Tweet This

Medicare Drug Coverage Gap or “Donut Hole”

A gap in coverage where the beneficiary pays 100% of drug costs up to a limit, created by Medicare Part D legislation. Affordable Care Act addresses this by offering rebate checks for participants who reach their coverage gap and by requiring pharmaceutical companies to offer discounts to consumers.

Excessive Waiting Period

The Affordable Care Act prohibits excessive waiting periods for employer-sponsored insurance coverage, defined as waiting periods over 90 days. In other words, an employer cannot…