Medicare Part D [DRAFT #3] With
Verified Solutions
What is the Inflation Reduction Act (IRA)?
The IRA is a United States federal law aimed at:
(1) reducing inflation,
(2) lowering prescription drug costs,
(3) expanding healthcare coverage, and
(4) addressing climate change.
When was the Inflation Reduction Act enacted?
August 16, 2022
What are the primary healthcare goals of the Inflation
Reduction Act?
(1) To reduce prescription drug costs,
(2) lower out-of-pocket expenses for Medicare
beneficiaries, and
(3) improve access to affordable healthcare.
What are the insulin cost caps introduced by the
Inflation Reduction Act for Medicare beneficiaries?
Starting in 2023, Medicare beneficiaries will only have to
pay up to $35 per month for their insulin prescriptions,
regardless of the actual cost of the insulin.
If a Medicare Part D beneficiary normally pays $60 per
month for insulin, how much will they pay starting in
2023 due to the insulin cost cap?
, They will only pay $35 per month, saving $25 each
month.
What does $0 beneficiary cost-sharing mean under the
IRA for vaccines covered under Medicare Part D?
Starting in 2023, there will be no out-of-pocket costs for
beneficiaries receiving vaccines covered under Medicare
Part D.
How much would a Medicare beneficiary pay for a
shingles vaccine under Medicare Part D starting in
2023?
They would pay nothing out of pocket for the vaccine.
What change to the catastrophic phase cost-sharing in
Medicare Part D starts in 2024?
Starting in 2024, once beneficiaries reach the
catastrophic phase, they will have no out-of-pocket costs
for the rest of the year.
If a Medicare beneficiary's prescription drug spending
hits $8,000 in a year, how much will they pay in the
catastrophic phase starting in 2024?
They will pay $0 out of pocket once they reach the
catastrophic phase.
What is the Premium Growth Cap under the IRA for
Medicare Part D, and when does it apply?
From 2024 to 2029, Medicare Part D premiums cannot
increase by more than 6% per year.