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2011 gap coverage (donut hole)
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Health Care Reform
2011 gap coverage (donut hole)
<font face="arial, helvetica, sans-serif" size="1">Talk to others about health care reform, including the latest Affordable Care Act news and events. Support it? Don&rsquo;t support it? Here&rsquo;s where to discuss it.</font>
Right here on AARP at http://www.aarp.org/health/medicare-insurance/info-11-2009/part_3_the_doughnut_hole.html, it states that brand name drugs are to be at a 50% discount during the donut hole in 201
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Cat:91a4afbf-9555-4e02-b9d3-9eef604476f6Forum:8717bffd-6c93-46d9-bddd-a49d5e76e2be
Cat:91a4afbf-9555-4e02-b9d3-9eef604476f6Forum:8717bffd-6c93-46d9-bddd-a49d5e76e2beDiscussion:24c0301e-949e-4a93-94c6-626b66daf625

Forums » Health » Health Care Reform » 2011 gap coverage (donut hole)

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Forums  »  Health  »  Health Care Reform  »  2011 gap coverage (donut hole)

2011 gap coverage (donut hole)

posted at December 9, 2011 8:16 PM EST
Posts: 1
First: December 9, 2011
Last: December 9, 2011
Right here on AARP at http://www.aarp.org/health/medicare-insurance/info-11-2009/part_3_the_doughnut_hole.html, it states that brand name drugs are to be at a 50% discount during the donut hole in 2011 with 100% credit allowed so that you still get out of the donut hole as if you had paid the full 100% price.  I am in a fight with AARP Medicare Complete regarding this as they say there is no 100% credit and therefore it is taking me twice as long to get out of the donut hole as it did last year.  Normally, I am out of the donut hole by September, but this year, I am still in the donut hole.  Actually, this is for my wife as she takes a lot of meds, some of which are not available in generic form.  Has anyone else run into this and do you have a resolution for this?

Re: 2011 gap coverage (donut hole)

posted at December 10, 2011 2:59 PM EST
Posts: 1924
First: November 27, 2011
Last: May 31, 2013
In Response to 2011 gap coverage (donut hole):
Right here on AARP at http://www.aarp.org/health/medicare-insurance/info-11-2009/part_3_the_doughnut_hole.html, it states that brand name drugs are to be at a 50% discount during the donut hole in 2011 with 100% credit allowed so that you still get out of the donut hole as if you had paid the full 100% price.  I am in a fight with AARP Medicare Complete regarding this as they say there is no 100% credit and therefore it is taking me twice as long to get out of the donut hole as it did last year.  Normally, I am out of the donut hole by September, but this year, I am still in the donut hole.  Actually, this is for my wife as she takes a lot of meds, some of which are not available in generic form.  Has anyone else run into this and do you have a resolution for this?
Posted by ddinham


I read it too.  From your AARP link:
  • While in the gap, in 2011 you pay 50 percent of the cost of brand-name drugs and 93 percent of the cost of generic drugs. (The 50 percent discount on brand-name drugs is paid by the companies that manufacture them.  The 7 percent discount on generic drugs is paid by the federal government.) In subsequent years, these costs will reduce until, by 2020, you pay no more than 25 percent of the cost of any drug in the gap.

  • You get out of the gap when your out-of-pocket costs during the earlier part of the year (deductible and copays) plus anything you paid for drugs in the gap reach a certain dollar limit ($4,550 in 2011). The manufacturers’ contribution for brand-name drugs also counts toward this limit, even though you didn’t pay for it. But the government’s contribution for generic drugs does not count toward the limit.

However there may be snag with certain brand drugs.  I don't know if this is your case.
http://www.aarp.org/health/medicare-insurance/info-01-2011/ask_ms_medicare_question_92.2.html

This whole article might be beneficial in answering your question since I don't know all of your particular circumstances.

Re: 2011 gap coverage (donut hole)

posted at December 21, 2011 5:03 PM EST
Posts: 12549
First: February 29, 2008
Last: June 16, 2013
In Response to 2011 gap coverage (donut hole):
Right here on AARP at http://www.aarp.org/health/medicare-insurance/info-11-2009/part_3_the_doughnut_hole.html, it states that brand name drugs are to be at a 50% discount during the donut hole in 2011 with 100% credit allowed so that you still get out of the donut hole as if you had paid the full 100% price.  I am in a fight with AARP Medicare Complete regarding this as they say there is no 100% credit and therefore it is taking me twice as long to get out of the donut hole as it did last year.  Normally, I am out of the donut hole by September, but this year, I am still in the donut hole.  Actually, this is for my wife as she takes a lot of meds, some of which are not available in generic form.  Has anyone else run into this and do you have a resolution for this?
Posted by ddinham


 
$569 / person
The amount Medicare recipients have saved on prescription drugs thanks to the Affordable Care Act.

BUT  regardless of the attempts the democrats have made to reform healthcare under the objection of the republicans who didn't even want to discuss it in the begining..........We STILL only  have the best healthcare in the world depending who you are.    Thank you republicans for your privitization priorities that want insurance companies to make profits off of healthcare and still don't believe everyone has a right to be healthy.  

No one in DC wants to pay more for our elderly population. But this country will have a national health-care system, and sooner than later. The cost pressures make that inevitable.
But it will be COST that will do it. The plain fact is some like the owner of the Whole Foods Corporation who has publically declared healthcare is not a "right" ..... not deliberately saying so in the sense that they want folks to die, but wilfully in the sense that they prefer their death to their own inconvenience.
If you're very sick and not very wealthy in America, your best move may be to just flee the country. Otherwise, expect to pay through the nose and possibly wind up deep in debt.

Forums » Health » Health Care Reform » 2011 gap coverage (donut hole)