National Council Releases Fact Sheet on Medicare Part D and Healthcare Reform

by Rebecca Farley on July 27, 2010

The Patient Protection and Affordable Care Act included a provision to close the Medicare Part D coverage gap, or “donut hole.” Currently, Medicare beneficiaries who exhaust their initial level of drug coverage are responsible for 100% of their costs until they reach the out-of-pocket threshold where catastrophic coverage becomes available. In 2010, enrollees reaching the bottom threshold of the gap have to pay $3,610 plus premiums before they reach the top threshold and coverage resumes. Under healthcare reform, the donut hole will be eliminated by 2020 through a gradual process of issuing rebates, providing for discounts on drugs in the donut hole, and decreasing beneficiaries’ level of cost-sharing for drugs in the donut hole.

The National Council has issued a fact sheet on Medicare Part D and healthcare reform which explains in detail the process for closing the donut hole and links to additional resources for more information.

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