


It has been estimated that 7.5 million Medicare Part D subscribers will hit the coverage gap “Donut Hole.” Were you one of them? Will you be forced to pay 100% of pharmacy's prescription prices for your drugs? The Liberty Rx Prescription Program may be able to save you Hundreds even Thousands depending on your prescription needs!
Every person who has elected to participate in traditional Medicare has the option of purchasing a Medicare-approved prescription drug policy from a participating private carrier.
During the first open enrollment period, when someone is first signing up for Medicare, there is a seven-month window during which the enrollee may choose any Part D plan. These seven months consist of the month the enrollee turns 65 or becomes eligible for Medicare, the three months before the birthday month, and the three months after the birthday month.
There is no requirement that anyone enroll in Medicare Part D. However, there is a financial penalty that increases every month an individual waits. Enrolling in Part D several years after the initial eligibility period could be very costly.
In addition to a monthly premium that varies according to the chosen insurance plan, some Part D participants will pay an annual deductible and a co-payment every time they purchase a prescription. Some plans do not require a deductible.
Participants will purchase their medications for only the cost of their co-payment amount until the total amount that has been spent by both the individual and the insurance company together equals $2,700 (in 2009).
After the individual and the Part D insurer have spent $2,700, the insured must then pay the next $3,453.75 (in 2009) from his or her own pocket (this is the “Donut Hole”). When the insured person has purchased medications costing $4,350 (not including premiums) in a calendar year (, catastrophic coverage begins and the Part D insurance company will pay the full cost of all medications for the balance of the year with the exception of a very small co-payment of 5% or less.
During this time when the insured is "in the donut hole" and paying 100% for all prescriptions, he or she must continue to pay monthly Part D premiums.
The legislation bans Medigap prescription drug policies for anyone using Part D. As a result, many seniors will actually spend more on drugs than they would without Part D. Medigap policies for Parts A and B of Medicare will remain legal. All told, the annual dent in the budget of a senior or disabled person whose drugs are costly is significant and scary!
The biggest issue for many Medicare beneficiaries is how to get through the "donut hole" when there is no prescription coverage. Many will find themselves in this financial gap for several months, with no hope that they will reach the other side where their insurance will again help with costs. These are the people who are looking for the best ways to reduce their personal medication costs.