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RE: Donut Hole

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From my

understanding he now has to pay 100% of all medications up to $4450 out of his

pocket Then insurance will pay 95% and he pays 5%.

Since

the plans start over Jan 1 then from my understanding he would be out of the

donut hole 01/01/11

Lori Davies -

Financial Coordinator

Porter Adventist Hospital

Transplant Services

Denver, Colorado

Work

Fax

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Sara

Sent: Monday, November 22, 2010

1:13 PM

To: TxFinancialCoordinators

Subject:

Donut Hole

I'm still not 100% clear on the way the donut hole

works. For the remainder of 2010, I have a patient who just hit it. How much

does he have to pay out of pocket before considered catastrophic? Then, if he

meets that out of pocket amount, what % is he responsible for?

Next question: Does everything start all over again in January (so he's out of

the donut hole)?

*****************************************************************************

This communication is for the use of the intended recipient only. It may contain information that is privileged and confidential. If you are not the intended recipient of this communication, any disclosure, copying, further distribution or use thereof is prohibited. If you have received this communication in error, please advise me by return e-mail or by telephone and delete/destroy it.

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Very helpful Lori! Thanks!

Sara Danner

| Transplant Financial Coordinator | Memorial Medical Center | Springfield, IL

Phone: | Fax: | E-mail:

danner.sara@...

CHOOSE GREAT.

CHOOSE MEMORIAL.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Davies, Lori

Sent: Monday, November 22, 2010 2:15 PM

To: TxFinancialCoordinators

Subject: RE: Donut Hole

From my understanding he now has to pay 100% of all medications up to $4450 out of his pocket Then

insurance will pay 95% and he pays 5%.

Since the plans start over Jan 1 then from my understanding he would be out of the donut hole 01/01/11

Lori Davies

-

Financial Coordinator

Porter Adventist Hospital

Transplant Services

Denver, Colorado

Work

Fax

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Sara

Sent: Monday, November 22, 2010 1:13 PM

To: TxFinancialCoordinators

Subject: Donut Hole

I'm still not 100% clear on the way the donut hole works. For the remainder of 2010, I have a patient who just hit it. How much does he have to pay out of pocket before considered catastrophic? Then, if he meets that out of pocket amount, what % is he responsible

for?

Next question: Does everything start all over again in January (so he's out of the donut hole)?

*****************************************************************************

This communication is for the use of the intended recipient only. It may

contain information that is privileged and confidential. If you are not the

intended recipient of this communication, any disclosure, copying, further

distribution or use thereof is prohibited. If you have received this

communication in error, please advise me by return e-mail or by telephone and

delete/destroy it.

*****************************************************************************

This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message.

Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited.

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Is there a set amount a patient has to meet before entering the donut hole? Or does it vary by plan?

Sara Danner

| Transplant Financial Coordinator | Memorial Medical Center | Springfield, IL

Phone: | Fax: | E-mail:

danner.sara@...

CHOOSE GREAT.

CHOOSE MEMORIAL.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Davies, Lori

Sent: Monday, November 22, 2010 2:15 PM

To: TxFinancialCoordinators

Subject: RE: Donut Hole

From my understanding he now has to pay 100% of all medications up to $4450 out of his pocket Then

insurance will pay 95% and he pays 5%.

Since the plans start over Jan 1 then from my understanding he would be out of the donut hole 01/01/11

Lori Davies

-

Financial Coordinator

Porter Adventist Hospital

Transplant Services

Denver, Colorado

Work

Fax

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Sara

Sent: Monday, November 22, 2010 1:13 PM

To: TxFinancialCoordinators

Subject: Donut Hole

I'm still not 100% clear on the way the donut hole works. For the remainder of 2010, I have a patient who just hit it. How much does he have to pay out of pocket before considered catastrophic? Then, if he meets that out of pocket amount, what % is he responsible

for?

Next question: Does everything start all over again in January (so he's out of the donut hole)?

*****************************************************************************

This communication is for the use of the intended recipient only. It may

contain information that is privileged and confidential. If you are not the

intended recipient of this communication, any disclosure, copying, further

distribution or use thereof is prohibited. If you have received this

communication in error, please advise me by return e-mail or by telephone and

delete/destroy it.

*****************************************************************************

This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message.

Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited.

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Between the patient and the insurance company, $2800 (for 2010) beginning January 1st. Once this amount is met, the patient will be in the coverage gap until they pay $4450 in medication costs. After that amount is met, the plan should pay 95% of med cost. However, plans vary.

