Sunday, November 27, 2011

Medicare's Drug Coverage Gap Shrinks

Medicare's prescription coverage gap is getting noticeably smaller and easier to manage this year for millions of older and disabled people with high drug costs. The "doughnut hole," an anxiety-inducing catch in an otherwise popular benefit, will shrink about 40 percent for those unlucky enough to land in it, according to new Medicare figures provided in response to a request from The Associated Press.

The average beneficiary who falls into the coverage gap would have spent $1,504 this year on prescriptions. But thanks to discounts and other provisions in President Barack Obama's health care overhaul law, that cost fell to $901, according to Medicare's Office of the Actuary, which handles economic estimates.

A 50 percent discount that the law secured from pharmaceutical companies on brand name drugs yielded an average savings of $581. Medicare also picked up more of the cost of generic drugs, saving an additional $22. "For people with high drug expenditures, the 50 percent discount offers real savings," said Tricia Neuman, director of Medicare policy for the nonpartisan Kaiser Family Foundation. "It's certainly more helpful than no coverage at all, which is what they had previously."
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