The Medicare Donut Hole Explained

The Medicare Donut Hole Explained

Medication Assistance

What is the Donut Hole?

The coverage gap, commonly called the “Donut Hole” is a temporary limit on what your Medicare Prescription drug plan will pay for your prescription drug costs.

While you are in the “Donut Hole”, you will pay higher costs of for your brand-name drugs. Often times these increased costs make your medications unaffordable.

If this sounds like you or someone you know, call Simplefill Prescription Assistance programs to enroll in their program during this period. 1-877-386-0206

The experts at Simplefill make understanding your Medicare Part D plan…well Simple!

There are 4 stages to your part D plan. Let’s break it down for you.

Stage 1: Deductible Phase
In this stage, you must pay a certain amount out of pocket before your prescription drug plan will kick in. This amount varies by plan.

Stage 2: Initial Coverage Phase
After you hit your deductible, you will start paying the plan’s cost share for covered medications. Once you and your prescription plan have spent $3,310.00 in 2016 for covered drugs; you’ve reached the “Donut Hole”.

Stage 3: The Donut Hole, Coverage Gap Phase
This is the stage where you start getting that sticker shock. Unless you want to wait until January 1st when your plan resets, you will now be paying 50% of the retail price of your medications. This can be very expensive and not an option for most patients, especially ones who are on fixed incomes.
This is why we urge you to contact us at 1-877-386-0206 or apply for assistance online.

Stage 4: Catastrophic Phase
You get a bit of a break in this stage since you have spent so much out of pocket for the year. During the catastrophic stage, you pay whichever amount is greater –either 5% of the covered drug cost or $2.65 for generics and $6.60 for brand name drugs.

What if I am not in the coverage gap but I still cannot afford my medications or my medication is not covered at all?
It never hurts to pick up the phone and ask. Often times we can help patients when their medication is not covered or if they have a copay is unaffordable. We always advise our patients to call us and we can find them the best way to save money on their medications. Think of the team at Simplefill as your Medication Savings Advisors!

Simplefill: Why We Decided to Help Provide Medication Assistance

Simplefill: Why We Decided to Help Provide Medication Assistance

Help My Meds Medication Assistance Prescription Assistance

Many Americans are facing an impossible choice: Should they go into debt to get the medications they need, or should they risk their lives to spare their wallet? At Simplefill, we don’t believe anyone should have to struggle with this dilemma. Americans are feeling crippled by the escalating price of medications and they don’t know where to turn. Simplefill offers a solution with our response to increasing medical costs.

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Free or Low Cost Prescription Medication Options

Free or Low Cost Prescription Medication Options

blog Help My Meds Medication Assistance Prescription Assistance Prescription Assistance Program

According to the National Health Council, an estimated 133 million Americans (45% of the country’s total population) are living with a chronic disease or health issue. Illnesses not only make everyday life more complicated, but they also create a major financial strain for patients.

Many uninsured or underinsured Americans are faced with three options: Go into debt paying for treatment they can’t afford, go untreated, or settle for subpar medications. The first choice leads to financial hardship, the second two can lead to worsening symptoms and even death.

There is good news. Free or low cost prescription medication options are available, and Simplefill is driven to provide as many people with the medication they need.

Prescription Assistance Programs (PAPs) are offered by pharmaceutical companies to provide qualified patients with affordable treatment options. However, the system is complex, and many patients miss out on low cost prescriptions because they don’t know how to navigate each PAP.

Simplefill is an advocacy group providing low income prescription assistance to patients across the country. We guide patients throughout the process to ensure they get access to the medications they need at a fraction of the cost. By offering expert advice, tailored support, and a knowledgeable customer service network, Simplefill aims to provide a “simple solution to a complex problem.”

Patients should not have to forfeit their health due to limited or lack of a prescription coverage. To get access to the free or low cost medications you deserve, fill out our application or chat with one of our representatives to get started. If you have any questions, we’re just a phone call, email, or live chat away to talk you through the process. Simplefill takes the hardship out of staying healthy, and we’re proud to help hundreds of patients every month. Join us today!