
- Lead Pharmacist, UltraCare

Understanding Medicare at UltraCare Pharmacy

Medicare is divided into parts, and each part covers different pharmacy benefits. Here is exactly how they work when you fill prescriptions at UltraCare Pharmacy:

1. Medicare Part D (Prescription Drug Plans)

This is the most common Medicare coverage for medications.

Part D covers:

• Maintenance medications (blood pressure, cholesterol, diabetes meds, etc.)

• Brand and generic prescriptions

• Vaccines (flu, shingles, pneumonia)*

*Some vaccines are covered under Part B instead, but UltraCare handles the billing automatically, so you don’t have to worry.

How UltraCare helps:

• We check formulary tiers (Tier 1, 2, 3) to reduce costs.

• We recommend generic alternatives to lower copays.

• We coordinate with doctors during prior authorizations.

• We offer 90-day supplies for convenience and savings.

2. Medicare Part B (Medical Coverage at the Pharmacy)

Many patients don’t know that some medications are billed under Part B, not Part D.

Examples of Part B-covered meds:

• Insulin, used in an insulin pump

• Nebulizer medications

• Diabetic testing supplies

• Certain durable medical equipment (DME)

• Vaccines like flu, COVID-19, and pneumonia

UltraCare Advantage:
We bill Part B correctly, so you pay LESS.
You never need to ask, “Is this Part B or Part D?” We handle the paperwork.

3. Medicare Advantage (Part C)

These plans combine Medicare A, B, and D into one.

UltraCare accepts most major Medicare Advantage plans:

• Aetna

• Horizon Blue Cross Blue Shield

• WellCare

• Humana

• UnitedHealthcare

• And more

If you aren’t sure whether your plan is accepted, our team verifies it within minutes.

Understanding Medicaid & NJ FamilyCare at UltraCare

New Jersey Medicaid, also known as NJ FamilyCare, provides prescription coverage with low or no copays.

UltraCare accepts:

• Horizon NJ Health

• Amerigroup

• WellCare

• UnitedHealthcare Community Plan

• Aetna Better Health

• All NJ FamilyCare Medicaid Groups (A, B, C, D)

What Medicaid Covers at UltraCare?

Depending on your Medicaid plan, you may receive coverage for:

• Prescription medications

• Certain OTC medications (with a doctor’s authorization)

• Vaccinations

• Diabetic supplies

• Medical equipment

• Medication therapy management

• Home delivery

• Compliance packaging

Expert Note:
Medicaid formularies change frequently. UltraCare monitors updates and recommends the lowest-cost covered option for each patient.

Dual-Eligible Patients (Medicare + Medicaid): How It Works?

If you qualify for both Medicare and Medicaid, you are considered dual eligible, and UltraCare’s system automatically coordinates both.

Here’s how benefits typically work:

• Medicare pays first.

• Medicaid covers remaining costs, including copays.

• Many patients pay $0 for medications.

• Prior authorizations become easier because Medicaid supplements coverage.

UltraCare handles the coordination automatically; all you need are your insurance cards.

What You Need to Bring to Use Medicare or Medicaid at UltraCare?

To use insurance, bring:

✔ Medicare card (red/white/blue)

✔ Medicare Part D card

✔ Medicaid or NJ FamilyCare card

✔ Photo ID

✔ Insurance cards for secondary coverage (if any)

✔ List of current medications

If you don’t have all the documents, UltraCare will still help verify your identity and benefits.

How UltraCare Makes Insurance Simple?

1. Live Insurance Verification

We confirm coverage while you wait, usually within minutes.

2. Copay Transparency

No hidden fees. No surprise costs. You’ll always know copays upfront.

3. Prior Authorization Assistance

We communicate with your provider to speed up approvals.

4. Generic Alternatives for Lower Costs

If your plan’s formulary is expensive, we help find cheaper covered options.

5. Sync-All Refills

Perfect for seniors managing multiple medications.

6. Free or Low-Cost Delivery

Available for Medicare and Medicaid patients in New Brunswick.

7. Compliance Packaging for Complex Regimens

Helps prevent missed doses, ideal for seniors, caregivers, and chronic conditions.

Frequently Asked Questions (FAQ)

1. Does UltraCare accept my Medicare or Medicaid plan?

Yes, UltraCare accepts most Medicare Part D, Part B, Medicare Advantage, and NJ Medicaid plans. Call us, and we’ll verify in minutes.

2. Do I need to transfer my prescriptions first?

Yes, and we handle it for you.

3. What if my medication isn’t covered?

We check alternatives, initiate prior authorizations, or work with your prescriber to ensure affordable options.

4. Does Medicaid pay for delivery?

Most NJ plans cover or reduce the cost of home delivery.

5. Can Medicare pay for vaccines?

Yes—flu, COVID-19, shingles, and pneumonia vaccines may be covered. UltraCare bills correctly under the right Medicare part.

Why UltraCare Is the Most Trusted Medicare & Medicaid Pharmacy in New Brunswick?

• Experienced insurance specialists

• Fast coverage verification

• One-on-one pharmacist guidance

• Affordable generic options

• Free/low-cost delivery for eligible patients

• Full-service support for seniors & families

• Community-focused care

• Spanish-friendly staff available

UltraCare combines clinical expertise, transparent insurance guidance, and local convenience to ensure every patient receives the medications and support they need, without confusion.