Thursday, May 6, 2010

2010 Medicare Prescription Drug (Part D) Rebate

Starting in 2010 Medicare Beneficiaries enrolled in a stand-alone Medicare Prescription drug plan (PDP) or Medicare Advantage Plan that includes prescription drug coverage (MAPD) who reach the prescription drug coverage gap (the "donut hole") may be eligible to receive a one-time $250 rebate from the U.S. Department of Health and Human Services (HHS).

Beginning on June 15th, beneficiaries who have reached the prescription drug coverage gap ("donut hole") will get a $250 rebate check. In 2010 the “donut hole” is attained at or above $2,830 in Covered Medicare Part D costs. (Exclusions do apply and are explained below).

Those who have reached this point prior to June 1st (and are eligible for the rebate) will receive their $250 rebate check later in June. Beneficiaries who enter the coverage gap after June will be issued the payment based on the quarter in which they hit the coverage gap. In the event that a beneficiary enters the Coverage Gap at the end of a quarter during 2010, the refund may be processed/mailed during the following quarter.

Beneficiaries should be aware that the rebate checks will be processed and issued by HHS, not by their insurance provider, and HHS will issue rebates based on a beneficiary's qualifications at the time that they reach the coverage gap.

Of course there are some who are not eligible and will be excluded from receiving the rebate. Specifically,

  1. Dual eligible beneficiaries who receive subsidies ("low income subsidy;" LIS) from both Medicare and Medicaid.
  2. Beneficiaries with annual income exceeding the Part B income thresholds. This means that they have annual adjusted individual income above $85,000 or annual adjusted joint income above $170,000.
  3. Beneficiaries receiving Retiree Drug Subsidy (RDS)
For more information about the $250 Part D 2010 rebate go to or phone Medicare directly at 1-800-Medicare (1-800-633-4227), 24 hours a day/7 days a week. TTY/TDD users should call 1-877-486-2048.

For those needing assistance selecting a Medicare Supplement Insurance, Medicare Advantage, and/or a Medicare Prescription Drug coverage is advised to contact the Senior Advisors Group at 610-399-8700 or follow any of the links in this article to their website.



  1. For details on Medicare Advantage plans for 2011 in your area The Senior Advisors Group is an a group of Independent Medicare insurance specialists dedicated to the Insurance needs of Medicare eligible individuals. Their specialty areas include Medicare Supplemental Insurance, Medicare Advantage Plans and Medicare Prescription plans. They are very helpful and represent you – the individual consumer – provide objective, unbiased advice and can assist you making important decisions about your health insurance. The Senior Advisors Group continuously evaluates approximately 300 plans in 35 states. The mission of our senior health experts is to evaluate your specific needs to find the best plan best suited for you.

  2. You can get Medicare Part D assistance as well as help with Medicare Advantage 2012 and
    Medicare Supplement Insurance Plans now at the Senior Advisors Group.