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The Medi-Gap Cost of Medication
I am posting for discussion, not for any other reason.
I have a heart condition which necessitates me taking three meds a day. Yesterday I went to pick up one of the meds and was told I was in the MediGap and my cost had gone from $114 to $381. Not only for that particular medication, but all the other meds will cost more because I am in the MediGap. This continues to the end of the year and will end up costing me well over $1,000. I have the best Plan you can buy for both health and RX and I still got caught in this donut hole. The flip side of this is if I don't take the meds and had the heart attack or devastating stroke my insurance would cover EVERYTHING and keep me alive which would be an astronomical amount of money. I am fortunate, I can afford to buy the meds, but what about the people who really cannot, what do they do and how much stress do they live with day in and day out. |
Ridiculous
Quote:
Ridiculous, no?:censored: |
The donut hole is complicated, and the rules change every year to the benefit of the consumer.
For 2018 you have a maximum out of pocket cost of $5000 for drugs. After you spend $5000 all your covered meds are paid nearly 100% by insurance. There is partial insurance coverage for formulary meds for the first $3,750 in drug cost [cost is the total spent by you in copays and the insurance company in their coverage] After 3750 the coverage changes to the donut hole Before 2011 you paid everything until you reached that out of pocket max. In 2018 you paid a highly discounted cost of the medication Quote:
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