Why Medicare Part D Will Drive You Nuts | Part D explained!

Part D plans are NOT perfect, as they have formularies, pharmacy networks and a coverage gap. Along with this, you have deductibles, copays, quantity limits, and prior authorizations. Your Part D plan might be driving you NUTS, but it's all worth it! Let us simplify all of this for you in this video.

Start (0:00)
Deductibles & Donut Holes (2:07)
Tier-Specific Deductibles (3:35)
Donut Hole Depression (5:15)
Monthly Premium Pandemonium (7:00)
Utilization Management Tools (12:55)
Why to Not Skip Part D (16:36)

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[gingerporter]

I've already had to fight through understanding the " maze" for 2yrs and the rules change every year! Very depressing for aged, ill citizens. SMH

[alreppine]

This was really helpful. I wish I’d had this information when I needed a part D plan. No one warned me I had 62 days after leaving my employer’s drug plan to get a Part D Plan. Worse, since I had deferred Part B from 65 to 70 when I retired, Social Security told me three weeks before the deadline that I needed to proof of drug coverage for the last 5 years or face lifetime Part D surcharges based on this large gap in coverage. I was able to do this with many calls, a lot of luck and the kindness of strangers. Had I kept my drug plan ID cards for the last five years, that could have been my proof of drug coverage. Working with an employer to get a verification letter in advance of retirement is optimal. If there are multiple employers and different insurers and the odd merger thrown in, obtaining proof of 5 years of coverage after the fact may not even be possible.

[jerryvelders]

Very useful/helpful information. I'd only add that just because you have Part D coverage, that doesn't mean your insurance will always provide the best price on a particular medication. Any meds you run through insurance will count toward your coverage gap. If one of those meds can be gotten more cheaply OUTSIDE of insurance, like through GoodRX, you're better off bypassing insurance and buying the med out-of-pocket... it saves you money, and won't count toward the doughnut hole.

[tedfisk]

I am really glad I found Boomer Benefits to help me through the Medicare maze. Thank you.

[pattiaustin]

I just love Danielle Kunkle-Roberts, and Boomer Benefits. Your truthful information is the best there is: clear, concise, accurate, understandable. As a Boomer Benefits client I am SO GLAD you’re in my corner. There are other (wanna-be) vids out there now, but I truly believe in Danielle and Boomer Benefits and sincerely hope my peeps, who I’ve recommended your service to, believe me. This stuff is HARD, and complicated.

[mavissmith]

You do such a nice job with these videos and also managing your Facebook Group. Quality on both fronts.

[henrymoore]

I really enjoy your videos! You are such as pleasant presenter! I have your book and have watched your videos more than once. Thank you very much 😁

[jd]

I paid my first premium directly and got a bill for my 2nd month's premium. I paid the 2nd months premium AND Social Security deducted it also. This was in February 2021. I still haven't received my refund from the carrier despite numerous requests.

[BradWilson]

Great video. I like how you made part D simple to understand:)

[Shari]

What you pay is not the amount that goes toward your donut hole. The retail price is. That's why we hit the donut hole real fast if you have expensive drugs or are on several. The donut hole needs to go away and so does the deductible. I've found that Good RX coupons help me and my husband a lot. Just don't use the drug plan.

[me-yyzz]

Just viewed your video. Great information, thanks, I'll be looking for more of them, I'm thinking about moving from my Gov't plan to

[chrischamberlain]

If GoodRx can get drug prices for so much less, why can’t medicare do the same?

[albertlugassy]

This is the best explanation video for Medicare thanks.

[scottsell]

Excellent video on a very complex topic.

[tammysimons]

Thank you for this video, very helpful. I was going to call you but when I selected more I noticed you are not licensed in NY which is were I live.

[lcarliner]

In Florida, where competition for Medicare Part C marketplace is highly competitive, the included Part D plans are generally vastly superior to the standalone plan offerings. Almost no all have initial annual deductibles, and include more coverage in the coverage caps!

[Tskyguy]

Great information. Is there any plan that does not require a pre-auth for certain drugs?

[MikeJohnson-syvx]

Compare drug prices with Good Rx and you will be shocked by how much money can be saved by using Good Rx pricing and avoiding Part D completely.

[ggjr]

I know 25% and 5% sounds good but it’s still to high when your drug costs 10, 000 a month especially when you need multiple drugs in this or higher price range.

[TheCablebill]

If I'm paying $40 for a med with a $300 price, that does not make me a winner. The only winner is the pharma company with all the pricing power. The price is ultimately baked into all of our premiums.