The medical insurance “donut hole”

268 views

I’m a pharmacy technician. Elderly patients come into us lately and sometimes the prescriptions they normally pay $0 for have copays upwards of $100+. Naturally they’re angry want to know why they have to pay so much. Now I learned what the donut hole is in my training but honestly never fully grasped it. I’ll sometimes have to get my pharmacist explain it to patients and while he’s doing it I can see their eyes glaze over after about 10 seconds. Can an insurance expert or pharmacist explain like I’m 5 what it is so I can explain to our patients what it is like they’re 5?

In: 69