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Pay for enough prescriptions to reach catastrophic coverage - Retiree

Posted: Nov 12th, 2021 - 2:21 pm In Reply to: How do you get out of the donut hole? - SOS

To get out of the coverage gap (what was called the doughnut hole) of your Medicare Part D drug plan, you or others on your behalf need to spend enough to get into the next category, catastrophic coverage. You should have received information from the drug plan at the beginning of the year explaining this, and you should receive statements every month or two outlining what prescriptions have been filled, the amount paid by you, the amount paid by the plan, and so on. These statements explain how much more needs to be spent to reach the next level. Using discount cards at the drugstore outside of your Medicare Part D plan does not count toward your Part D plan and reaching the next level. Right now it is open enrollment. Maybe the plan you have right now is not the best choice for you. You can compare plans at medicare.gov and perhaps choose a new one for next year.

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How do you get out of the donut hole? - SOS (Views: 679, 2021-10-28, 6:27 pm)
- Did you try - MT (Views: 622, 2021-10-28, 7:16 pm)
- Sometimes - Other (Views: 756, 2021-10-28, 7:54 pm)
- My mom is on Stiolto and had the same problem. Had - to pay $400 plus because of the (Views: 521, 2021-10-29, 3:49 am)
  - You can use GoodRx with Medicare - sm (Views: 722, 2021-10-29, 5:12 am)
    - You have to pay your deductible in full ... - BW (Views: 447, 2021-10-29, 9:38 am)
    - Thanks. - nm (Views: 570, 2021-10-29, 11:32 am)
    - She's in the donut hole now. Can you use it then? - nm (Views: 544, 2021-10-29, 12:10 pm)
      - Yes, you can use it any time as long as you qualify. - BW (Views: 683, 2021-10-29, 12:34 pm)
        Thanks, Medicare is new to me. - nm (Views: 445, 2021-10-29, 12:59 pm)
  - I was curious about your Mom's cost for Stiolto. So - I did a quick price check on ... sm (Views: 702, 2021-10-29, 8:35 pm)
    - Thank you so much. I just filled her last Rx at CVS and it - was close to $400 since she is (Views: 465, 2021-10-30, 10:26 am)
- How do you get out of the donut hole? - SOS (Views: 477, 2021-10-29, 11:00 am)
  - It depends on your plan. Call your insurance company ... - BW (Views: 430, 2021-10-29, 12:37 pm)
- I take Trelegy Ellipta, and I get it from a Canadian Pharmacy. - I get a paper Rx from my ... sm (Views: 653, 2021-10-29, 12:46 pm)
  - Thanks for sharing. - nm (Views: 405, 2021-10-29, 1:00 pm)
    - How do you get out of the donut hole - SOS (Views: 479, 2021-10-29, 9:31 pm)
- Pay for enough prescriptions to reach catastrophic coverage - Retiree
  - Never got this information - donut hole (Views: 411, 2021-11-12, 4:58 pm)