Subject: RE: Donut HoleTo: "'TxFinancialCoordinators '" <TxFinancialCoordinators >Date: Monday, November 22, 2010, 3:25 PM

Is there a set amount a patient has to meet before entering the donut hole? Or does it vary by plan?

Sara Danner | Transplant Financial Coordinator | Memorial Medical Center | Springfield, IL

Phone: | Fax: | E-mail: danner.sara@...

CHOOSE GREAT. CHOOSE MEMORIAL.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Davies, LoriSent: Monday, November 22, 2010 2:15 PMTo: TxFinancialCoordinators Subject: RE: Donut Hole

From my understanding he now has to pay 100% of all medications up to $4450 out of his pocket Then insurance will pay 95% and he pays 5%.

Since the plans start over Jan 1 then from my understanding he would be out of the donut hole 01/01/11

Lori Davies -

Financial CoordinatorPorter Adventist HospitalTransplant ServicesDenver, ColoradoWork Fax

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of SaraSent: Monday, November 22, 2010 1:13 PMTo: TxFinancialCoordinators Subject: Donut Hole

I'm still not 100% clear on the way the donut hole works. For the remainder of 2010, I have a patient who just hit it. How much does he have to pay out of pocket before considered catastrophic? Then, if he meets that out of pocket amount, what % is he responsible for?Next question: Does everything start all over again in January (so he's out of the donut hole)?

*****************************************************************************This communication is for the use of the intended recipient only. It may contain information that is privileged and confidential. If you are not the intended recipient of this communication, any disclosure, copying, further distribution or use thereof is prohibited. If you have received this communication in error, please advise me by return e-mail or by telephone and delete/destroy it.*****************************************************************************

This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited.

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If you look at the resource guide, it is outlined nicely.  Itshould give you a clearer picture.  Also, with the healthcare reform, next yearwill also have a 50% discount on brans meds during the coverage gap.  So, thisshould help patients a little bit as well.  At least spreading things around alittle bit...  By 2020, the coverage gap should be gone. From:TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of lmk_276@...Sent: Monday, November 22, 2010 12:30 PMTo: TxFinancialCoordinators Subject: RE: Donut Hole Between the patient and the insurance company, $2800 (for2010) beginning January 1st. Once this amount is met, the patient will be inthe coverage gap until they pay $4450 in medication costs. After that amountis met, the plan should pay 95% of med cost. However, plans vary.Subject: RE: Donut HoleTo: " 'TxFinancialCoordinators ' " <TxFinancialCoordinators >Date: Monday, November 22, 2010, 3:25 PM Isthere a set amount a patient has to meet before entering the donuthole? Or does it vary by plan? SaraDanner | Transplant Financial Coordinator |Memorial Medical Center | Springfield, ILPhone: | Fax: | E-mail: danner.sara@... CHOOSEGREAT. CHOOSE MEMORIAL. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of Davies, LoriSent: Monday, November 22, 2010 2:15 PMTo: TxFinancialCoordinators Subject: RE: Donut Hole Frommy understanding he now has to pay 100% of all medications up to $4450 out ofhis pocket Then insurance will pay 95% and he pays 5%. Sincethe plans start over Jan 1 then from my understanding he would be out of thedonut hole 01/01/11 Lori Davies -Financial CoordinatorPorter Adventist HospitalTransplant ServicesDenver, ColoradoWork Fax From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of SaraSent: Monday, November 22, 2010 1:13 PMTo: TxFinancialCoordinators Subject: Donut Hole I'm still not 100% clear on the way the donut hole works.For the remainder of 2010, I have a patient who just hit it. How much does hehave to pay out of pocket before considered catastrophic? Then, if he meetsthat out of pocket amount, what % is he responsible for?Next question: Does everything start all over again in January (so he's outof the donut hole)?*****************************************************************************This communication is for the use of the intended recipient only. It may contain information that is privileged and confidential. If you are not the intended recipient of this communication, any disclosure, copying, further distribution or use thereof is prohibited. If you have received this communication in error, please advise me by return e-mail or by telephone and delete/destroy it.***************************************************************************** This message (including any attachments) contains confidentialinformation intended for a specific individual and purpose, and is protectedby law. If you are not the intended recipient, you should delete thismessage. Any disclosure, copying, or distribution of this message, or thetaking of any action based on it, is strictly prohibited.

