Medicare's "Doughnut Hole" Drug Coverage Gap

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Senior Educators is an organization that provides enrollment assistance and education on Medicare plans

A report released by Senate Democrats found that 88 percent of Medicare beneficiaries in standalone prescription drug plans are enrolled in plans that have gaps in drug coverage, commonly known as the "doughnut hole."

Advocates for seniors declared September 22, 2006, a symbolic "Doughnut Hole Day" to educate beneficiaries on the gap. Advocates calculated that September 22 would be the date at which the average amount of money spent per Medicare Part D plan beneficiary reached the gap threshold of $2,250. During the coverage gap, beneficiaries must pay for 100% of drug costs until their total out–of–pocket costs equal $3,600.



Prescription Drugs Article