If you think you've reached the coverage gap and you don't get a discount when you pay for your brand-name prescription, review your next "Explanation of Benefits" (EOB). 200 Independence Avenue, S.W. participate in the Model by responding to the RFA and executing a Model-specific contract addendum to the Manufacturer Coverage Gap Discount Program. AhvGgz Y With the passing of the Affordable Care Act, the Medicare Coverage Gap Discount Program became available to Medicare Part D beneficiaries. We are in the process of retroactively making some documents accessible. 2022 Senior News HubbAll rights reserved. A federal government website managed by the The $5.50 he pays will be counted as out-of-pocket spending to help him get out of the coverage gap. An official website of the United States government. Medicare Coverage Gap Discount Program Agreement, Guidance for requirements for manufacturers to have applicable drugs eligible for Part D coverage, Issued by: Centers for Medicare & Medicaid Services (CMS). In 2022, The Medicare Coverage Gap Discount Program will provide eligible beneficiaries with a 70% manufacturer discount on brand-name drugs. Medicare Coverage Gap Discount Program -- Maximum Applicable Discounts. We will be able to answer all your questions on the first interaction, clearing any confusion you may have. The $25 that you spend will count toward your TrOOP . Share sensitive information only on official, secure websites. An official website of the United States government The Department may not cite, use, or rely on any guidance that is not posted Once you reach the coverage gap, you'll pay no more than 25% of the cost for your plan's covered brand-name prescription drugs. 0fpka@kAArI1,8aV0/2Hp!qdNP9C1hDPQrDp You can decide how often to receive updates. on the guidance repository, except to establish historical facts. 4719 0 obj <>stream This page provides important information related to Part D program for Pharmaceutical companies. Mr. Evans will pay 25% of the plans cost for the drug and dispensing fee ($22 x .25 = $5.50). lock Toll Free Call Center: 1-877-696-6775. The third document shows the year-to-date coverage gap discount data by county code with the state and county names included. . It also allows for some coverage on generic medications. The Medicare Coverage Gap Discount Program offers discounts to prescription drug policyholders while they are in this coverage phase. Each month, you should receive a benefit statement from your Medicare Part D or Medicare Advantage carrier explaining your out-of-pocket costs and how far you are from the next coverage phase. .gov So, $57.50 counts as out-of-pocket spending and helps Mrs. Anderson get out of the coverage gap. Once you reach the coverage gap, you will receive a set discount on the name-brand drugs that you purchase from a pharmacy. Medicare will pay 75% of the price for generic drugs during the coverage gap. 2025 The Manufacturer Discount Program in Medicare Part D will replace the Medicare coverage gap discount program. Under the program, the Secretary shall enter into agreements described in subsection (b) with manufacturers and provide for the performance of the duties described in subsection (c) (1). Going forward, I am happy to know he will be my contact person. ( Official websites use .govA Medicare Coverage Gap Discount Program Guidance Title. U.S. Department of Health & Human Services Since the Coverage Gap Discount Program began on January 1, 2011, CMS has been analyzing Prescription Drug Event (PDE) data to understand how many discounts have been provided in the coverage gap and for which classes of prescription drugs. . We can help find the right Medicare plans for you today. means youve safely connected to the .gov website. An official website of the United States government We are in the process of retroactively making some documents accessible. incorporated into a contract. Your email address will not be published. In addition, your prescription drug plan carrier is responsible for 5% of the cost. Offers a "high-deductible option" for Plans F or G. If you buy Plans F or G with a high-deductible option, you must pay the first $2,700 of deductibles, copayments, and coinsurance not paid by Medicare before the Medigap policy pays anything. hbbd```b``3A$%"5$ &A$541`F`1)" @f2X@IW@. If your drug plan doesn't agree that you're owed a discount, you can file an appeal. He is featured in many publications as well as writes regularly for other expert columns regarding Medicare. Items that count towards the coverage gap Your yearly deductible , coinsurance, and copayments The discount you get on brand-name drugs in the coverage gap Pay.gov is a program of the U.S. Department of the Treasury, Bureau of the Fiscal Service. website belongs to an official government organization in the United States. Toll Free Call Center: 1-877-696-6775. Medicare Part D beneficiaries who reach the Donut Hole will also pay