part D Drug cost MOOP on MAPD vs. PDP

[Speck]

From what I recall, was told by upline lately that the monthly premium of a PDP plan DID NOT count toward the $2,000 MOOP, only the plan's deductible would. Is this correct or no?

Also just to verify, on a MAPD plan does the monthly premium count toward the plan's MOOP, but not the drug coverage portion's MOOP?

 

[MedicareWAA]

From what I recall, was told by upline lately that the monthly premium of a PDP plan DID NOT count toward the $2,000 MOOP, only the plan's deductible would. Is this correct or no?

Also just to verify, on a MAPD plan does the monthly premium count toward the plan's MOOP, but not the drug coverage portion's MOOP?

Correct that the premium does not count, but the deductible does.

Also if it’s an enhanced benefit design, the claim is run twice. Once under the enhanced design and once according to the standard benefit design. The higher number is what is applied to the MOOP.

If we have a client in an enhanced plan (note MAPDs almost always count as enhanced, too), they’ll hit $2,000 without actually paying $2,000.

Weird.