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Straddle Claims and high costs

Jul, 05 2024 — What you pay for your Medicare Part D drugs can change as retail drug prices change and as you move through the phases of your Medicare drug plan coverage.

May, 07 2022 — If you purchase an expensive formulary drug, your first purchase would be calculated as a straddle claim stretching across all four phases of your Medicare Part D coverage: Initial Deductible (if any), Initial Coverage Phase, the Coverage Gap, and Catastrophic Coverage.

May, 12 2017 — Question:  So far this year, I have purchased medications worth $3,390 toward my 2017 Donut Hole, my next brand-name drug purchase will cost $400, bringing me into the Coverage Gap, so will I get . . .

Jul, 02 2016 — Question:  I have purchased drugs with a $3,000 retail value and my next drug purchase will cost $400, bringing me into the Coverage Gap, so will I get a Donut Hole discount on the full $400 or j . . .

Sep, 05 2015 — Straddle Claims are single prescription drug purchases or claims that cross multiple phases of your Medicare Part D prescription drug plan coverage (or your Medicare Advantage plan that offers prescri . . .

Oct, 23 2014 — Question: I was diagnosed with CML and now using Tasigna (r), a drug with a retail cost of more than $9,000 per month.  My Medicare Part D plan said that the cost of this medication could be . . .

Oct, 04 2014 — Question:  I use a medication that is called Welchol and a 3-month supply is around $705.96.  Right now, I have $151.17 before I enter the Coverage Gap and I wanted to know what I should pay . . .

Aug, 29 2013 — Question:  When I am only about $92 away from reaching my 2013 Medicare Part D plan’s Donut Hole and my next prescription will cost $351.  Will I get a donut hole discount of 47.5% on . . .

Mar, 25 2012 — If you are using a formulary prescription drug that has a $1,894 retail cost and, since the start of 2012, you have already purchased medications with a total retail cost of $930, your purchase will p . . .