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Home > Explanation of Benefits (EOB)

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4 questions found in  'Explanation of Benefits (EOB)'
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Question: When I am in my Medicare Part D plan's Donut Hole or Coverage Gap, how much do I actually pay? I have already reached my 2012 Medicare Part D prescription drug plan's initial coverage limit of $2930. So what do I pay?
Answer: Is the amount I owe in the Donut Hole the difference between the $4,700 out of pocket limit and the $2,930 initial coverage limit (or $1770) or do I have to pay the entire $4,700? Unfortunaley, we...

Question: Although I understand that brand name drugs will be discounted 50% in the donut hole in 2011, my Medicare Part D plan’s monthly summary still shows that I will be responsible for 100% in what they term stage 2. Is this an error?
Answer: Complete Question: Although I understand that brand name drugs will be discounted 50% in the donut hole in 2011, my Medicare Part D plan’s monthly summary still shows that I will be responsible ...

Question: I read that my negotiated retail prescription drug costs go toward meeting my Initial Coverage Limit before reaching my Medicare Part D plan's Donut Hole, but is this the normal retail drug cost or the total cost in my Explanation of Benefits letter?
Answer: No. Your Medicare Part D plan's negotiated retail prescription drug cost can be (and usually is) different than the retail price that your pharmacy charges and that is reported in your Explanation of ...

Question: How do I know when I will reach my Medicare Part D plan's Donut Hole or Coverage Gap?
Answer: There are multiple ways to see how close you are to your Donut Hole.  Here are a few examples of how you can tell when you have reached your Medicare Part D plan's Doughnut Hole (or Coverage Gap)...


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Latest Added FAQs

• When I am in my Medicare Part D plan's Donut Hole or Coverage Gap, how much do I actually pay? I have already reached my 2012 Medicare Part D prescription drug plan's initial coverage limit of $2930. So what do I pay?
    Is the amount I owe in the Donut Hole the difference between the $4,700 out of pocket limit and the...
   Last Update : 2012-05-11


• Although I understand that brand name drugs will be discounted 50% in the donut hole in 2011, my Medicare Part D plan’s monthly summary still shows that I will be responsible for 100% in what they term stage 2. Is this an error?
   Complete Question: Although I understand that brand name drugs will be discounted 50% in the donut h...
   Last Update : 2011-07-24


• I read that my negotiated retail prescription drug costs go toward meeting my Initial Coverage Limit before reaching my Medicare Part D plan's Donut Hole, but is this the normal retail drug cost or the total cost in my Explanation of Benefits letter?
   No. Your Medicare Part D plan's negotiated retail prescription drug cost can be (and usually is) dif...
   Last Update : 2011-07-24


• How do I know when I will reach my Medicare Part D plan's Donut Hole or Coverage Gap?
   There are multiple ways to see how close you are to your Donut Hole.  Here are a few examples o...
   Last Update : 2011-07-24




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