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Crs Report for Congress: Medicare: Beneficiary Cost-Sharing Under Prescription Drug Legislation: December 31, 2003 - Rl31525 - Softcover

 
9781293246214: Crs Report for Congress: Medicare: Beneficiary Cost-Sharing Under Prescription Drug Legislation: December 31, 2003 - Rl31525
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On December 8, 2003, the "Medicare Prescription Drug and Modernization Act of 2003" was signed into law (H.R. 1, P.L. 108-173). The law adds Part D to Medicare, which establishes a new voluntary prescription drug benefit that begins in 2006. This report analyzes how the cost-sharing and premium provisions under Part D would affect the amount that a beneficiary would pay annually for prescription drugs. In addition, this report gives examples of how annual cost-sharing would differ for beneficiaries with various levels of total prescription drug spending in 2006 under the plan's standard benefit. Standard prescription drug coverage under the plan would pay 75% of drug costs after the enrollee paid the $250 deductible (in 2006). After $2,250 in total drug spending (the "coverage limit"), the enrollee would pay for all prescription drug spending until reaching the $3,600 out-of-pocket protection threshold. This threshold would be reached when total spending on prescription drugs exceeds $5,100, assuming none of the cost-sharing is paid for by group health insurance or other third-party arrangement. Medicare would then cover 95% of all additional drug expenses, as long as the beneficiary paid a minimum of $2 for each generic drug and preferred multiple-source drug, and a ...

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  • PublisherBiblioGov
  • Publication date2013
  • ISBN 10 1293246212
  • ISBN 13 9781293246214
  • BindingPaperback
  • Number of pages22

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