Part D deductible transfers

Apr 8, 2019

  1. LostDollar
    Offline

    LostDollar Guru

    Posts:
    2,900
    Likes Received:
    624
    State:
    Kansas
    A quick scan of your link suggests to me that your original concept is still correct, that deductibles don't transfer between plans, but payment balances transfer between PDP plans and will be used in computing a beneficiary's progress towards meeting the deductible in the new plan, according to the deductible terms of the new plan.

    edit 20190410----
    The proper out of pocket terminology appears to be True Out of Pocket (TrOOP).
    And the Part D sponsors, rather than CMS, are responsible for tracking it.
    end edit ------
     
    Last edited: Apr 10, 2019
  2. Todd King
    Offline

    Todd King IMO/FMO Owner

    Posts:
    8,407
    Likes Received:
    1,952
    State:
    Virginia
    No, it doesn't say the words, "deductible transfer between plans", but the bottom line is that they do. So, don't make it hard. When the, "payment balances" transfer, that also includes the deductible, if any that was paid by the client. If they were in a plan that covered the deductible, they will calculate what they did spend and apply that to the "new" deductible. So, to make a short story even shorter....yep, it transfers.
     
  3. LostDollar
    Offline

    LostDollar Guru

    Posts:
    2,900
    Likes Received:
    624
    State:
    Kansas
    I believe the word "deductible" has been used with two different meanings in this thread.
    I believe the answer to the op's question is "you might". It would depend on what the new plan decided.

    edit 20190410 ------
    2nd and 3rd sentences incorrect
    end edit ----
     
    Last edited: Apr 10, 2019
  4. goillini52
    Offline

    goillini52 MAGA...Eat More Bacon & BUILD THAT WALL!!!

    Posts:
    20,150
    Likes Received:
    6,326
    State:
    Illinois
     
  5. Chazm
    Offline

    Chazm Guru

    Posts:
    5,009
    Likes Received:
    1,112
    State:
    Florida
    No it wouldn’t.
     
    Chazm, Apr 9, 2019
    #45
  6. LostDollar
    Offline

    LostDollar Guru

    Posts:
    2,900
    Likes Received:
    624
    State:
    Kansas
    Ok, thanks.
     
  7. LostDollar
    Offline

    LostDollar Guru

    Posts:
    2,900
    Likes Received:
    624
    State:
    Kansas
    See ToddKing's comment above about the deductible not specifically transferring in numbers. That means you are not going to find a tidy, clean answer to your question.

    Pp 78 and following in the link discuss a number of different situations in which TrOOP and Spending Balance information is transferred between PDP's. Some of those situations include deductible recomputations. Perhaps this will work for you as a CMS concept document to answer your concern.

    https://www.cms.gov/Medicare/Prescr...r-14-Coordination-of-Benefits-v09-17-2018.pdf

    And note an implication: The initial answer of "yes it transfers" is predicated on the assumption that there are no subsequent processing changes by the previous plan(s).
     
Loading...