Many of you have heard of the dreaded Donut Hole. Some unfortunate ones have even experienced it. A few of you might be thinking about a trip to Dunkin. But here is what it’s all about…

The Donut Hole is another term for the Medicare Prescription Drug Coverage Gap. The Center for Medicare and Medicaid Services (CMS), determines the figures for the Coverage Gap on an annual basis.

For 2021, consumers enrolled in a Medicare Prescription Drug Plan or a Medicare Advantage Prescription Drug Plan can expect to have a maximum annual deductible of $445. This means that consumers may have to pay up to $445 before receiving any benefits from their plan.

Once the deductible is met, consumers are in their Initial Coverage Stage. During this stage, consumers can expect to pay their copays for their prescription medications, while the insurance plan may pay the difference. Consumers will remain in this Initial Coverage Stage until their Total Drug Costs reach $4,130. The Total Drug Costs is calculated by adding what the consumer has paid toward their deductible plus what the consumer paid in copayments plus what the insurance company has paid towards the medications.

Once the consumer reaches the $4,130 threshold, they then move to into the Coverage Gap, also known as the Donut Hole. During this time the consumer will pay 25% of the cost of their medications until their Total Out-of-Pocket costs reach $6,550. The Total Out-of-Pocket costs are calculated differently, however. The consumer’s Total Out-of-Pocket is determined by adding what the consumer has paid towards their deductible plus what the consumer has paid in copays in the Initial Coverage Stage plus what the consumer has paid while in the Donut Hole.

After a consumer reaches the $6,550 in Total Out-of-Pocket costs, they move into the Catastrophic Coverage stage. At this point, consumers will pay 5% of the cost of their medications or $3.70 for generic medications and $9.20 for brand name medication, whichever is greater.

It is important to know that if a consumer is eligible for either Medicaid or Extra Help, they are not subjected to the Donut Hole.

 

Many of you have heard of the dreaded Donut Hole. Some unfortunate ones have even experienced it. A few of you might be thinking about a trip to Dunkin. But here is what it’s all about…

The Donut Hole is another term for the Medicare Prescription Drug Coverage Gap. The Center for Medicare and Medicaid Services (CMS), determines the figures for the Coverage Gap on an annual basis.

For 2021, consumers enrolled in a Medicare Prescription Drug Plan or a Medicare Advantage Prescription Drug Plan can expect to have a maximum annual deductible of $445. This means that consumers may have to pay up to $445 before receiving any benefits from their plan.

Once the deductible is met, consumers are in their Initial Coverage Stage. During this stage, consumers can expect to pay their copays for their prescription medications, while the insurance plan may pay the difference. Consumers will remain in this Initial Coverage Stage until their Total Drug Costs reach $4,130. The Total Drug Costs is calculated by adding what the consumer has paid toward their deductible plus what the consumer paid in copayments plus what the insurance company has paid towards the medications.

Once the consumer reaches the $4,130 threshold, they then move to into the Coverage Gap, also known as the Donut Hole. During this time the consumer will pay 25% of the cost of their medications until their Total Out-of-Pocket costs reach $6,550. The Total Out-of-Pocket costs are calculated differently, however. The consumer’s Total Out-of-Pocket is determined by adding what the consumer has paid towards their deductible plus what the consumer has paid in copays in the Initial Coverage Stage plus what the consumer has paid while in the Donut Hole.

After a consumer reaches the $6,550 in Total Out-of-Pocket costs, they move into the Catastrophic Coverage stage. At this point, consumers will pay 5% of the cost of their medications or $3.70 for generic medications and $9.20 for brand name medication, whichever is greater.

It is important to know that if a consumer is eligible for either Medicaid or Extra Help, they are not subjected to the Donut Hole.

 

Unused Medication Drop-off Locations

US DEA Locations

Arden

          CVS, 324 Long Shoals Rd, Arden, NC 28704

Asheville

          Asheville Discount Pharmacy, 76 Patton Ave, Asheville, NC 28801

          CVS, 24 Westgate Pkwy, Asheville, NC 28806

          CVS 505 Smokey Park Hwy, Asheville, NC 28806

Walgreens, 578 New Leicester Hwy, Asheville, NC 28806

Walgreens, 1835 Hendersonville RD, Asheville, NC 28803

Black Mountain

          Sunshine Pharmacy, 206 E State St, Ste 1, Black Mountain, NC 28711

          Healthridge Pharmacy, 3130 US Hwy 70, Black Mountain, NC 28711

Brevard

          CVS, 371 Asheville Hwy, Brevard, NC 28712

          Gordon Family Pharmacy/Fernhill Pharmacy, 518 S Broad St, Brevard, NC 28712

Candler

          Carolina Mountain Pharmacy, 7 Pisgah Hwy, Ste 100, Candler, NC 28715

Cashiers

          A to Z Drugs, 52 Cashiers Shopping Center, Cashiers, NC 28717

Cherokee

          Cherokee Indian Hospital, 1 Hospital Rd, Caller Box C-268, Cherokee, NC 28719

Fletcher

          CVS, 3450 Hendersonville Rd, Fletcher, NC 28732

Franklin

          Smart Pharmacy, 60 Georgia Rd, Franklin, NC 28734

Hendersonville

          CVS, 1605 Four Seasons Blvd, Hendersonville, NC 28792

Mills River

          CVS, 128 Cross Road Dr, Mills River, NC 28759

Swannanoa

CVS, 2351 US Hwy 70, Swannanoa, NC 28778

PSA Clinic Pharmacy, 2294 US Hwy 70, Swannanoa, NC 28778

Sylva

          CVS, 88 NC Hwy 107, Sylva, NC 28779

          Walgreens, 36 Sunrise Park, Sylva, NC 28779

Waynesville

          CVS, 773 Russ Ave, Waynesville, NC 28786

          Walgreens, 590 Russ Ave, Waynesville, NC 28786

Woodfin

          CVS, 471 Weaverville Rd, Woodfin, NC 28804

Weaverville

          CVS, 121 Monticello Rd, Weaverville, NC 28787

         

Other Locations

Buncombe County Sheriff’s Office

Buncombe County Courthouse

Cherokee County Sheriff’s Office

Clay County Sheriff’s Office

Franklin Police Department

Graham County Sheriff’s Office

Haywood County Sheriff’s Office

Henderson County Sheriff’s Office

Jackson County Sheriff’s Office

Madison County Sheriff’s Office

Murphy Police Department

Swain County Sheriff’s Office

MEDICARE – 1-800-MEDICARE (1-800-633-4227)

www.medicare.gov

 

SOCIAL SECURITY ADMINISTRATION (1-800-772-1213)

(or locally at 1-866-562-0738, Franklin NC office)

www.ssa.gov

 

APPLY ONLINE FOR EXTRA HELP

http://www.socialsecurity.gov/extrahelp

 

REPORT MEDICARE FRAUD, WASTE & ABUSE (1-800-MEDICARE)

https://forms.oig.hhs.gov/hotlineoperations/report-fraud-form.aspx

 

REQUEST NEW OR CORRECT MEDICARE CARD -
from Social Security Administration
(1-800-772-1213)
(or locally at 1-866-562-0738, Franklin NC office)

www.ssa.gov

 

SENIORS-HEALTH INSURANCE INFORMATION PROGRAM (SHIIP)

(855) 408-1212

http://www.ncdoi.com/SHIIP/Default.aspx

 

NORTH CAROLINA DEPARTMENT OF INSURANCE

www.ncdoi.com

 

SILVER SNEAKERS (GET YOUR CARD)

https://tools.silversneakers.com/Eligibility/GetCard