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Have You Reached the Doughnut Hole in Your Medicare Prescription Drug Plan?
Several Medicare prescription drug plans have a gap in coverage, sometimes referred to as a “doughnut hole.” In 2016, after you have accumulated $3,310 in total covered drug costs (what you and the plan have paid), you pay 45% of your covered brand-name drug costs and 58% of your covered generic drug costs until you have spent $4,850 out-of-pocket.
What Are My Options During the Gap?
1. Keep using your Medicare prescription drug card.
2. Switch to generic or less expensive brand-name drugs.
3. Explore other available assistance.
4. Review your current plan and do a comparison to determine if you should change to a plan that provides coverage in the gap the next time you enroll. SHIP can help.
Pharmaceutical & Patient Assistance Programs
Rx for Oklahoma
For more information, contact the Oklahoma Senior Health Insurance Counseling Program (SHIP) at 1-800-763-2828.