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Medicare Part D: How Does It Effect Your Prescriptions?

Since 2006 some senior citizens enrolled in the Medicare Part D prescription benefit program have experienced the new sensation of falling into a "Donut Hole," meaning that a person is spending more than $2,250 in prescription costs a year. When someone is in the "Donut Hole," they pay 100% of the cost of their medication until they spend over $5,100 out of pocket.

Determining how much a person will save depends on how much that person spends on their prescription medications. The general rule is if you fall into the "Donut Hole" after April, you will stay there the rest of the year.

Many ask how to avoid the "Donut Hole" and what to do if you fall into the "Donut Hole"? CPSI offer these suggestions:

• Avoid the "Donut Hole" by not spending more than $2,250 per year in prescriptions. The Medicare Part D plan should be sufficient to meet your needs.
• How can you avoid falling into the "Donut Hole" if you do spend more than $2,250 in prescriptions a year? Blend in the free services of CPSI by using their mail order services to purchase some of your prescription medications.

CPSI would be happy to analyze your situation to see how much of a savings you could see by blending CPSI's free service with Medicare Part D.

Here's how CPSI solved one customer's "Donut Hole" issue.

"Ms. B" was going to fall into the "Donut Hole" and not reach the other side. Her Medicare Part D savings would have been 24% of the retail price on her medications for the year.

By blending Medicare Part D with CPSI, we kept her out of the "Donut Hole" for the full year by sending some of her medications through CPSI's mail order service.

CPSI saved "Ms. B" 63% of the total cost for her medications for the year. :)