Medicare's Infamous Donut Hole - What you need to know

Everyone is terrified of Medicare's Part D Coverage Gap... More commonly known as the "donut hole". Well, stop and listen to us describe what it actually is and see if you'll even be affected by this crazy pricing strategy. 

We'll describe how the donut hole works and why you should take the time to understand it if you take rather expensive prescription medications.

Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states:  AZ, CA, FL,  IL, IN, KY, MI, MD, NC, OH, PA, SC, TX  If we do NOT work in your state, we can refer to agents that we know, like & trust across the country. Fill out the form linked to our map. 

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Sources for this episode: 

Costs in the Coverage Gap: https://www.medicare.gov/drug-coverage-part-d/costs-for-medicare-drug-coverage/costs-in-the-coverage-gap

NYT article about the donut hole "closing": https://www.nytimes.com/2020/01/17/health/medicare-drug-costs.html

Prescription costs in catastrophic coverage: https://www.medicareinteractive.org/get-answers/medicare-prescription-drug-coverage-part-d/medicare-part-d-costs/phases-of-part-d-coverage

Initial Coverage Limit for 2023: https://www.cms.gov/files/document/2023-announcement.pdf