Topic: Medicare presc. drug "donut hole"

Forum: Employment, Insurance, and Other Financial Issues — Employment, insurance, and financial concerns are common. Meet others here to discuss and for support.

Posted on: Apr 5, 2011 12:14PM

Posted on: Apr 5, 2011 12:14PM

amontro wrote:

My employer's insurance agent is helping me decide if I should go on Medicare instead of the company's med insurance. The agent recommends AARP, but they have a prescription drug "donut hole". After my drug cost exceeds $2800 and up until about $4500, I'm covered. However, I have to pay the $1700 for drugs in between. (Howq stupid is that?)

I'll ask him, too, but my current ins carries a hospital deductible of $2500.  I guess, on AARP,  if I go to the hospital, which would be less, it would make sense to go for the donut hole to balance it off.  If I don't go to the hospital, $1700 comes out of my pocket anyway.

Any comments?

2008 Stg 4 DeNo: lung/spine, mx, rx, herceptin/arimidex til now, reconx 2011; Zometa 2010, side fx oral ulcers wbone exposed (to present); 2019 stop Zometa w/onset of osteo-necrosis (lower left jaw), losing parts of jaw bones til present. Dx 9/2008, Stage IV, Grade 3, mets, HER2-
Log in to post a reply

Page 1 of 1 (2 results)

Log in to post a reply

Apr 5, 2011 04:54PM lauri wrote:

Donut hole is Medicare rule, not just AARP or other insurance.  This year there's a 50% on non-generic druge in the donut hole. Are you looking at a Medicare Advantage (replaces Medicare A, B and D) or Medicare Aa nd B plus AARP supplemental insurance plus AARP prescription insurance ?  You can get info on Medicare from medicare.gov ...I spent the year between 64 and 65 trying to figure this out.

From the ashes of disaster grow the roses of success Dx 3/8/2006, ILC, Left, 6cm+, Stage IIIB, metastasized to bone, Grade 2, 11/12 nodes, ER+/PR+, HER2- Dx 11/15/2021, ILC, Stage IV, metastasized to bone Hormonal Therapy 11/28/2021 Femara (letrozole) Targeted Therapy 12/2/2021 Ibrance (palbociclib) Radiation Therapy Whole breast: Breast Surgery Mastectomy: Left Chemotherapy AC + T (Taxol) Hormonal Therapy Arimidex (anastrozole)
Log in to post a reply

Apr 6, 2011 11:28AM amontro wrote:

I'm looking at AARP for Medicare B and supplemental and D. As I mentioned, my company's insurance agent is helping me with this. He said that the literature the insurance companies send out is difficult to understand even for him, an insurance agent.

2008 Stg 4 DeNo: lung/spine, mx, rx, herceptin/arimidex til now, reconx 2011; Zometa 2010, side fx oral ulcers wbone exposed (to present); 2019 stop Zometa w/onset of osteo-necrosis (lower left jaw), losing parts of jaw bones til present. Dx 9/2008, Stage IV, Grade 3, mets, HER2-

Page 1 of 1 (2 results)

Scroll to top button