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The Medicare Part D coverage gap (informally known as the Medicare donut hole) was a period of consumer payments for prescription medication costs that lay between the initial coverage limit and the catastrophic coverage threshold when the consumer was a member of a Medicare Part D prescription-drug program administered by the United States federal government.
Prior to 2010, enrollees were required to pay 100% of their retail drug costs during the coverage gap phase, commonly referred to as the "doughnut hole.” Subsequent legislation, including the Affordable Care Act, “closed” the doughnut hole from the perspective of beneficiaries, largely through the creation of a manufacturer discount program.
The "donut hole" provision of the Patient Protection and Affordable Care Act of 2010 was an attempt to correct the issue. [23] In 2022, the Inflation Reduction Act removed this ban and allowed Medicare to begin negotiating drug prices starting in 2026. [24]
The donut hole is closed, but that doesn't mean there's not a coverage gap. ... or you can apply online through the Social Security Administration website. State Pharmaceutical Assistance Program ...
The “donut hole” refers to a gap in taxable income for Social Security purposes. Currently, the amount of income subject to Social Security payroll taxes is capped at $168,600 for 2024 and it ...
No more Part D ‘donut hole’ coverage gap Starting on January 1st, a new approach to Medicare Part D will remove the infamous “ donut hole ” and establish a new hard limit of $2,000 per ...
1972 - Social Security Amendments of 1972 (Supplemental Security Income), Pub. L. 92–603 1973 - Social Security Benefits Increase, Pub. L. 93–233 1977 - Social Security Amendments of 1977, Pub. L. 95–216
The Obama Administration has a message to some American seniors: The check is indeed in the mail. "[T]hose of you who have been hitting the gap in Medicare Part D prescription coverage will be ...