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Medicare Part D: Closing the Donut Hole 

 
3 Weeks Left | Deadline for AEP Enrollment is December 7th
 
Only 3 Weeks Remain in Annual Enrollment. Don’t wait until the last minute!

 

You may have heard of the term “donut hole” before in reference to Medicare Part D, Medicare’s prescription drug coverage. What is it, exactly? The donut hole is a gap in prescription drug coverage where you may pay more for prescription drugs, depending on what Part D plan you choose (or if you enroll in a Medicare Advantage plan that includes prescription drug coverage).

Since 2011, measures have been taken to close the donut hole. Once you reach the initial coverage limit of your Part D plan, you’ll enter the donut hole and need to pay a percentage until you’ve reached the out of pocket (OOP) threshold and exit the donut hole. For 2021, the Part D initial coverage limit is $4,130, up from $4,020 in 2020. For 2021, the OOP threshold is $6,550, up from $6,350 in 2020.  In addition, if you reach the donut hole phase, your drug discount for brand name and generic drugs is 75%.

Note that these changes do not change your coverage for the remainder of the 2020 plan year. 

 
 
 
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The Deadline to enroll is Dec 7th
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Medicare is Helping During Covid-19

 
COVID-19 - Medicare
 

Every day, Medicare is responsible for developing and enforcing the essential health and safety requirements that health care providers must meet. When you go to a healthcare provider, you expect a certain standard of care, and we work to make sure you get it. That includes taking additional steps in response to coronavirus:

  • Medicare Advantage Plans and Prescription Drug Plans may waive or relax prior authorization requirements.
  • Taking aggressive actions and exercising regulatory flexibilities to help healthcare providers and Medicare health plans.
  • As part of an effort to address the urgent need to increase capacity to care for patients, hospitals can now provide hospital services in other healthcare facilities and sites that aren’t currently considered part of a healthcare facility. This includes off-site screenings. Medicare covers medically necessary care in these facilities and sites.
  • Waiving certain requirements for skilled nursing facility care.
  • Establishing new codes to allow providers to correctly bill for services related to diagnosis and treatment of the illness.
  • Instructing our national network of State Survey Agencies and Accrediting Organizations to focus all their efforts on infection prevention and other cases of abuse and neglect in nursing homes and hospitals.
  • Instructing nursing homes and hospitals to review their infection control procedures, which they’re required to maintain at all times.
  • Issuing important guidance answering questions that nursing homes may have with respect to addressing cases of COVID-19.

Call now for a Review with a Licensed Agent 1-855-846-6648 to find out what your plan covers. We can help you go over the options.
 
 
 
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Don't Miss Out on Annual Enrollment
 Deadline is Dec 7th
Get the Benefits You Need

✔ Dental, Vision, Hearing
✔ Prescription Drugs
✔ Fitness Memberships
✔ Meal Delivery
✔ Over-the-Counter Drugs
✔ Transportation & More!


 
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Your Medicare Benefits
 
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We thank you again for the opportunity to help you. Please call us at  1-855-846-6648  to explore your options for Medicare Advantage, Dental Benefits, Vision Benefits, Over-The-Counter Benefits, Silver Sneakers and Transportation Benefits.
 
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