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TrOOP – True

Out-of-Pocket Costs Medicare D

______________________________

§ TrOOP is the amount a member must

spend on Part D covered drugs

to reach catastrophic coverage.

§ Payments counts at TrOOP if paid

by:

· Beneficiary

· Another individual (family member

or friend)

· State Pharmacy Assistance Program

(SPAP)

Note: Most third party assistance does

not count towards TrOOP (i.e. insurance from former employer/union).

Medications obtained through the special generic programs at such as Wal-Mart,

Target, or Walgreens do not count toward the TrOOP.

TrOOP – Part D

Covered Drugs

________________________________

(Annual

percentage increase for 2010 is 4.66%)

Member Pays

D Plan Pays

Totals

Deductible (with most plans)

$310

(when applicable)

$0

$310

Medications

$630 (25%)

$1890

(75%)

$2520

Coverage

Gap

$3610

$0

$3610

Sub-total

$4550

$1890

$6440

Catastrophic*

Member pays:

· Monthly D plan premium

· Minimum of $2.50 copay for

generic medications

· Minimum of $6.30 copay for all

other medications

* “Catastrophic” applies after member

costs of $4550 for the year (for premiums, deductible, & medications).

**Applicable if deductible

is part of the Medicare D plan you choose; some Medicare D plans do not have

a deductible. If your plan does not have a deductible, you would pay $940 of

drug costs before reaching the “coverage gap.”

Costs

to member prior to reaching catastrophic coverage have increased since 2006

(start date for Medicare D) by$250 in 2007, $269 in 2008, $500 in 2009, $130 in

2010 for a total increase of $1,149 since 2006 to members.

Ms. Daryl

Battin, MSW/LICSW

Financial

Coordinator/Social Worker

Department of

Transplantation

Lahey Clinic, 41 Mall Road, Burlington

MA 01805

Ph:

Page:

FAX:

Q Please consider the environment before printing this email

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of lmk_276@...

Sent: Monday, November 22, 2010

3:30 PM

To: TxFinancialCoordinators

Subject: RE:

Donut Hole

Between the patient and the insurance company, $2800

(for 2010) beginning January 1st. Once this amount is met, the patient will

be in the coverage gap until they pay $4450 in medication costs. After that

amount is met, the plan should pay 95% of med cost. However, plans vary.

Subject: RE: Donut Hole

To: " 'TxFinancialCoordinators ' "

<TxFinancialCoordinators >

Date: Monday, November 22, 2010, 3:25 PM

Is there

a set amount a patient has to meet before entering the donut hole? Or

does it vary by plan?

Sara Danner |

Transplant Financial Coordinator | Memorial

Medical Center

| Springfield, IL

Phone:

| Fax: | E-mail: danner.sara@...

CHOOSE GREAT. CHOOSE MEMORIAL.

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Davies, Lori

Sent: Monday, November 22, 2010

2:15 PM

To: TxFinancialCoordinators

Subject: RE:

Donut Hole

From my understanding he now has to pay 100% of all medications up to

$4450 out of his pocket Then insurance will pay 95% and he pays 5%.

Since the plans start over Jan 1 then from my understanding he would be

out of the donut hole 01/01/11

Lori Davies -

Financial

Coordinator

Porter Adventist Hospital

Transplant Services

Denver, Colorado

Work

Fax

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Sara

Sent: Monday, November 22, 2010

1:13 PM

To: TxFinancialCoordinators

Subject:

Donut Hole

I'm still not 100% clear on the way the donut hole

works. For the remainder of 2010, I have a patient who just hit it. How much

does he have to pay out of pocket before considered catastrophic? Then, if he

meets that out of pocket amount, what % is he responsible for?

Next question: Does everything start all over again in January (so he's out

of the donut hole)?

*****************************************************************************This communication is for the use of the intended recipient only. It may contain information that is privileged and confidential. If you are not the intended recipient of this communication, any disclosure, copying, further distribution or use thereof is prohibited. If you have received this communication in error, please advise me by return e-mail or by telephone and delete/destroy it.*****************************************************************************

This message (including any attachments)

contains confidential information intended for a specific individual and

purpose, and is protected by law. If you are not the intended recipient, you

should delete this message. Any disclosure, copying, or distribution of this

message, or the taking of any action based on it, is strictly prohibited.

See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities.

THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.

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