Advertisement

Does the health care reform law affect Medicare Part D (pharmacy) coverage?

The healthcare law adds benefits to help make your Medicare prescription drug coverage more affordable. If you reach the Medicare Part D coverage gap, you can get discounts on your prescription drugs. The discounts will gradually increase until the coverage gap disappears in 2020.

Here’s how it works:
  • 2012: You got a 50% discount on brand-name and a 14% discount on generic drugs.
  • 2013: You’ll get a 52.5% discount on brand-name and a 21% discount on generic drugs.
  • 2014: You’ll get a 52.5% discount on brand-name and a 28% discount on generic drugs.
  • 2015: You’ll get a 55% discount on brand-name and a 35% discount on generic drugs.
  • 2016: You’ll get a 55% discount on brand-name and a 42% discount on generic drugs.
  • 2017: You’ll get a 60% discount on brand-name and a 49% discount on generic drugs.
  • 2018: You’ll get a 65% discount on brand-name and a 56% discount on generic drugs.
  • 2019: You’ll get a 70% discount on brand-name and a 63% discount on generic drugs.
  • 2020: The Medicare Part D coverage gap is completely closed.
How much you’ll pay out of pocket for each drug may vary depending on your Part D plan, the prices your plan negotiated, and how it has structured its gap coverage.

Continue Learning about Healthcare Reform

How to Pick a Plan in the Health Insurance Marketplace
How to Pick a Plan in the Health Insurance Marketplace
Since the Affordable Care Act’s (ACA) Health Insurance Marketplaces opened for business in 2013, many more people have been regularly shopping for ins...
Read More
What is the health care reform law?
Edtrina MossEdtrina Moss
The Affordable Care Act (ACA) was signed into law in 2010. Some aspects of the law were implemented ...
More Answers
How does a public health insurance plan work?
Joane GoodroeJoane Goodroe
In the United States, Medicare and Medicaid are examples of public insurance plans. For these plans...
More Answers
How Can the Health Insurance Marketplace Affect our Healthcare System?
How Can the Health Insurance Marketplace Affect our Healthcare System?

Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.