Healthcare Alert - CMS Guidance on Implementation of Reduction in Coverage Gap.
Mondaq Business Briefing › Nbr. 2010, January 2010
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Healthcare Alert - CMS Guidance on Implementation of Reduction in Coverage Gap.
I. Overview
As initially enacted, standard prescription drug coverage under Medicare Part D contains a "gap" in coverage during which a Part D enrollee is fully liable for their prescription drug costs. Social Security Act s. 1860D-2(b)(3)(A), 42 U.S.C. s. 1395w-102(b)(3)(A). In plan year 2010, once a beneficiary incurs $2,830 in Part D spending (split between the enrollee and the plan), Part D coverage will cease until the beneficiary incurs true out-of-pocke...See the full content of this document
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