Welcome to DU! The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards. Join the community: Create a free account Support DU (and get rid of ads!): Become a Star Member Latest Breaking News Editorials & Other Articles General Discussion The DU Lounge All Forums Issue Forums Culture Forums Alliance Forums Region Forums Support Forums Help & Search

question everything

(49,745 posts)
8. Seems like it varies with the insurance plan
Wed Jun 18, 2014, 01:37 PM
Jun 2014

with ours, we pay $90 for a 3 months supply (mail order) of brand name, while the insurance pays the rest - $650 for Symbicort, for example.

But once the total costs of medications paid by us and the insurance reaches $2850, we are in the donut hole. Medicare pays half of brand name while we pay most of the generics. The insurance still pays some, not sure how this amount is determined.

To stay with the example of Symicrot which last year, was "only" $670 (it is $740 this year), while in the donut hole we paid $327, the insurance paid $17, and medicare paid $344.

Recommendations

0 members have recommended this reply (displayed in chronological order):

$220,000 medical expenses after retirement? [View all] question everything Jun 2014 OP
Fingers crossed here too, elleng Jun 2014 #1
Is the "donut hole" not eliminated with the ACA? nt No Vested Interest Jun 2014 #2
Not entirely. Medicare pays half of the brand name question everything Jun 2014 #5
I understand that you have to pay half the cost of branded meds, No Vested Interest Jun 2014 #7
Seems like it varies with the insurance plan question everything Jun 2014 #8
Don't forget your co-pays. sinkingfeeling Jun 2014 #3
Yes, I know. I include it question everything Jun 2014 #6
Long term care insurance is sort of an extra, IMO. No Vested Interest Jun 2014 #4
I find those numbers to be astonishingly high. SheilaT Jun 2014 #9
Latest Discussions»Support Forums»Seniors»$220,000 medical expenses...»Reply #8