Shingrix and the Donut Hole

[Northeast Agent]

Although Shingrix costs beneficiaries $0 now through Part D, can it still put them in the Donut Hole? The plan still has to pay its share, and there are two doses of the shot.

 

[Dutch]

Even if it does, it only would get them like 8% of the way there. It's $200 retail each shot (or around there.) Donut hole is almost $4,500 correct?

 

[Northeast Agent]

Dutch said:

Donut hole is almost $4,500 correct?

It's $4,660 this year. Client freaked out as she's in the hole a month earlier than expected, although I advise the prices are an estimate only.

She's getting her Medicare statements together for me to see what the discrepancy is.

 

[kgmom219]

Dutch said:

Donut hole is almost $4,500 correct?

It's $4,660 this year. Client freaked out as she's in the hole a month earlier than expected, although I advise the prices are an estimate only.

She's getting her Medicare statements together for me to see what the discrepancy is.

Its not Shingrix. Its covered with no cost sharing, the numbers don't hit the accumulators.