MEDICARE ANSWERS
What insulin costs count toward my True Out-of-Pocket costs?
What insulin costs count toward my true out-of-pocket (TrOOP) costs? What about my Part D deductible?
Your $35 (or less) copayment for a month's supply of each insulin product counts toward your TrOOP. Before you meet your Part D deductible, your $35 (or less) copayment will be applied to your deductible.
In 2023, the amount you would have paid (above the $35 cap) for a covered insulin product will also count toward your:
- Deductible
- Total true out of pocket (TrOOP) costs.
- Progression through the Part D coverage phases.
MedHelpCenter.us recommends that you call the Senior Health Insurance Agency at 813-592-8568 for further help and explanation.
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