Medicare Donut Hole Grows Smaller in 2012

Learn how Medicare is launching a new effort to reduce out-of-pocket prescription costs for those who fall into the Medicare "donut hole".


If you or someone you love is on Medicare, then you’ve probably heard about the“doughnut hole”. 

The “doughnut hole” is the gap in Medicare’s coverage for prescription drug costs.

Medicare Plan D is the plan which offers prescription drug coverage to Medicare beneficiaries but the plan has become infamous for what is commonly known as the "doughnut hole".

The "doughnut hole" is a gap where a Medicare beneficiary becomes 100% responsible for payment of medication costs once the limit of $2,930 in prescription costs has been reached.

The good news is that changes are underway to help Medicare beneficiaries meet and manage prescription drug costs.

 First, a new benefit has been added in 2012 which allows Medicare beneficiaries to get a 50% discount on brand-name drugs and a 14% discount on generic prescriptions.

 Once the out-of-pocket cost of $4,700 is met by the Medicare beneficiary, then individuals can qualify for another level of assistance which will limit prescription drug costs to 5% of  annual prescription drug costs.

 Even better news is coming…The Affordable Health Care Act of 2010 has set out a plan whereby the doughnut hole will become smaller over the coming years and by the 2020, the doughnut hole will have disappeared.

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Dave March 07, 2012 at 02:55 PM
Somehow I don't this program will go as planned until you stop allowing the world's population to be eligible to receive; bringing in people that never contributed the system because other countries do not give handouts.
123 February 03, 2013 at 10:56 PM
This is a lie. The total out-of-pocket costs grew in 2013, from $4700 to $4750, with more scheduled increases to come. As the saying goes, 'if you tell a lie long enough, someone is bound to believe it', and this is what is happening with the donut hole. O'bama and congress have lied to the public, hoping to pacify them, to prevent a revolt. The Medicare Hole is growing, so that the insurance industry and drug companies, can rob you of your assets.


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