It’s that great time of the year not to look forward to, the doughnut hole and notice of increased premiums or reduced benefits, doughnuts are affecting over 3 million.  This has been around for a few years now and everyone seems to keep talking about it, but yet every year it comes back and out of pocket costs increase.  BD 

It's not a treat from the local bakery, but rather a coverage gap in the three-year-old Medicare Part D drug program. When Part D was first designed as a way to help elderly patients pay for their prescription drugs, the only way the federal government could afford it was to impose a yearly limit on what it would cover for each member. So once seniors consume drugs up to that threshold—it is $2,510 in 2008—they fall into the doughnut hole. They then have to pay fully out of pocket for their drugs until the end of the year, or until they're eligible for catastrophic coverage, whichever comes first.

http://www.businessweek.com/bwdaily/dnflash/content/oct2008/db20081010_836793.htm?chan=top+news_top+news+index+-+temp_news+%2B+analysis

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