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Jun18
Gap In Medicare Coverage Only Reaches 8%
Based on new research from PricewaterhouseCoopers L.L.P. only around “8 percent of Medicare beneficiaries will fall into the coverage gap for prescription drug benefits” as reported on nationalunderwriter.com.  Those who signed up for Medicare Part D this year are not covered with annual out-of-pocket drug spending between $2,250 and $3,600. 

Based on the study more than “90% of Medicare beneficiaries will either not reach the coverage gap or will have at least some coverage available to them in the gap.” 

The findings included:

  • 38% of beneficiaries have prescription drug coverage from plans outside of Medicare Part D.
  • 23% will be eligible for low-income subsidies and, therefore, won’t enter the donut hole.

  • 16% will have annual drug spending less than $2,250, underneath the coverage gap.
 
  • 10% are not enrolled in a Part D program and have no other drug coverage.

  • 6% have chosen enhanced Part D plans that provide some coverage of the donut hole.

This is a good sign for Medicare beneficiaries.  If you are participating in Medicare let us know if you are seeing the savings.

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