Rhonda Kyong

Express Scripts Medicare Advisor
Ms. Kyong specializes in personal finance issues for Medicare recipients. Topics include managing healthcare costs in retirement.

Avoiding the Medicare Part D Coverage Gap

3 Simple Steps to Stay Out of the Medicare Donut Hole

In a standard Medicare Part D plan, the third stage of coverage is the Coverage Gap (also known as the “Donut Hole”). During this time you will pay more for your brand-name and generic medications. You’ll want to avoid entering the Gap, or at least delay your entry for as long as you can. To learn more about the Coverage Gap and the other coverage stages for Medicare Part D plans, please watch this video.


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Breaking Down Medicare Part D

A Closer Look at the Stages of Part D

All Medicare Part D plans are designed with four stages of coverage. You move from the first stage to the next based on what you and your plan spend for your prescription drugs. Medicare sets the limits for each stage every year. It’s important to understand how the stages work and what you will pay out-of-pocket each year. (more…)

Turning 65? We Can Help You Choose the Right Medicare Route

Here’s what you need to know about Medicare plans

Choosing the right Medicare plan is a big decision, particularly if you won’t have retiree coverage under an employer-sponsored plan. Medicare is complex and can be quite confusing. So making the right choice for your budget and health needs is as important as your decision when to retire. This article will help make it easier to arrive at a decision.


Understanding Your Part D Explanation of Benefits

How to read and use this helpful drug benefit summary

Most likely you get a lot of mail from your Medicare provider(s). One document to watch for is your monthly Medicare prescription drug plan “Explanation of Benefits” (EOB). This document lists the prescriptions you fill, any adjustments that were made from a prior claim, payments made by you and your plan, and any additional payment support from programs or organizations. Think of your EOB as a helpful tool for managing your Part D prescription drug claims and costs.

Medicare and Other Health Insurance Coverage: Who Pays First?

Coordinating your benefits made simple

Having more than one source of healthcare coverage after you turn 65 is good. If you receive coverage from Medicare and Medicaid, an employer or other health plan, knowing which source will pay your expenses first can help you to understand and ensure that your benefits are coordinated. (more…)

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Saving Money by Using a Preferred Pharmacy

Finding cost savings by choosing the right pharmacy

Medicare Part D plans offer a network of pharmacies where you will fill your prescriptions. Each plan provider partners with different types of pharmacies to offer enrollees choice and convenience when filling a prescription. These may include independent community pharmacies, chain drug stores, grocery stores and major retailers. The size of the pharmacy network will vary by plan. While some plans may offer a network of 60,000 or more participating pharmacies nationwide, others may offer a smaller network of 30,000 or less. (more…)

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