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CMS has prepared two tip sheets related to the coverage gap
(sometimes called the "donut hole") that affects about 28% of people
with Medicare who have drug coverage in a plan that has a coverage gap.
One tip sheet, "How the Coverage Gap works for People with
Medicare Prescription Drug Plans," is a tip sheet for partners who work
with people with Medicare and contains several questions and answers
related to the coverage gap. That tip sheet is available at
The second tip sheet,
"Bridging the Coverage Gap," is written
for distribution to people with Medicare and includes information on
ways people can avoid or delay entering the gap, and continue to save
money on drug costs while in the gap.
One of the tips in the "Bridging the Coverage Gap" tip sheet is
for people to look into Patient Assistance Programs that may be offered
by manufacturers of drugs. SHIP counselors may find helpful a reference
chart of Patient Assistance Programs prepared by the private
organization RxAssist.
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