Medicare Answers: When Switching Plans, Will Rx Coverage Restart With New Carrier or Continue With Old Carrier?

By Dwane McFerrin, Vice President, Medicare Solutions

  • Originally published July 15, 2014 , last updated December 23, 2014
  • Medicare
Medicare Answers: When Switching Plans, Will Rx Coverage Restart With New Carrier or Continue With Old Carrier?

This week’s Medicare Answers addresses whether the clients Rx coverage would restart with a new carrier or continue from where they were with the old carrier if they switch from MA plan to a Med Supp plan. If you have a Medicare question, email it here.

Bob asks:

I have clients who are under age 65 and have Medicare Advantage plans with Rx coverage due to disability. If, during the year, they turn age 65 and change to a Supplement and stand-alone PDP, will their Rx “march towards the donut hole” restart with the new PDP carrier or continue from where they were with their old carrier?

Bob,

The answer to your question is short and simple. The Part D out of pocket expenses would transfer to the new plan. Your client wouldn't start over in this circumstance on progress made within the coverage gap.