Education and Decision Support Tools for the Medicare Community
-- Find a 2018 Part D Plans in Your State --
Find a 2018 Prescription Only (PDP) Plan
Highlights of 2018 Plans by State
Find a 2018 Health/Drug (MAPD) Plan
Find a 2018 Plan by Drug Cost
Browse a 2018 Formulary (Drug List)
-- 2017 Reference Links: --
How did My PDP Plan Change from 2017 to 2018
How did My MA Plan Change from 2017 to 2018
Browse a 2017 Formulary (Drug List)
Latest Medicare News
2018 Medicare Part D Rx plans
2018 Medicare Advantage plans
Rx plan changes 2017 to 2018
MA plan changes 2017 to 2018
Browse any 2018 Drug Formulary
Compare Rx Costs and Coverage
Help! Where do I start?
Find a 2018 Part D Plan (Rx Only)
Find a 2018 Medicare Advantage Plan (Health and Health w/Rx Plans)
Browse Any 2018 Medicare Plan Formulary (or Drug List)
Drug-Finder: Compare Drug Cost Across all 2018 Medicare Plans
2018 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?
2018 Medicare Part D Plan Information
2019 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?
Appeals & Grievances
Medicare.gov Plan Finder Tutorial
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
2018 Medicare Advantage Plans State Overview
2018 Medicare Advantage Plan Benefit Details
Find a 2018 Medicare Advantage Plan by Drug Costs
Medicare & You Handbook
Guide to Rx Coverage
Click here to link to this page on your website
Medicare Part D Donut Hole Calculator
Try one of our examples or your own scenerio ->
illustrates how the Donut Hole (Coverage Gap) works when the beneficiary only has monthly prescripiton (Rx) costs.
showns that if the same monthly costs are paid on a quarterly basis, the total retail costs do not change, however,
one enters and leaves the Coverage Gap does changes.
shows an example of how to enter you medication costs if they are not consistent.
Monthy Rx Costs only
Quarterly Rx Costs only
Combination of Rx Costs
Your Own Rx Cost Scenerio
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: asprin or over-the-counter vitamins).
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 10.8% Generic / 89.2% Brand (vaccine adjusted)
10.8% Generic / 89.2% 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 2018 standard deductible is $405.
Choose the your coverage start month - usually January:
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.
Donut Hole Calculators:
Plan Out-of-Pocket Cost Calculators:
Click the G+ button if you have found this page useful:
fill the gaps in your
1. Enter Your ZIP Code:
Medicare Supplement FAQs
Sign-up for our Medicare Part D Newsletter.
2018 PDP-Finder: Medicare Part D (Drug Only) Plan Finder
PDP-Compare: 2017/2018 Medicare Part D plan changes
2018 MA-Finder: Medicare Advantage Plan Finder
MA-Compare: 2017/2018 Medicare Advantage plan changes
Drug Finder: 2018 Medicare Part D plan drug search
Formulary Browse: View any 2018 Medicare plan formulary
2018 Browse Drugs By Letter
PDP-Facts: 2018 Medicare Part D plan Facts & Figures
Guide to 2017/2018 LIS Mailings from CMS, Social Security and Plans
Q1Medicare FAQs: Most Read and Newest Questions & Answers
Q1Medicare Blog: Latest Medicare News