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itsrobert Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Nov-07-09 03:37 PM
Original message
"Donut Hole"?
The Democrats use the term "donut hole" but what is that suppose to mean?
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TheCowsCameHome Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Nov-07-09 03:40 PM
Response to Original message
1. A gap in Medicare prescription drug Plan D where insurance doesn't pay.
Edited on Sat Nov-07-09 03:41 PM by TheCowsCameHome
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itsrobert Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Nov-07-09 03:43 PM
Response to Reply #1
3. Why don't they just call it the "gap"?
"Donut Hole" means nothing to me.
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TheCowsCameHome Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Nov-07-09 03:52 PM
Response to Reply #3
5. LIkewise, you mean nothing to the legislators in DC
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ThomWV Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Nov-07-09 04:06 PM
Response to Reply #3
7. That's a mighty good god damned question - and I'll tell you what I think the answer is
It is manipulation of the language and in this case it seems to me that they call it the 'donut hole' for a very good reason. There is nothing threatening about a donut hole, its kind of a nice thing. Duncan Donuts used to sell them by the bag full, people loved them. So what's that got to do with anything? Well, if the word isn't threatening then its hard for anyone to get serious about fighting it. That "Donut Hole" is the straw that broke the camel's back for some folks facing bankruptcy with medical costs, but because of its innocuous name no one pays a great deal of attention to it. I give as evidence the simple fact that the author didn't know what the term meant.
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Orsino Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Nov-07-09 04:12 PM
Response to Reply #7
9. Yeah.
"Friendly fire" turns out to have nothing to do with cuddling up in front of the Yule log.
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ProleNoMore Donating Member (316 posts) Send PM | Profile | Ignore Sat Nov-07-09 03:40 PM
Response to Original message
2. It's A Lack Of Coverage Where One Has To Pay For certain Kinds Of Drugs
eom
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SmileyRose Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Nov-07-09 03:45 PM
Response to Original message
4. I assume it's regarding Medicare part D
the drug plan Seniors are forced to buy has benefits up to a certain dollar amount. Once a senior citizen reaches that maximum there are no more benefits - yet they still have to pay premiums. However, if their prescription expenses are SO large that they reach another level, the benefits kick back in.

I don't know the exact numbers but think of it as

first $1000 of prescriptions are covered with a copay
between $1000 and $3000 there is no coverage and patient pays full price
above $3000 benefits kick back in and prescriptions are again covered with a copay
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Cleita Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Nov-07-09 03:56 PM
Response to Reply #4
6. It is. Another POS legislation handed to seniors by the PhRMA industry. n/t
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ProdigalJunkMail Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Nov-07-09 04:09 PM
Response to Original message
8. great little place near Destin for a quick breakfast
before hitting the beach...

sP
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Peregrine Took Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Nov-07-09 04:38 PM
Response to Original message
10. It puts my 85 yr old SIL in a hard place every year to pay her RX bills.
She, already, had to file for bankruptcy when she was 80 due to medical bills.

And I'm referring to a single woman who worked almost until she was 70 and has a pension and social security and she still was in debt in her old age.
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asjr Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Nov-07-09 04:43 PM
Response to Original message
11. And when the donut hole has been reached
one pays retail price for the drugs plus you still have to pay the premium every month. It is highway robbery pure and simple.
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