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Michael M Insurance Services Blog

T.R.O.O.P.

4/23/2021

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This stands for the True Out Of Pocket coats of your Medications. It includes your Deductible, copays and the cost share to your Health Insurance Plan. It is used to calculate when you enter into the Coverage Gap  A.K.A. the "Doughnut Hole." In 2022 the gap is reached when the $4430.00 TROOP is reached by you and your carrier. Your cost share will change to Brand Name/Generic Meds- 25% of the cost of the Med. The Gap Phase will continue until the TROOP reaches $7050.00 at which time you will be in the Catastrophic Phase and your cost share will be reduced.  Once out of the gap you will pay- Generics- $3.95 or 5% which is ever greater and all other Meds $9.85 or 5% which is ever greater.
The 4 Phases of Medications Coverage-
Deductible
Initial
Gap
Catastrophic

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    Melville, NY 11747
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Michael M Insurance Services​
Office Location:
445 Broad Hollow Rd.
Suite 25
Melville, NY 11747

​Mailing Address:
PO Box 465
Brightwaters, NY 11718​
(631) 774-3786​
Click Here to Email Us
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Disclaimer- Michael M Insurance Services does not represent all of the Medicare Health Plans available in your area. For a complete list of plans feel free to contact us or go to the Medicare.gov website for more information. Plan listings can also be found in the Medicare and You Guide which can be found in the Medicare Document Library at the bottom of the Home Page. In any case we are available to assist you in getting the answers and information you need.
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  • Home
  • Medicare
    • Part A
    • Part B
    • Part C - Medicare Advantage
    • Medicare Supplement
    • Part D
    • Medicare Seminar
  • Contact
  • About
    • Agency Photo Gallery
    • Blog
    • Office Appointment
    • Zoom Appointment
  • Other Services
    • Final Expense Insurance
    • Long Term Care Insurance
    • Online Documents