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Beginning in 2006, Medicare will offer a prescription drug benefit. The benefit will be offered by Medicare through a number of different private Plan Providers. However, the Bush Administration's Medicare Prescription Drug Plan includes a provision that allows Plan Providers to offer plans with a major gap in coverage. This gap in coverage might leave you footing the full cost of your drugs at some point even though you are required to continue to pay a monthly premium.
This calculator estimates the potential risk of falling into the coverage gap in the Standard Benefit Plan under the Medicare Prescription Drug Benefit.
This calculator is merely an estimation of a Medicare beneficiary's potential risk of falling into the coverage gap in a Standard Benefit plan under the Medicare Prescription Drug Benefit. These results may vary from a beneficiary's actual experience, based on the specific plan chosen and the total costs of the beneficiary's prescription drugs. Some plans are structured so they do not contain a coverage gap. If you are eligible for Medicaid or "Extra Help" with Medicare drug costs (also referred to as the "Low-Income Subsidy" or LIS) you may not be subject to any gap in coverage. Medicare beneficiaries should consult with a Drug Plan Provider directly to assess whether they are at risk of falling into the coverage gap.
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