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@hardingv

I accidentally hit send before I explained what I meant by "getting better," From what I have been told, in 2024 I will no longer have to pay the 5% catastrophic copay after getting out of the donut hole (which in effect caps my payments at something like $8000 in 2024?). And supposedly there will be a cap on Part D out of pocket cost in 2025. Caveat: I may not be right, and even if I am (1) the rules could change, and (2) insurance companies may react by dropping some of the more expensive drugs from their formulates. (I saw that with Stelara when Medicare stopped covering under Part D - based on the criteria that you COULD inject at home so no longer provided coverage if you chose to use an infusion center.)

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Replies to "I accidentally hit send before I explained what I meant by "getting better," From what I..."

... the 2025 cap is $2000.

... I'm having a hard time today! In my Stelara example I meant that Medicare stopped covering Stelara under Part B (not D) when you chose an infusion center rather than at home injection.