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First of the year insurance issues
Chronic Pain | Last Active: 5 days ago | Replies (32)Comment receiving replies
For Medicare Beneficiaries:
Effective Jan. 1, 2025, Medicare Part D will begin limiting out-of-pocket prescription drug costs to $2,000. This ceiling will be adjusted for inflation each year. The law was passed in 2022.
In 2024, the remaining 5% co-pay was abolished.
Replies to "For Medicare Beneficiaries: Effective Jan. 1, 2025, Medicare Part D will begin limiting out-of-pocket prescription drug..."
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yes, but they figured out a way to get around that by throwing your meds out of the formulary. So I highly doubt if they don't count the medication you now have to buy that it counts towards the deductible. The first step was to make prescription drugs OTC and say you can buy them yourself and so it doesn't count. And if you want something out of their formulary I believe it also doesn't count unless you file an appeal and get it accepted. See my comment below.