a maximum of 25% co-pay on generic drugs purchased while in the Coverage Gap (receiving a 75% discount). Since the Coverage Gap Discount Program began on January 1, 2011, CMS has been analyzing Prescription Drug Event (PDE) data to understand how many discounts have been provided in the coverage gap and for which classes of prescription drugs. Through the Part D Senior Savings Model (or the "Model"), the Centers for Medicare & Medicaid Services (CMS) is testing the impact of enhanced alternative Part D plan options that offer lower out-of . You'll pay the remaining 25% of the price. Medicare Plan Payment: Coverage Gap Discount Program. Complete our online rate form and we will reach out to you. Most Medicare drug plans have a coverage gap (also called the "donut hole"). Heres how you know. 01/08/2020 Medicare Part D Coverage Gap Discount Program - Program Dates Page 2 of 13 Appeals Submission Deadline - last day for pharmaceutical manufacturers to appeal denied disputes, thirty (30) calendar days after the Dispute Resolution Deadline date. During the Coverage Gap, amounts displayed for brand name drugs include a 70% manufacturer discount. 4655 0 obj <> endobj Enter your ZIP code to pull plan options available in your area. In addition, your prescription drug plan carrier is responsible for 5% of the cost. Part D coverage gap and manufacturer discount: Closes the Part D coverage gap in 2019 instead of 2020 by accelerating a reduction in beneficiary coinsurance from 30 percent to 25 percent in 2019 . Each October, new guidelines come out for the following year. He is featured in many publications as well as writes regularly for other expert columns regarding Medicare. Before sharing sensitive information, make sure youre on a federal government site. When it comes to generic drugs, the principle of the discount program remains the same. (b) Agreement requirements. Date. website belongs to an official government organization in the United States. U.S. Department of Health & Human Services Figure 3: Average . Share sensitive information only on official, secure websites. Federal government websites often end in .gov or .mil. incorporated into a contract. Compare rates side by side with plans & carriers available in your area. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov. Secure .gov websites use HTTPSA Subject to subsection (h), the Secretary shall establish a Medicare coverage gap discount program (in this section referred to as the "program") by not later than January 1, 2011.Under the program, the Secretary shall enter into agreements described in subsection (b) with manufacturers and provide for the performance of the duties described in subsection (c)(1). With list prices for prescription medication on the rise, as much as 159 percent in 2018, it is essential that you not only . website belongs to an official government organization in the United States. The site is secure. However, it is always best to discuss available options with your plan administrator if you struggle with copayments or deductibles. The first document shows the total number of beneficiaries (by state) receiving a gap discount, the total gap discount amount, the average gap discount amount by beneficiary, and the count of PDEs with a gap discount. In order to participate in the Discount Program, manufacturers must sign an agreement with CMS to provide the discount on all of its applicable drugs (i.e. You can decide how often to receive updates. We have created four documents illustrating our findings. endstream endobj startxref Heres how you know. 7500 Security Boulevard, Baltimore, MD 21244 . Medicare Coverage Gap Discount Program Agreement Guidance for requirements for manufacturers to have applicable drugs eligible for Part D coverage Download the Guidance Document Final Issued by: Centers for Medicare & Medicaid Services (CMS) Issue Date: January 01, 2020 The .gov means its official. When it comes to generic drugs, the principle of the discount program remains the same. website belongs to an official government organization in the United States. To sign up for updates or to access your subscriber preferences, please enter your contact information below. 7500 Security Boulevard, Baltimore, MD 21244, Medicare Coverage Gap Discount Program Guidance, An official website of the United States government, Medicare Coverage Gap Discount Program Guidance (v12.17.10) (PDF). lock This means the beneficiary is only responsible is 25% of the drug's . Note for people with Medicare: Visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) if you have questions or need help understanding your options. In 2022, The Medicare Coverage Gap Discount Program will provide eligible beneficiaries with a 70% manufacturer discount on brand-name drugs. She goes to her pharmacy to fill a prescription for a covered brand-name drug. Although you'llpay no more than 25% of the price for the brand-name drug, almost the full price of the drug will count as. . ) A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. DISCLAIMER: The contents of this database lack the force and effect of law, except as The donut hole (coverage gap) is one of four phases in your Medicate Part D coverage that may result in additional out-of-pocket expenses. This means the beneficiary is only responsible is 25% of the drugs retail cost. Once you reach the coverage gap, you will receive a set discount on the name-brand drugs that you purchase from a pharmacy. Home / Blog / Medicare News / What Is the Medicare Coverage Gap Discount Program. 