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Frequently Asked Questions about Explanation of Benefits (EOB)
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Will my Medicare Part D prescription drug plan notify me if the plan's formulary changes?
Maybe, depending on the type of formulary change.(1) No notice of a formulary change when replacing a brand-name drug with a new generic.Your Medicare drug plan (stand-alone Medicare Part D plan or Me . . .
I read that my negotiated retail prescription drug costs go toward meeting my Initial Coverage Limit before reaching my Medicare Part D plan's Donut Hole, but is this the normal retail drug cost or the total cost in my Explanation of Benefits letter?
The retail cost in your Explanation of Benefits letter. Your Medicare Part D plan's negotiated retail prescription drug cost can be (and usually is) different than the retail price that your pha . . .
How can I find out if - or when I will reach my Medicare Part D plan's Donut Hole or Coverage Gap?
Here are 5 ways to see how close you are to your Donut Hole or Coverage Gap. 1. Call Member Services. You can always call your Medicare Part D prescription drug plan and ask a Member Servic . . .
I never got a report from my Part D plan showing how close I am to the Donut Hole. Shouldn't I be getting a summary of my prescription drug spending?
Yes, you should receive regular statements on your prescription spending.Medicare Part D plans send out a monthly "Explanation of Benefits" (or EOB) letters to all of their members. The EOB lett . . .
Is there a difference between my Medicare plan's Explanation of Benefits (EOB) and Evidence of Coverage (EOC)?
Yes. Your Explanation of Benefits (EOB) is a monthly statement that your Medicare Part D prescription drug plan (or Medicare Advantage plan) will send you to explain your year-to-date Medicare . . .
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PDP-Facts: 2020 Medicare Part D plan Facts & Figures
2020 PDP-Finder: Medicare Part D (Drug Only) Plan Finder
PDP-Compare: 2019/2020 Medicare Part D plan changes
2020 MA-Finder: Medicare Advantage Plan Finder
Drug Finder: 2020 Medicare Part D plan drug search
Formulary Browser: View any 2020 Medicare plan formulary
2020 Browse Drugs By Letter
Guide to 2019/2020 LIS Mailings from CMS, Social Security and Plans
Q1Medicare FAQs: Most Read and Newest Questions & Answers
Q1Medicare Blog: Latest Medicare News
2021 Medicare Part D Reminder Service