Medicare Part D Coverage Gap: What Counts?


The Medicare Part D coverage gap can be pretty intimidating and it can be even worse when you don’t know what should and shouldn’t count towards it.  If you know what does and does not count you can watch what you are charged and attempt to save as much money as possible.  What is and is not covered under this coverage gap is briefly discussed below.

  • You get a discount on brand-name drugs in the coverage gap and this counts towards closing the coverage gap.
  • You can also include what you pay while you are in the coverage gap to help you navigate your way out of the coverage gap.
  • Every covered payment you make during the year goes towards closing the coverage gap as well.  This means that your copayments, coinsurance and even your deductibles will help you to close this coverage gap.

Your monthly premiums are not included when it comes to your monthly drug plan as well as the drugs that you buy that are definitely not covered.  You see that almost everything does count towards closing the coverage gap that never should have existed in the first place.


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