2019 PDP-Planner:
Medicare Part D Donut Hole Calculator

Try one of our examples or your own scenerio ->
Example 1 illustrates how the Donut Hole (Coverage Gap) works when the beneficiary only has monthly prescripiton (Rx) costs.
Example 2 showns 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.

Examples

1. Monthy Rx Costs only
2. Quarterly Rx Costs only
3. Combination of Rx Costs
4. 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).

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 10.7% Generic / 89.3% Brand (vaccine adjusted) 10.7% Generic / 89.3% 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 2019 standard deductible is $415.

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