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Resources for Medicare Beneficiaries: Navigating the Coverage Gap | How the Gap May Affect You

Resources for Medicare Beneficiaries: Navigating the Coverage Gap | How the Gap May Affect You

This six-page brochure helps Medicare Part D recipients and caregivers better understand the Medicare coverage gap, often referred to as the “donut hole.” During the “donut hole,” Medicare temporarily stops paying for prescriptions and recipients must pay the entire costs of the medicines by themselves. This brochure explains:

  • Who may be affected by the coverage gap;
  • How the coverage gap works; and
  • How to track covered drug expenses (a sample expense log is provided).

Spanish version of this brochure also is available (2009).

Newsletter Volume

E.V.I.dently June 2015

NPC MessageDriving Health System Value Through Broader Access to DataFrom Fitbits to insurance claims databases, we capture an enormous amount of...
Blog Post

Medicare Part D – A Beacon or a Warning Light?

The Medicare Part D prescription drug program has by nearly every measure been a success, but there is room for improvement, particularly when it...
Press Release

NPC Comments on CMS’ Announcement to Allow Broader Access to Publicly Funded Databases

(Washington, DC, June 2, 2015)—The National Pharmaceutical Council (NPC) today commented on the Centers for Medicare and Medicaid Services’ (CMS)...
Blog Post

Beyond ACA Enrollment Figures: Assessing Access to Care

Do we really know whether the Affordable Care Act (ACA) is achieving the intended triple aim of improving access to care, improving health care...
Press Release

NPC Comments on CMS’ Announcement to Allow Broader Access to Publicly Funded Databases

(Washington, DC, June 2, 2015)—The National Pharmaceutical Council (NPC) today commented on the Centers for Medicare and Medicaid Services’ (CMS)...
Press Release

Fellowship in Policy Impact of Comparative Effectiveness Research Awarded By National Pharmaceutical Council and George Washington University

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Press Release

Study Quantifies Impact of Pharmaceuticals on Enhanced Productivity

(WASHINGTON, DC, August 1, 2012)–The costs to employers of chronic health conditions on employee productivity are well documented, but few studies...
Press Release

New Survey Shows Employers Eyeing CER, PCORI for Health Information

Washington, DC, June 22, 2011--Employers are aware of comparative effectiveness research (CER) and its potential to answer critical questions about...
Commentary and Testimony Page

NPC Comments on CMS' Proposed Changes to Protected Classes

March 7, 2014Marilyn B. TavennerAdministratorCenters for Medicare & Medicaid ServicesU.S. Department of Health and Human Services200 Independence...
Commentary and Testimony Page

What Will 2011 Hold for CER and PCORI?

When future historians consider health care, they may well look back on 2010 as a watershed year in America. The issues and events that occurred last...
Commentary and Testimony Page

NPC Reflects on Changes in 2010

It’s been a year of great change not only for the biopharmaceutical industry, but for the National Pharmaceutical Council as well. With these changes...
Commentary and Testimony Page

A Look at Value-Based Insurance Design

This month, NPC released a new report, “Value-Based Insurance Design Landscape Digest,” focusing on an important approach being used by leading edge...
YouTube Videos

Consumer-Directed Health Plans

A unique survey of large employers sheds light on the strategies and best practices that they follow when designing and implementing consumer-...
YouTube Videos

Engaging Consumers in Today's Changing Health Care Payment and Delivery Environment

The current health care delivery system is evolving from a fee-for-service system to one that is performance-based. How does this shift impact...
YouTube Videos

Can We Bring Clarity, Consistency and Transparency to Payer Coverage Decisions?

There is a bit of a "black box" around the formulary decision-making process. As a result, decisions about treatment access are often unpredictable...
YouTube Videos

How Do Payers Consider Individual Treatment Effects?

Dr. Robert Epstein, former chief medical officer and senior vice president of medical affairs at Medco Health, explains that heterogeneity, or...
Blog Post

Medicare Part D – A Beacon or a Warning Light?

The Medicare Part D prescription drug program has by nearly every measure been a success, but there is room for improvement, particularly when it...
Blog Post

Beyond ACA Enrollment Figures: Assessing Access to Care

Do we really know whether the Affordable Care Act (ACA) is achieving the intended triple aim of improving access to care, improving health care...
Blog Post

#TBT: 5 Years Later—Comparative Effectiveness Research Survey & the ACA

As part of our “Throwback Thursday” blog series, we’re taking a look at a topic that’s currently in the news and tagging it with previous...
Blog Post

#TBT: NPC Research—A 2014 Recap

As part of our “Throwback Thursday” blog series, we’re taking a look at a topic that’s currently in the news and tagging it with previous...

Consumer-Directed Health Plans: Pharmacy Benefits & "Better Practices"

On behalf of the National Pharmaceutical Council, Th

The Myth of Average: Why Individual Patient Differences Matter

Within today’s health care environment, so much of t

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