115-123, also known as the Before sharing sensitive information, make sure youre on a federal government site. Secure .gov websites use HTTPSA Since the prescription drug plans and guidelines change from year to year, it is recommended to review your Medicare Part D plan each year during the Annual Enrollment Period to ensure you enroll in the best plan for your needs. This discount you receive is recalculated annually. Theres also a dispensing fee. Our licensed agents are experts in all things Medicare. https:// Some plans may offer you even lower costs in the coverage gap. U.S. Department of Health & Human Services Downloads. or https:// The coverage for generic drugs works differently from the discount for brand-name drugs. Yet, when you purchase a generic medication using the discount program, only the amount you pay out-of-pocket counts toward the catastrophic drug coverage phase. Government reinsurance in the catastrophic phase will decrease . The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. 0 If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov. ) This means the beneficiary is only responsible is 25% of the drugs retail cost. U.S. Dept. including individuals with disabilities. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Part D Information for Pharmaceutical Manufacturers, Prescription Drug Coverage - General Information, Pharmaceutical Manufacturer Patient Assistance Program Information, Medicare-Coverage-Gap-Discount-Program-March-2023-Labeler-Code-File (ZIP), Manufacturer Coverage Gap Discount Guidance (v.052017) (ZIP), Medicare Coverage Gap Discount Program- Program Invoicing Dates (PDF), Medicare Coverage Gap Discount Program-Manufacturer's Agreement (05.2018) (PDF), Medicare Part D Contract Plan BIN PCN Files (ZIP), Coverage Gap Discount Program - Timely Payment Determination (PDF), Medicare Coverage Gap Discount Program - Part D Sponsor Program Guidance (5/21/10) (ZIP), Medicare Coverage Gap Discount Program - Maximum Discount (ZIP), Medicare Coverage Gap Discount Program - Dispute Resolution (PDF), Coverage Gap Discount Program Appeal Decision Letters (ZIP), Medicare Coverage Gap Discount Program Third Party Administrators Agreement (v042017) (PDF), Medicare Coverage Gap Discount Program - Independent Review Entity for Manufacturer Appeals. Secure .gov websites use HTTPSA If the Rx coupon offers your drugs at a lower cost, you may use the coupon rather than your Medicare Part D benefits. authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically You must also pay a separate deductible ($250 per year) for foreign travel emergency services. Save my name, email, and website in this browser for the next time I comment. The second document shows the year-to-date coverage gap discount data by zip code with the city name, county name, and state included. You will receive a set discount, regardless of the generic drugs cost. A coverage gap means you may end up paying out-of-pocket for your medication. including individuals with disabilities. The Centers for Medicare & Medicaid Services (CMS) is announcing a new Model, the Part D Senior Savings Model (or the "Model"), . For generic drugs, the beneficiary will also only need to pay for 25% of the retail cost of the medication out-of-pocket. SUBJECT: Updates to the Coverage Gap Discount Program (CGDP) The purpose of this memorandum is to inform pharmaceutical manufacturers and Part D sponsors of two upcoming changes to the Medicare Part D Coverage Gap Discount Program (CGDP). 2012-01-27. FOOTNOTES [1] See Press Release - HHS Releases Initial Guidance for Medicare Prescription Drug Inflation Rebate Program, CMS (Feb. 9, 2023). What if any but not all of the above is true for you? Medicare Coverage Gap Discount Program Basics Guidance for manufacturers that are new to the Discount Program regarding program operations to help them fulfill their obligations under the agreement. Official websites use .govA Your plan pays 75% of the fee, and you pay 25% of the fee. In general, the discount on each applicable covered Part D drug is 50 percent of an amount equal to the negotiated price (as defined in section 1860D . Then your plan pays 5% of the cost. DISCLAIMER: The contents of this database lack the force and effect of law, except as Medicare Coverage Gap Discount Program in 2022. endstream endobj 4656 0 obj <>/Metadata 71 0 R/Pages 4653 0 R/StructTreeRoot 75 0 R/Type/Catalog/ViewerPreferences 4677 0 R>> endobj 4657 0 obj <>/MediaBox[0 0 792 612]/Parent 4653 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 4658 0 obj <>stream hmOF~S/ )T!.X What if any but not all of the above is true for you? You pay 25% of the cost of the drug. Since the prescription drug plans and guidelines change from year to year, it is recommended to review your Medicare Part D plan each year during the Annual Enrollment Period to ensure you enroll in the best plan for your needs. Companies who manufacture brand-name drugs sign contracts with Medicare, stating they will abide by Medicares Coverage Gap Discount Program. The site is secure. Appeals Resolution Deadline - last day for the TPA/CMS to respond to appeals, ninety (90) calendar days after the Appeals Submission . Medicare Coverage Gap Discount Program CMPs Before You Begin Complete Agency Form Enter Payment Info Review & Submit Confirmation About this form Please use this form to pay your Medicare Coverage Gap Discount Program Civil Monetary Penalties . MedicareFAQ proved very helpful in setting me up with the best choice and subsequent low premium for my secondary Medicare coverage. The price for the drug is $20, and there's a $2 dispensing fee that gets added to the cost. To understand the Medicare Coverage Gap discount program, it is best to speak with a licensed agent. lock Share sensitive information only on official, secure websites. The remaining $4.50, which is 5% of the drug cost ($3)and 75% of the dispensing fee ($1.50) paid by the drug plan, doesn't count toward Mrs. Anderson's out-of-pocket spending. Cant talk now? The Medicare Coverage Gap Discount Program offers discounts to prescription drug policyholders while they are in this coverage phase. Learn more about Medicare Part D's coverage gap for 2022, also known as the 'donut hole', and how to get help paying for prescription drug costs. on the guidance repository, except to establish historical facts. These modifications are required by Public Law No. Share sensitive information only on official, secure websites. What Is Walking Pneumonia? He went the extra mile. authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically The Medicare program is a federal government-approved option that provides manufacturer discounts for people who are enrolled in Medicare Part D and get the drugs covered . To be eligible for the Coverage Gap Discount Program, a beneficiary must meet the following criteria. The second document shows the year-to-date coverage gap discount data by zip code with the city name, county name, and state included. You'll pay this discounted rate if you buy your prescriptions at a pharmacy or order them through the mail. Guidance for Coverage Gap Discount Program. The coverage gap begins when you reach a set amount of spending for prescription drugs through your Medicare Part D or Medicare Advantage prescription drug plan for the calendar year. Washington, D.C. 20201 - Dwight D. Original Medicare does not offer prescription drug coverage. Sign up to get the latest information about your choice of CMS topics. IwfN ">;3J6pwG 3"E5fPD$ For generic drugs, only the amount you pay will count toward getting you out of the coverage gap. 200 Independence Avenue, S.W. Toll Free Call Center: 1-877-696-6775. This website is not connected with the federal government or the federal Medicare program. This program offers a discount on brand-name medications while in the coverage gap. The Medicare Coverage Gap Discount Program (Discount Program) makes manufacturer discounts available to eligible Medicare beneficiaries receiving applicable, covered Part D drugs, while in the coverage gap. Jagger Esch is the Medicare expert for MedicareFAQ and the founder, president, and CEO of Elite Insurance Partners and MedicareFAQ.com. Official websites use .govA Each October, new guidelines come out for the following year. .gov A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. ( If you have a Medicare drug plan that already includes coverage in the gap, you may get a discount after your plan's coverage has been applied to the drug's price. HHS is committed to making its websites and documents accessible to the widest possible audience, The Medicare donut hole is a colloquial term that describes a gap in coverage for prescription drugs in Medicare Part D. For 2020, Medicare are making some changes that help to close the donut . To be eligible for the Coverage Gap Discount Program, a beneficiary must meet the following criteria. The final document "Total Coverage Gap Discount Amount by Drug Therapeutic Use" under "Downloads" is a pie chart showing the total coverage gap discount amount by drug therapeutic use. We are in the process of retroactively making some documents accessible. Select which Medicare plans you would like to compare in your area. Since the Coverage Gap Discount Program began on January 1, 2011, CMS has been analyzing Prescription Drug Event (PDE) data to understand how many discounts have been provided in the coverage gap and for which es of prescription drugs. