A non-government resource for the Medicare community
Powered by
Q
1
Group LLC
A non-government Medicare community resource
Menu
☰
Home
Contact
MAPD
PDP
2024
2023
FAQs
Articles
Search
⌕
-- 2024 Medicare Part D Plan Links --
Find a 2024 Prescription Only (PDP) Plan
Highlights of 2024 Plans by State
Find a 2024 Health/Drug (MAPD) Plan
PDP Plan Change from 2023 to 2024
MA Plan Change from 2023 to 2024
Q1Rx: Find a 2024 Plan by Drug Cost
Browse a 2024 Formulary (Drug List)
2024 Part D Donut Hole Calculator
2024 Search by Plan ID
-- 2023 Medicare Part D Plan Links --
Find a 2023 Prescription Only (PDP) Plan
Highlights of 2023 Plans by State
Find a 2023 Health/Drug (MAPD) Plan
PDP Plan Change from 2022 to 2023
MA Plan Change from 2022 to 2023
Q1Rx: Find a 2023 Plan by Drug Cost
Browse a 2023 Formulary (Drug List)
2023 Part D Donut Hole Calculator
2023 Search by Plan ID
Contact
2024
2023
FAQs
Articles
Latest Medicare News
Search
⌕
Close ×
2024 Medicare Part D Rx plans
Rx plan changes 2023 to 2024
2024 Medicare Advantage plans
MA plan changes 2023 to 2024
Browse any 2024 Drug Formulary
Q1Rx: Compare 2024 Rx Drug Costs
2024 Medicare & You Guide
Newsletter Sign-up
2025 Plan Info Reminder Service
Special Features
Find a 2024 Part D Plan (Rx Only)
Find a 2024 Medicare Advantage Plan (Health and Health w/Rx Plans)
Browse Any 2024 Medicare Plan Formulary (or Drug List)
Q1Rx Drug-Finder: Compare Drug Cost Across all 2024 Medicare Plans
2024 Plan Overview by State
PDP and MAPD Overview by State
PDP Overview by CMS Region
Medicare Part D
Latest Medicare News
What is Medicare Part D?
2023 Medicare Part D Plan Information
2024 Medicare Part D Plan Information
Enrollment Tips: Choosing a plan
How do Medicare Part D plans work?
Medicare plan quality and CMS Star Ratings
Which Drugs are Covered?
Which Drugs are Excluded?
Formulary Exceptions
(Coverage Determinations),
Appeals & Grievances
Important Dates
The Late Enrollment Penalty
After Enrollment into Part D
Understanding Your Explanation of Benefits
IRMAA: Higher premiums for higher incomes
Calculating Out-of-Pocket Costs
The Donut Hole and Beyond
Donut Hole Calculator
Medicaid, "Extra Help" and LIS
Medicare Advantage Plans
2024 Medicare Advantage Plans State Overview
2024 Medicare Advantage Plan Benefit Details
Find a 2024 Medicare Advantage Plan by Drug Costs
Medicare Overview
Medicare & You Handbook
Guide to Rx Coverage
Plan Archives
Support Center
Close ×
Medicare Part D
Donut Hole Calculator
2024
PDP-Planner:
Medicare Part D Donut Hole Calculator
Try one of our examples or your own scenario ->
Example 1
illustrates how the Donut Hole (Coverage Gap) works when the beneficiary only has monthly prescription (Rx) costs.
Example 2
shows that if the same monthly costs are paid on a quarterly basis, the total retail costs do not change; however,
when
one enters and leaves the Coverage Gap does changes.
Example 3
shows an example of how to enter you medication costs if they are not consistent.
But isn’t the Coverage Gap (Donut Hole) closed?
Examples
Monthly Rx Costs only
Quarterly Rx Costs only
Combination of Rx Costs
Your Own Rx Cost Scenario
OR Enter your average prescription drug costs:
*
This is the actual retail cost of your covered prescriptions.
Do not include non-covered prescriptions or non-prescription medications (ex: aspirin or over-the-counter vitamins).
Paid Monthly:
Quarterly:
Semi-Annually:
Annually:
We will add all of these costs together to determine your total annual retail prescription costs. Since we do not know when you are making these non-regular purchases, we will place these payments starting in month one (1). You can find these values on your regular Medicare Part D plan statements or if you already know the annual costs, just enter the value in the annual costs field.
Percentage of Generic vs. Brand drug purchases:
*
CMS estimated standard 7.41% Generic / 92.59% Brand (vaccine adjusted)
7.41% Generic / 92.59% Brand (not vaccine adjusted)
0% Generic / 100% Brand (not vaccine adjusted)
25% Generic / 75% Brand (not vaccine adjusted)
50% Generic / 50% Brand (not vaccine adjusted)
75% Generic / 25% Brand (not vaccine adjusted)
100% Generic / 0% Brand (not vaccine adjusted)
No factor 100% Responsible in Gap
Because of the donut hole discount, the percentage of generic vs. brand drug purchases will determine if and when you will exit the Coverage Gap.
Enter your plan's deductible:
$
The 2024 standard deductible is $545.
Choose the your coverage start month - usually January:
*
January
February
March
April
May
June
July
August
September
October
November
December
Most plans start in January. If you are just turning 65 or a Medicaid recipient, your plan may start in a month other than January.
Enter your monthly premium:
$
You can enter your monthly premium, to have it calculated into the total.
*
required
Calculators Available:
PDP-Planner Calculators:
2006
|
2007
|
2008
|
2009
|
2010
|
2011
|
2012
|
2013
|
2014
|
2015
|
2016
|
2017
|
2018
|
2019
|
2020
|
2021
|
2022
|
2023
|
2024
Plan Out-of-Pocket Cost Calculators:
2006
|
2007
|
2008
|
2009
|
2010
|
2011
|
2012
|
2013
|
2014
|
2015
|
2016
|
2017
Top
Medicare Supplements
fill the gaps in your
Original Medicare
1. Enter Your ZIP Code:
»
Medicare Supplement FAQs
Q1 Quick Links
Sign-up for our Medicare Part D Newsletter.
PDP-Facts: 2024 Medicare Part D plan Facts & Figures
2024 PDP-Finder: Medicare Part D (Drug Only) Plan Finder
PDP-Compare: 2023/2024 Medicare Part D plan changes
2024 MA-Finder: Medicare Advantage Plan Finder
MA plan changes 2023 to 2024
Drug Finder: 2024 Medicare Part D drug search
Formulary Browser: View any 2024 Medicare plan's drug list
2024 Browse Drugs By Letter
Guide to 2023/2024 Mailings from CMS, Social Security and Plans
Out-of-Pocket Cost Calculator
Q1Medicare FAQs: Most Read and Newest Questions & Answers
Q1Medicare News: Latest Articles
2025 Medicare Part D Reminder Service