Robin Cruson
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Some pharmacies offer customer loyalty cards that may help you save money on prescription drugs. You may be able to get your medication for less than your co-pay. While this might be an option for some people, it certainly isn’t true for all people.

For example, let’s say you have a $10 copay when you get a prescription through your Part D plan. If you get your prescription through a pharmacy loyalty plan instead of your Medicare Part D plan, your copay may be only $4. As tempting as that $4 copay is, you should still use your Part D plan to pay for your prescription. It all boils down to the Medicare drug coverage gap or donut hole.


How the Coverage Gap Works

Most Medicare drug plans include payment tiers or limits. The first tier is called Initial Coverage. In this tier, you and your plan pay up to $2,960. This dollar amount is based on the total cost of your medications, including plan contributions and copays. Once you have reached the $2,960 amount, you enter the Coverage Gap or Donut Hole. While in the coverage gap, you will pay a larger share of your prescription drug costs up to $4,700. This $4,700 is made up your out-of-pocket expenses only. Plan contributions are not included in the $4,700 amount. Once you get out of the donut hole and into the Catastrophic Coverage tier, you will only pay a small coinsurance amount or copayment for covered drugs for the rest of the year.

The Cruson Insurance Agency is your single source for all of your insurance needs. Whether you're looking for health coverage, Medicare plans, life insurance, final expense plans, temporary health coverage for new employees or in between jobs, vision, dental, hearing and even pet insurance; we can help you find the coverage that best suits your needs. - Contact Robin at  
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