I'm in the donut hole and can't afford my medications. What are my options right now before the 2025 changes?
Answered by 6 licensed agents
This year of 2025 there are no known holes in the prescription drug plans. All drug plans are mandatory with this feeling of $2000 out-of-pocket expenses for the beneficiary. However, it is important to make sure that your drug plan includes your prescription drugs in their formulary so that you get full benefit of the out-of-pocket expenses.
All part D prescription drug plans should be reviewed annually
Answered by Larry Dalton on April 10, 2025
Broker Licensed in OK & TX
It's 2025 now. $2,000 max out of pocket and they will let you make equal monthly payments of $166.66. Be aware that to use that option, you need to ask your Part D provider for it in advance.
Answered by David Bell on April 17, 2025
Agent Licensed in ID, AZ, CA & 8 other states
This appears to be an old question...there's no donut hole in 2025, and COVERED prescription drugs are capped at $2000. The "covered" part of the statement is important, because plans are not required to cover all drugs, and if you enroll in a plan that does not cover all of your drugs it is possible to exceed the $2000 limit, maybe even by a large amount (depending on the cost of your non-covered drugs).
This question is out of date. The maximum coverage started in 2025 was no more than $2,000 max out of pocket for any prescriptions in the course of one calendar year. So this is no longer a relevant question
Answered by Gary Henderson on April 11, 2025
Agent Licensed in TX, AK, AL & 46 other states
Depending upon your income and assets you might qualify for Extra Help to reduce your out of pocket expenses considerably. If you don't qualify for that, you might ask your Dr. about Manufacturer discounts that could be available for expensive medications. Now that we are in 2025, the donut hole cost share has been phased out!
Answered by Ross Landon on April 10, 2025
Agent Licensed in UT
Nothing to worry about as 2025 is here and max out of pocket is $2000 plus whatever your part D deductible is
Answered by Glenn Alterman on April 20, 2025
Broker Licensed in TX, AZ, CA & FL, NJ, OH & TN
Tags:
Advice for Seniors
Medicare Part D
Prescription Drug
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