Medicare Part D 2012 Preview

CMS or Centers for Medicare and Medicaid Services released the new Medicare Part D numbers for 2012 in April of this year.  These numbers translate to the deductibles and new Coverage Gap amounts that will be applied to Medicare Part D plans in 2012.  The three areas that are affected are the Medicare Part D Standard Deductible, the Initial Coverage Limit, and the Out of Pocket threshold.Medicare Part D 2012 Preview

Medicare Part D Deductible Will Increase for 2012

As expected there will be an increase in the Medicare Part D deductible of $10.  This increase takes the deductible for $310 to $320.  This translates to a slightly higher cost for those beneficiaries that take a standard model part D drug plan for 2012.  These plans typically have lower monthly premiums because the deductible has to be paid first by the beneficiary before the co-pays start.

Medicare Donut Hole to Change for 2012

The Donut Hole or Coverage Gap for Medicare Part D changes on a yearly basis, and 2012 is no different.  In 2012 Medicare beneficiaries will go into the coverage gap at $2,930.  This is a $90 increase from the 2011 amount of $2,840.  This increase is actually good for Medicare beneficiaries because it means it will take longer to reach the gap.  Of course, the flip side of this is the out of pocket limit that you must reach on the other side in order to get out of the gap.  That amount increased $150 from $4,550 to $4,700.  If you’re following the math you’ll see there was a net increase of $50 for those people who hit the donut hole and come out of it during the year.  You can research the best Medicare Part D drug plan at

How to Avoid the Part D Medicare Donut Hole

Medicare Part D


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Formulary List Do’s and Don’ts

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