Medicare Advantage Plans Provide No Substantial Cost Savings Over Traditional Medicare

[Chazm]

And this is also true?


The out-of-pocket costs that help you reach your MOOP include all cost-sharing (deductibles, coinsurance, and copayments) for Part A and Part B covered services that you receive from in-network providers. Part D cost-sharing does not count towards your plan’s MOOP.

Maximum out-of-pocket limit - Medicare Interactive

All Medicare Advantage Plans must set an annual limit on your out-of-pocket costs, known as the maximum out-of-pocket (MOOP). This limit is high but […]

www.medicareinteractive.org

Plan MOOP in MAPD has never involved the drug coverage.
I’m not sure where we are going with this.

 

[somarco]

Plan MOOP in MAPD has never involved the drug coverage.
I’m not sure where we are going with this.

I never said, nor implied, that D costs were included in the MA MOOP. I have been under the impression drug costs were never included in MOOP and simply wanted to clarify nothing has changed.

No ulterior motives. Not a trick question. Asking for clarification because of all the dirt stirred up for drug costs to the consumer because of the Inflation Reduction Act misnomer.

 

[Duaine]

Correct-O-Mundo. So say A&B MOOP is $5,000 add in for 2025 possibly hitting MOOP for Part D = $7,000 OOP in network for client.

 

[somarco]

Ouch!!!

 

[Special Agent]

Correct-O-Mundo. So say A&B MOOP is $5,000 add in for 2025 possibly hitting MOOP for Part D = $7,000 OOP in network for client.

That don't even make sense.