Question about the $590 rx deductible coming

[DonP]

So client takes out mapd Jan 1st . Hits $590 deductible in Jan . They switch plans with different carrier March 1st . Do they have to pay that $590 deductible again with new carrier ? I know what a mb has spend on rx’s carries company to company . But the deductibles are set by the company’s up to the max . I’m assuming what you’ve paid toward your rx deductible with carrier 1 carry’s to new carrier ? If you’re replacing a plan in March it will be difficult to know if that person met his deductible already . Quoting rx’s with new carrier accurately will be difficult.

 

[vic120]

No he does not

 

[axeman462]

what you've already paid toward your old deductible will count toward the new deductible on the new plan, even if its different. Progress toward the donut hole will transfer as well

 

[DonP]

No he does not

So if his plan has $290 deductible and he moves to $590 deductible. He’ll owe $300 with new carrier ? This will be very tricky moving plans in 2025 . I bet 90% of plans have had no rx copay the last 3 yrs

 

[vic120]

So if his plan has $290 deductible and he moves to $590 deductible. He’ll owe $300 with new carrier ? This will be very tricky moving plans in 2025 . I bet 90% of plans have had no rx copay the last 3 yrs

correct

 

[hockeyday]

So client takes out mapd Jan 1st . Hits $590 deductible in Jan . They switch plans with different carrier March 1st . Do they have to pay that $590 deductible again with new carrier ? I know what a mb has spend on rx’s carries company to company . But the deductibles are set by the company’s up to the max . I’m assuming what you’ve paid toward your rx deductible with carrier 1 carry’s to new carrier ? If you’re replacing a plan in March it will be difficult to know if that person met his deductible already . Quoting rx’s with new carrier accurately will be difficult.

If they have LIS no deductible

 

[vic120]

If they have LIS no deductible

I guess if you factor most of the switchers will be at least LIS then you have this

 

[AgentGeneral]

Is regular LIS going to be able to switch. I know DSNP isn't going to be able to switch after the one in OEP?

 

[MedicareWAA]

Is regular LIS going to be able to switch. I know DSNP isn't going to be able to switch after the one in OEP?

They can switch in OEP. They're basically becoming normal people for the purposes of plan switches.

 

[MedicareWAA]

what you've already paid toward your old deductible will count toward the new deductible on the new plan

But not MA (medical)