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You're not suggesting that the OOP limit is integrated with Rx are you?@Chasm, he has a maximum liability under the advantage plan which includes RX..
Rick
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You're not suggesting that the OOP limit is integrated with Rx are you?@Chasm, he has a maximum liability under the advantage plan which includes RX..
sounds like you’re saying the drug coverage under a mapd is different than a stand alone part d plan. But I’m sure you don’t mean it that way.
The MAPD commercials on T.V. more or less suggest that they cover EVERYTHING including dental and vision. I don't see how they can get away with it. It's so misleading.Often they are.
MAPD have "off the rack" drug coverage that may or may not be a good fit for the drug needs of the policyholder.
PDP is customized to the needs of the individual and may generate a lower Rx OOP vs a MAPD plan. On more than one occasion I have talked with people who have been told by their MAPD agent "all your drugs are covered" which is not the same as saying they are all on the formulary, or you have the lowest Rx copay's.
Often they are.
MAPD have "off the rack" drug coverage that may or may not be a good fit for the drug needs of the policyholder.
PDP is customized to the needs of the individual and may generate a lower Rx OOP vs a MAPD plan. On more than one occasion I have talked with people who have been told by their MAPD agent "all your drugs are covered" which is not the same as saying they are all on the formulary, or you have the lowest Rx copay's.
I haven't been over all of the available Advantage plans however, you cannot ignore RX when outlining what the potential limits of liability are.
Likewise, any Sup requires choosing a Part D that may or may not be comparable with the RX under the Advantage. You can't asss/u/me.
My insurance plan is $280/month, and I have a 3K deductible. It sounds like at age 80, this guy's options for plans are better than what I have now. What a deal!
The MAPD commercials on T.V. more or less suggest that they cover EVERYTHING including dental and vision. I don't see how they can get away with it. It's so misleading.