Michael M Insurance Blog

What is a T.R.O.O.P?

Apr 23, 2021 | 0 comments

This stands for the True Out Of Pocket costs 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 2024 the gap is reached when the $5030.00 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 $8300.00 at which time you will be in the Catastrophic Phase and your cost share will be $00.00.  
The 4 Phases of Medications Coverage
Deductible
Initial
Gap
Catastrophic

Mike Miligi- Owner- Michael M Insurance Services

For over 10 years Mike has been assisting Seniors and other Medicare eligible individuals understand the ins and outs of Medicare and Medicare Health Insurance options including Medicare Advantage Plans(Part C), Medicare Supplement Plans(Medigap), Prescription Drug Plans(PartD) and Dental and Vision programs.

Mike is Licensed in 7 States and Certified with 11 Insurance Carriers and has helped thousands of individuals decide on the best course of action for their particular Health Insurance needs. Because Mike is an Independent Medicare Health Insurance Broker, he works for the client not the Insurance Carriers and is able to provide his clients with accurate and unbiased Health Insurance options.

Mike recertifies with CMS(The Centers for Medicare and Medicaid Services) annually, regularly completes Continuing Education Courses required by individual State Insurance Departments and keeps abreast of industry trends and standards to offer his clients the most up to date information available.

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