• The Medicare Part D coverage gap (informally known as the Medicare donut hole) was a period of consumer payments for prescription medication costs that...
    18 KB (2,075 words) - 17:20, 8 December 2023
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    Medicare Part D, also called the Medicare prescription drug benefit, is an optional United States federal-government program to help Medicare beneficiaries...
    51 KB (5,919 words) - 12:42, 20 August 2024
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    insurance and/or by joining a public Medicare Part C and/or Medicare Part D health plan. In 2022, spending by the Medicare Trustees topped $900 billion per...
    144 KB (17,095 words) - 21:48, 15 August 2024
  • Thumbnail for Medicare Prescription Drug, Improvement, and Modernization Act
    offer Part D coverage. With the MMA, new Medicare Advantage plans were established with several substantive differences from the previous Medicare + Choice...
    26 KB (2,839 words) - 23:04, 13 August 2024
  • traditional Medicare. Medicare Part D provides a private insurance option to allow Medicare beneficiaries to purchase subsidized coverage for the costs...
    127 KB (14,101 words) - 19:42, 8 July 2024
  • Picked for Medicare Negotiation". The New York Times. p. A1. Retrieved August 16, 2024. "Medicare Part D Coverage Gap ("Donut Hole")". medicare.com. November...
    96 KB (11,754 words) - 06:04, 16 August 2024
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    The Medicare Program provides a Medicare part A covering hospital bills, Medicare Part B covering medical insurance coverage, and Medicare Part D covering...
    99 KB (11,127 words) - 03:30, 4 July 2024
  • Thumbnail for Affordable Care Act
    most significant regulatory overhaul and expansion of coverage since the enactment of Medicare and Medicaid in 1965. The ACA's major provisions came into...
    369 KB (32,479 words) - 15:43, 24 August 2024
  • Individuals affected by the Medicare Part D coverage gap will receive a $250 rebate, and 50% of the gap will be eliminated in 2011. The gap will be eliminated...
    116 KB (10,157 words) - 00:56, 18 August 2024
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    Medicare (French: assurance-maladie) is an unofficial designation used to refer to the publicly funded single-payer healthcare system of Canada. Canada's...
    71 KB (8,378 words) - 02:54, 14 August 2024
  • Kaplan CM, Zhang Y*. Anticipatory Behavior In Response To Medicare Part D's Coverage Gap. Health Economics. 2016 Jan. doi: 10.1002/hec.3311. Kaplan CM...
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    challenging is the Medicare Part D coverage gap. Patients have to spend thousands of dollars out-of-pocket during the gap in coverage. If this is done at...
    36 KB (3,447 words) - 05:37, 9 August 2024
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    Survey. Prescription Drug Plan With Gap: Percentage of prescription drug plans with a Medicare Part D coverage gap (“donut hole”). Data from the Kaiser...
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  • GoHealth) is an American marketplace for Medicare plans including Medicare Advantage, MediGap and Medicare Part D, which are programs administered through...
    18 KB (1,259 words) - 21:35, 13 May 2024
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    covered by the federal Medicare program. The 273 million non-institutionalized persons under age 65 either obtained their coverage from employer-based (159...
    90 KB (8,865 words) - 12:21, 14 August 2024
  • penalties. In 2017, CMS fined UnitedHealthcare after discovering issues in Medicare Part D leading to delays or denials in a 2016 audit. The New Jersey Department...
    82 KB (6,583 words) - 18:12, 25 August 2024
  • the Medicare Levy Surcharge, for those on high annual incomes ($70,000) who do not have adequate levels of private hospital coverage. This was part of...
    134 KB (15,714 words) - 17:51, 17 August 2024
  • covered by the federal Medicare program. The 272 million non-institutional persons under age 65 either obtained their coverage from employer-based (155...
    37 KB (4,250 words) - 10:14, 18 July 2024
  • Thumbnail for Health Care and Education Reconciliation Act of 2010
    the penalty for not buying insurance from $750 to $695 Closing the Medicare Part D "donut hole" by 2020, giving seniors a rebate of $250. Delaying the...
    21 KB (2,054 words) - 04:07, 12 August 2024
  • optional coverage within Medicare for self-administered prescription drugs and as the name suggests also changed the other three existing Parts of Medicare law...
    76 KB (8,869 words) - 13:03, 9 July 2024
  • for primary care. Provides for a phased-in elimination of the Medicare Part D coverage gap and requires drug manufactures to discount and/or rebate additional...
    50 KB (5,353 words) - 16:33, 3 August 2024
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    2015). "Changes in Drug Coverage Generosity and Untreated Serious Mental Illness: Transitioning From Medicaid to Medicare Part D". JAMA Psychiatry. 72 (2):...
    222 KB (23,929 words) - 00:50, 27 August 2024
  • Thumbnail for The Path to Prosperity
    growth in Medicare without affecting coverage or quality. Canceling the expanded subsidies aimed at closing the "coverage gap" in Medicare Part D, the so-called...
    54 KB (5,891 words) - 16:12, 30 July 2024
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    AARP (category 1958 establishments in Washington, D.C.)
    States Congress' passage of the Medicare Prescription Drug, Improvement, and Modernization Act, which created Medicare Part D, in 2003, and also influenced...
    97 KB (9,419 words) - 21:51, 14 August 2024
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    Children's Health Insurance Program (category Medicare and Medicaid (United States))
    Retrieved 2008-01-06. "CHIP and Medicaid: Filling in the Gap in Children's Health Insurance Coverage. | Econofact". Econofact. 2018-01-22. Retrieved 2018-01-23...
    47 KB (5,496 words) - 17:06, 3 August 2024
  • additional issue with Obamacare and safety net hospitals arises from the coverage gap for those who have too high of an income to qualify for Medicaid but...
    29 KB (3,374 words) - 17:10, 6 April 2024
  • health policy in the United States believe the former currently happens in Medicare and Medicaid as they underpay for services resulting in private insurers...
    23 KB (3,124 words) - 09:24, 11 August 2024
  • Thumbnail for Tax Equity and Fiscal Responsibility Act of 1982
    States) 97–248, 96 Stat. 324, enacted September 3, 1982 Medicare Benefit Policy Manual Chapter 9 - Coverage of Hospice Services Under Hospital Insurance on cms...
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    v24.i1.124. PMC 5757117. PMID 29358889. "Colonoscopy Screening Coverage". www.medicare.gov. Archived from the original on 7 November 2023. Retrieved 7...
    57 KB (5,878 words) - 21:56, 7 August 2024
  • Thumbnail for Comparison of the healthcare systems in Canada and the United States
    needy. In the U.S., the introduction of Medicare Part D has extended partial coverage for pharmaceuticals to Medicare beneficiaries. In Canada all drugs given...
    127 KB (14,358 words) - 23:01, 27 April 2024