Understanding the Coverage Gap
So, what's all the talk about the Medicare coverage gap?
Sometimes called the "donut hole" or the "gap", the coverage gap is a standard guideline set by Medicare. After your total yearly drug costs–paid by you and Prescription Pathway–have reached $2,510, you are responsible for paying 100% of your prescription costs until you have paid $4,050 in yearly out-of-pocket costs.
There are four levels of Medicare prescription drug coverage. Depending on your out-of-pocket drug costs, you may not reach all the levels.
The good news is, our Platinum Plan covers generic drug costs through the coverage gap. If you're concerned that you might reach the coverage gap in 2008, the Platinum Plan may be your best choice.
Still have questions?
We know the coverage gap can be confusing. Give us a call and we'll be happy to explain more.
Last updated: 11/15/2007
