When first implemented in 2006, Medicare Part D plans had a built-in gap in coverage. During this coverage gap (aka, “Donut Hole”) drug plans paid nothing toward the cost of your medications. But that’s no longer the case. In 2012, the Affordable Care Act (ACA) implemented a phase-in of discounts for beneficiaries in the Coverage […]
What Gaps in Medicare Mean To You
In dictionaries the word gap means a break, a separation, an incompleteness or deficiency. In Medicare it means the same thing, but it refers specifically to something that is missing from your health insurance coverage. Many seniors make a critical mistake when they buy into government literature that explains how Medicare pays for eighty percent […]
What To Do When Your Medicare Drug Plan Doesn’t Cover Your Prescription
Presumably, if you have a Medicare Part D Plan or a Medicare Advantage Plan (Part C) that includes Part D drug coverage, you looked at its formulary before you made the decision to enroll in the plan. Perhaps since then, however, you have developed a need for another medication which is not covered by your […]
Medicare Code: Deciphering The Terminology
Flooded by a sea of acronyms, technical terms, facts and figures when you first explore Medicare, you might feel like putting up your hands and giving up. Don’t, because it isn’t as complicated as it first seems to be. In fact, once you get a handle on the basic terminology you will be well on […]
Am I Required To Join A Medicare Drug Plan?
No, you are not required to join a Medicare drug plan- joining a drug plan is your choice. However, to have Medicare help pay for your drugs, you must join a plan that provides Medicare prescription drug coverage. These plans are run by an insurance company or other private company approved by Medicare. There are […]
