The "doughnut" hole is still there...and no plans to cover the gap and there are 57 prescription drug plans to choose from...BD
Ah, now is the time when everyone on Medicare gets to make choices about prescription drug coverage.
Beginning Thursday until the end of the year, Orange County Medicare Part A and B recipients may choose from among 57 prescription drug plans offered by 23 organizations.
If you are part of a Medicare Advantage Plan or HMO plan for your medical coverage, chances are you already have prescription coverage through these plans. That accounts for just under 50 percent of Orange County's Medicare recipients.
The average this year in Orange County is a $20 premium, a deductible of $275, and prescription drug coverage of 25 percent of Medicare costs up to $2,510. But for the first time, there is no coverage after you reach that limit in drug costs. For the first two years of Medicare Part D, there were plans covering the gap. None are available this year.
There's a gap – called the doughnut hole – for drug costs from $2,511 to $5,726. In other words, if you're in the gap, you pay out of pocket – with no reimbursement – $3,215. After you pay that out, 5 percent of your costs are then covered.
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