Will a $0 deductible Rx Plan count $590 toward the $2,000 limit?

[Jim Wright]

Don't be so sure that every MAPD plan that has a less than $590 deductible is considered enhanced. I've already spoken to one carrier that told me specifically that their lower drug deductible plans are NOT considered enhanced for that calculation.

 

[wehotex]

Don't be so sure that every MAPD plan that has a less than $590 deductible is considered enhanced. I've already spoken to one carrier that told me specifically that their lower drug deductible plans are NOT considered enhanced for that calculation.

Is it always the case that an MAPD with $0 premium and $0 deductible is an enhanced plan? Where is the CMS guidance on this?

 

[Jim Wright]

Is it always the case that an MAPD with $0 premium and $0 deductible is an enhanced plan? Where is the CMS guidance on this?

It is not always the case. I'm still doing some digging but I think the carrier has to actually file it as an enhanced drug plan. When I figure it out, I'll post it here.

 

[Special Agent]

Is it always the case that an MAPD with $0 premium and $0 deductible is an enhanced plan? Where is the CMS guidance on this?

anything that is an improvement or " enhancement" over the standard model of 590 deductible and 25% coinsurance is an enhanced plan