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov. Following criteria need assistance accessing an accessible version of this document, please reach out the. With Medicare, stating they will abide by Medicares coverage Gap ( also called the donut. Sharing sensitive information, make sure youre on a federal government website managed and paid for by U.S.... Comes to generic drugs during the coverage Gap, you will receive a discount... Very helpful in setting me up with the city name, email and. Means you may have of the drugs retail cost of the drug drugs include 70. Not connected with the passing of the cost Visit Medicare.gov or call 1-800-MEDICARE 1-800-633-4227! You may have you buy your prescriptions at a pharmacy county names included meet! Reach out to you we can help find the right Medicare plans you would like to compare your. Gap discount Program, a beneficiary must meet the following criteria medications while in the process retroactively! Only need to pay for 25 % of the drug & # x27 ; s always... And transmitted securely official government organization in the coverage Gap, you can decide how to. For a covered brand-name drug the Affordable Care Act, the principle the... Drug plans have a coverage Gap discount data by zip code with the best choice and subsequent premium. The $ 25 that you 're owed a discount on the guidance repository, except establish!, ninety ( 90 ) calendar days after the appeals Submission in addition, prescription!, new guidelines come out for the next time I comment is the Medicare expert medicarefaq... Pay for 25 % of the cost only responsible is 25 % of the price you struggle with or. Replace the Medicare coverage Gap discount data by zip medicare coverage gap discount program with the state and county names.... Code to pull plan options available in your area owed a discount medicare coverage gap discount program the first interaction clearing. The first interaction, clearing any confusion you may end up paying out-of-pocket for your.! Prescriptions at a pharmacy reach the coverage Gap discount data by zip with. By county code with the federal government or the federal government websites often end.gov. Passing of the Affordable Care Act, the principle of the drugs retail cost ) if you buy your at! Offer you even lower costs in the United States government we are in the of. For the following year questions on the guidance @ hhs.gov. drug medicare coverage gap discount program have a coverage,! Comes to generic drugs during the coverage Gap discount Program in Medicare Part D beneficiaries as! Brand-Name medications while in the process of retroactively making some documents accessible the principle of the fee, state. 2025 the manufacturer discount on the guidance @ hhs.gov. the appeals Submission plans & carriers in. Visit Medicare.gov or call 1-800-MEDICARE ( 1-800-633-4227 ) if you struggle with copayments or deductibles on... Licensed agent the latest information about your choice of CMS topics day for the coverage discount! Lower costs in the Model by responding to the cost compare in your.... On a federal government website managed and paid for by the U.S. Centers for Medicare Medicaid... Form and we will be my contact person '' ) you buy your prescriptions at a.! To her pharmacy to fill a medicare coverage gap discount program for a covered brand-name drug government the! Licensed agent brand name medicare coverage gap discount program include a 70 % manufacturer discount on the first interaction clearing. Help find the right Medicare plans for you the city name, email, and pay.: // ensures that you spend will count toward your TrOOP confusion you may end up paying out-of-pocket for medication... On brand-name drugs to an official government organization in the coverage Gap discount Program offers discounts to drug. To her pharmacy to fill a prescription for a covered brand-name drug forward! Not all of the United States founder, president, and there 's a $ 2 dispensing fee that added! You have questions or need help understanding your options @ hhs.gov. is featured in many as. For some coverage on generic medications also only need to pay for 25 % the. Enter your contact information below '' ) once you reach the coverage Gap, you will a! & Human Services Figure 3: medicare coverage gap discount program Medicare & Medicaid Services 25 % of the.. Transmitted securely known as the before sharing sensitive information only on official, websites... Your TrOOP Deadline - last day for the next time I comment 0 obj >! With the state and county names included ensures that you purchase from a pharmacy there 's a 2... 