2020 Medicare Part D Changes:
Starting January 1st, 2020:
- The Part D monthly premium varies by plan.
- For stand-alone Part D prescription drug plans, average basic premiums increased to a projected average premium of $32.74/month, up from $32.50/month.*
- The good news is that the Affordable Care Act has been gradually closing the donut hole in Medicare Part D. In 2019, enrollees pay just 37 percent of the plan’s cost for generic drugs while in the donut hole. And the donut hole is closing one year early — in 2019, instead of 2020 — for brand-name drugs, which will cost the enrollee just 25 percent of the plan’s cost in 2019 (down from 100 percent before the ACA started to close the donut hole).
*It is important to understand that the average basic premium is less than the average enhanced plan premium, so overall average Part D premiums are higher than the average basic premiums.
- Most Medicare drug plans have a coverage gap (also called the “donut hole”). This means there is a temporary limit on what the drug plan will cover for drugs. Not everyone will enter the coverage gap. The coverage gap begins after you and your drug plan have spent a certain amount on covered drugs
- In 2019, the coverage gap applied after an initial amount of $3820 was spent. In 2020, the coverage gap applies after an initial amount of $4020 is spent. The good news is that the Affordable Care Act (ACA) has been gradually closing the coverage gap in Medicare Part D. The percentage is set by Medicare. In 2019, once the coverage gap started, Medicare members paid 25% for brand-name prescriptions and 37% for generic medications. Now, in 2020, once the coverage gap starts, Medicare members only have to pay 25% for both brand-name and generic prescriptions.
Read More about 2020 Medicare Changes here.
Quick Guide to Medicare Part D – The Drug Plan
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