• I read that the retail drug costs go toward the $2830 before reaching the donut hole. My Part D plan told me that the costs are the amount paid by my Part D insurance plus my out-of-pocket co-pay. For example, I take a drug that has a retail cost of $49.99 for a 30 day supply. But on my statement, my Part D plan paid $7.93 and I paid a $5 co-pay, which means that I have only earned $12.93 toward the 2010 donut hole. So which is correct-the $49.99 or $12.93 when calculating how much I've spent toward the donut hole?
Your Medicare Part D plan's negotiated retail price for your medication counts toward the donut hole. In your example, this would be the $12.93 and no...
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• I received my Part D plan statement and my out of pocket costs are over $700. The total amount of my drug costs are over $2,450 and I will soon reach the $2,830. Do I need to have out of pocket costs or TrOOP reaching $4,550.00 before I'm paid more?
No. Your out of pocket costs or TrOOP does not determine when you enter the Coverage Gap. Instead, TrOOP determines when you exit the Coverage Gap an...
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• I reached the Donut Hole in 2009 when enrolled in my Medicare Part D Prescription Drug Plan. Am I eligible for the $250 rebate recently announced by Medicare?
No. The $250 rebate is based only on your 2010 prescription medication expenditures. Your 2009 prescription costs do not count toward the $250 rebate.If yo...
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• If I am getting Medicare and Social Security, am I still eligible for the rebate?
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Maybe. If you are enrolled in a 2010 Medicare Part D prescription drug plan (or a Medicare Advantage plan that offers prescrip...
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• I do not belong to a Medicare Part D plan and actually pay for all of my own prescription drugs. Will I also get the $250 donut hole rebate payment?
No. If you have not enrolled in a Medicare Part D prescription drug plan, then you will not be eligible for the $250 Donut (or Doughnut) Hole rebate.The $250 Doughnut Ho...
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• Who will send me my check my Medicare Part D plan or Medicare?
The $250 rebate check will be sent automatically from Medicare. The mailing envelope will have a US Health & Human Services (HHS) symbol or logo and the printe...
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• Is the $250 rebate a one-time payment or will I be paid $250 for each month that I am in the donut hole?
The 2010 Doughnut Hole $250 rebate is a one-time, tax-free rebate. You will only receive one $250 check from Medicare once you reach the Doughnut Hole or exceed your Med...
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• What exactly is the 2010 Medicare Part D $250 Coverage Gap Rebate?
In 2010, as part of the Affordable Care Act, the U.S. Department of Health and Human Services will automatically send a one-time, tax-free $250 rebate check ...
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• Who Gets the $250 Rebate?
All seniors and Medicare beneficiaries who are enrolled in a 2010 Medicare Part D prescription drug plan and do not receive any financial Extra-Help will aut...
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• Will I still receive the $250 rebate if I am in a Medicare Advantage plan that provides prescription drug coverage (an MA-PD)?
Yes. According to Medicare, the $250 rebate is available to all Medicare beneficiaries enrolled in either a stand-alone 2010 Medicare Part D prescription drug plan ...
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• If I receive only partial Extra-Help will I receive the $250 rebate?
No. If you receive any financial “Extra Help”, you will NOT be eligible for the $250 Part D rebate.Even if you are receiving only partial “Extra Help&r...
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• Do I need to do anything to get my $250 rebate?
No. You do not need to do anything to receive the $250 rebate – aside from reaching the 2010 Doughnut Hole.Your Medicare Part D plan will notify Medicare when you ...
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• I have already reached the 2010 Doughnut Hole, when can I expect to receive my rebate check?
The first batch of $250 rebate checks will be mailed in early June of 2010.After the initial mailing, the $250 rebate checks will be mailed every month.If you reached the Doug...
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• If I reach the 2010 Doughnut Hole later in the year, how long do I need to wait before I receive my rebate check?
The one-time, tax free $250 Part D rebate checks will be mailed approximately 45 days after your Medicare Part D plan notifies Medicare that you have reached the 2010 Coverage...
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• Is the $250 rebate paid toward my out of pocket costs that I spend on Brand Name drugs?
No. The $250 rebate is paid to everyone who reaches the 2010 Coverage Gap or Doughnut Hole portion of their Medicare Part D prescription drug plan and is not dependent o...
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• What exactly is the Coverage Gap anyway?
Your Medicare Part D prescription drug plan is divided into different phases or parts:
the Initial Deductible (if applicable),
the Initial Covera...
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• Can I estimate when I will reach the 2010 Coverage Gap?
Yes. We have a simple online tool on our Q1Medicare.com website that will help you estimate if or when you will enter the 2010 Doughnut Hole.Our 2010 PDP-Planner allows ...
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• How will I know when I actually reach the 2010 Coverage Gap?
There are several different ways for you to see if you have reached the 2010 Doughnut Hole, for example:1. Most pharmacies include this information right on ...
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• Will almost everyone with a Medicare Part D prescription drug plan reach the 2010 Coverage Gap and get a $250 check?
No. Only a small percentage of the 42+ million Medicare beneficiaries actually reach the Doughnut Hole each year.However, the number of people who will go in...
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• How will I know that my rebate check is not part of a Scam?
As noted by Medicare, “[t]he envelope will have the US Department of Health and Human Services symbol on it and will say ‘Medicare Part D’."...
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Enroll 2010
