Did You Know: Total Out-Of-Pocket Drug Spending

Your total out-of pocket drug spending (TrOOP) moves with you when you move to another Medicare Part D plan.

It can become confusing what or whose spending costs towards your TrOOP during each stage. Especially now more than ever, which tier exemptions not applying to the deductible and the inflation reduction act.

More from the Centers for Medicare and Medicaid Services (CMS) . . .

"Part D rules [42 CFR §423.104(d)] require sponsors to track the beneficiary’s TrOOP and correctly apply these costs to the TrOOP limit in order to provide enrollees the catastrophic level of coverage at the appropriate time. The TrOOP threshold is calculated on an annual basis and must be transferred between Part D sponsors if a beneficiary disenrolls and re-enrolls at any time before the end of a coverage year or whenever a Part D plan other than the plan of record has paid. Sponsor collection, and transfer if appropriate, of the TrOOP and gross covered drug spending balances are essential for sponsors to correctly manage the Part D benefit.". (page 36)

Learn more: https://q1medicare.com/faq/FAQ.php?cat=Changing-Medicare-Part-D-Plans&category_id=10