Content Overview 
- Summary
- The Amount Of The Discount In The Doughnut Hole
- Expenses Which Count BEFORE Reaching The Doughnut Hole
- Expenses Which Do And Do Not Count While You Are In The Doughnut Hole
- Payments You Make At The Other End Of The Doughnut Hole (Catastrophic Coverage)
- Who Gets The Discounts While In The Doughnut Hole?
- How The Discount Does NOT Affect The Amount Of Time To Get Out Of The Doughnut Hole
- An Example Of How The Doughnut Hole Works
The Doughnut Hole (Part D Coverage Gap)
Expenses Which Count BEFORE Reaching The Doughnut Hole
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The only expenses which count toward the start of the doughnut hole are monies you spend on drugs that are on the plan's formulary.
Costs which count include:
- The annual deductible.
- All the co-pays and co insurance you pay during the current year.
- Plans generally require that the drugs be purchased through a pharmacy with which the plan has a relationship.
The following costs do not count toward reaching catastrophic limits:
- The drug plan premium
- Costs for drugs not on a plan's formulary
- Pharmacy dispensing fees
- (Generally), drugs not purchased through one of the plan's pharmacies
- The cost of drugs which are not covered by Part D coverage.
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