PDP

2013 Medicare Part-D Benefits

by Doug Benson September 1, 2012

For 2013 the figures below are the key dollar thresholds for the Medicare Part-D plans. Part-D Deductible – $325 Part-D Initial Coverage Limit – $2,970 Part-D Out-of-Pocket Threshold – $4,750 The “standard” medicare part-d plan definition includes a $325 deductible. Some plans pay that deductible for you. However, don’t let the absence of a deductible […]

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What are Out of Pocket expenses?

by Doug Benson May 10, 2011

Out-of-pocket expenses are the expenses that YOU pay out of your pocket. Out-of-pocket expenses  include premiums, deductibles and co-pays. Generally this term is used when describing Medicare Advantage plans or Prescription Drug plans.

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Medicare Generic Prescriptions

by Doug Benson November 10, 2010

According to the FDA, A generic drug is a copy of a brand name drug in dosage, safety, strength, how it is taken, quality, performance and intended use. The FDA requires that all drugs be safe and effective. Since generics use the same active ingredients and are shown to work the same way in the […]

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Medicare Part-D Deductible

by Doug Benson October 10, 2010

Medicare has included a deductible as part of it’s “standard” part-d plan definition. The amount of the deductible generally changes each year. You must pay 100% of your prescription costs until you satisfy the part-d deductible. Some part-d plans cover part or all of the standard deductible for you.

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Medicare Part-D Formulary

by Doug Benson October 10, 2010

This is the list of drugs that must be covered by all Part-D plans. This list is called the “Standard” formulary. Generally, each year the standard formula is modified. New drugs are added, sometimes some are removed. All companies who offer Medicare Part-D plans must include every drug in the standard formulary. Plans can offer […]

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Medicare Part-D Initial Coverage Limit

by Doug Benson October 10, 2010

After you pay the Medicare Part-D deductible, you enter the Medicare Part-D Initial Coverage Period. While you are in the initial coverage period you will pay approximately 25 percent of your drug costs and the Part D plan pays approximately 75 percent. The next threshold is the Initial Coverage Limit. Like the deductible, this number […]

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