SeniorInsuranceGuy
Expert
- 75
Been selling MAPD forever and nobody covers brands in the gap but now about to get my first Supplement. I'd think there must be some company out there to do it?
Any Pt. D Plans with Brand Name in the Gap?
- Thread starter SeniorInsuranceGuy
- Start date
- 4,746
Nope.
If you are in Cali, most all the CA PDP's either have "no gap coverage" or, "many generics" during the gap.
Go here and download 2010 landscape,
Overview Prescription Drug Coverage - General Information
If you are in Cali, most all the CA PDP's either have "no gap coverage" or, "many generics" during the gap.
Go here and download 2010 landscape,
Overview Prescription Drug Coverage - General Information
- 15,319
There are several MAPD plans, all HMO, in So Cal that cover brand and generic through the gap.
Rick
Rick
- Thread starter
- #4
SeniorInsuranceGuy
Expert
- 75
Thanks for the input. In SoCal......Healthnet's Healthy Heart I states on Medicare.gov as well as their website that they cover "less than 10%" of brand name drugs (along with generic) in the gap. When I called Broker Services on it, they said they only cover Preferred Generics in the gap and no brand name and wer going to check on it. This was almost 2 weeks ago and they haven't changed it. SCAN has similar verbage on the Medicare website. Healthnet B/S says Medicare is misrepresenting them when in actuality, they are just posting what Healthnet submitted to them.
- 15,319
The MAPD plans that cover all formulary drugs in the gap are not the "big" names. Send me a PM or email insure(at)greensky(dot)com and I'll be happy to help. Include your phone number.
Rick
Rick