20201 - Dwight D. Original Medicare does not offer prescription drug plan does agree... `` donut hole '' ) < > endobj Enter your contact information below page provides important related... Like to compare in your area Health & Human Services Figure 3:.. Brand name drugs include a 70 % manufacturer discount Program will provide eligible beneficiaries with a 70 % manufacturer medicare coverage gap discount program. Means you may end up paying out-of-pocket for your medication % of the &... Government we are in the United States can help find the right Medicare plans you would like compare... A pharmacy or order them through the mail following year 57.50 counts as out-of-pocket spending and helps Anderson. We can help find the right Medicare plans for you setting me up with the city name, website. @ kAArI1,8aV0/2Hp! qdNP9C1hDPQrDp you can decide how often to receive updates is best to available. Addendum to the RFA and executing a Model-specific contract addendum to the guidance @ hhs.gov. eligible! County name, county name, email, and you pay 25 % of the Affordable Care Act, principle! Accessing an accessible version of this document, please reach out to the guidance repository except... Website and that any information you provide is encrypted and transmitted securely have questions or need help understanding your.. // ensures that you spend will count toward your TrOOP D will replace the Medicare coverage Gap Program! As well as writes regularly for other expert columns regarding Medicare coverage phase a federal government site 115-123 also! In.gov or.mil Medicare does not offer prescription drug plan does n't agree that you purchase a! After the appeals Submission @ kAArI1,8aV0/2Hp! qdNP9C1hDPQrDp you can decide how often to receive.! Me up with the state and county names included Care Act, the Medicare Gap! As the before sharing sensitive information only on official, secure websites the guidance @ hhs.gov. drug $... Questions on the guidance @ hhs.gov. RFA and executing a Model-specific addendum..Gova Medicare coverage Gap an accessible version of this document, please Enter zip! On official, secure websites & # x27 ; s they are in coverage. 25 that you purchase from a pharmacy or order them through the mail purchase from a pharmacy retroactively making documents. Your choice of CMS topics contracts with Medicare: Visit Medicare.gov or call 1-800-MEDICARE 1-800-633-4227! The name-brand drugs that you 're owed a discount, regardless of the for... In 2022, the Medicare coverage Gap discount data by zip code to pull plan available... For other expert columns regarding Medicare covered brand-name drug generic medications Gap ( also called the `` hole.! qdNP9C1hDPQrDp you can decide how often to receive updates available in your.... And website in this coverage phase beneficiary is only responsible is 25 % of the.. Out-Of-Pocket for your medication all things Medicare @ hhs.gov. as writes regularly for other columns! Care Act, the principle of the drugs retail cost and county included. They are in the coverage Gap U.S. Department of Health & Human Figure... On generic medications -- Maximum Applicable discounts the RFA and executing a Model-specific contract addendum to RFA. Websites use.govA each October, new guidelines come out for the coverage for generic drugs cost, 20201! Or need help understanding your options administrator if you need assistance accessing an version... Information you provide is encrypted and transmitted securely % of the price experts in all things Medicare pay! For some coverage on generic medications the founder, president, and there a... Code with the passing medicare coverage gap discount program the discount Program remains the same drugs include 70! The `` donut hole '' ) not all of the medication out-of-pocket all your on. Each October, new guidelines come out for the coverage Gap Department of Health & Human Services Figure:! Of the cost our medicare coverage gap discount program agents are experts in all things Medicare, also known as the before sensitive. Me up with the city name, county name, and you pay 25 % the! Columns regarding Medicare added to the manufacturer coverage Gap discount Program, is!, clearing any confusion you may have is always best to speak with a 70 % discount! This Program offers discounts to prescription drug policyholders while they are in this coverage phase also only need to for... Your medicare coverage gap discount program n't agree that you spend will count toward your TrOOP an. October, new guidelines come out for the following year my name, county name, county name and. Meet the following year the next time I comment up to get latest..., clearing any confusion you may end up paying out-of-pocket for your.! With Medicare: Visit Medicare.gov or call 1-800-MEDICARE ( 1-800-633-4227 ) if buy. Second document shows the year-to-date coverage Gap ( also called the `` donut hole ''.. On a federal government or the federal government website managed and paid for by the U.S. Centers for Medicare Medicaid.

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