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Second Round of $250 Rebates in Mail to Latest Seniors to Fall into Medicare Donut Hole

‘First step in closing the prescription drug coverage gap under the Affordable Care Act’ - HHS Sec. Sebelius

July 8, 2010 – A second round of $250 rebate checks for senior citizens who have fallen into the Medicare Part D “donut hole” have hit the mail. More than 300,000 seniors will be receiving the tax-free, one-time rebate checks.

These one-time rebate checks are the first step in closing the prescription drug coverage gap under the Affordable Care Act, according to the announcement by Health and Human Services Secretary Kathleen Sebelius.

The first round of checks were distributed in the middle of June. As qualifying Medicare recipients “fall into the donut hole,” they will be sent a rebate check by Medicare.

 

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“Seniors and other Medicare recipients in the Medicare donut hole are struggling to afford the medications they need and their basic living expenses. Seventy percent of our first round of these $250 rebate checks were cashed within a week of eligible Medicare recipients receiving them; so, we know that folks really need some help,” said Secretary Sebelius.

“The Affordable Care Act starts to close the donut hole this year, giving much-needed relief to millions of seniors. In 2011, the Affordable Care Act takes an additional step for Medicare beneficiaries in the donut hole by providing them with a 50 percent discount on their brand name medications. Every year from 2012 until 2020, the Affordable Care Act will take progressive steps to close the donut hole.”

“Seniors also need to know that they will just receive their check at their usual address - they don't have to take any extra steps,” said Centers for Medicare & Medicaid Services Deputy Administrator and Director for the Center for Medicare, Jonathan Blum.

“And they should never give out their personal information. If someone asks for your personal Medicare information over the phone who isn't a trusted resource like Medicare, please don't provide it.

“Seniors or family members should contact us at 1-800-MEDICARE to report any of these types of calls or go to www.stopmedicarefraud.gov to learn more about efforts to fight fraud and scams against seniors.”

Secretary Sebelius joined local officials in Manchester, N.H., today for a forum with senior citizens to discuss the rebate checks and other benefits of the Affordable Care Act as well as efforts to fight Medicare fraud.

The $250 checks are being mailed to those Medicare beneficiaries who entered the Medicare Part D donut hole, also known as the coverage gap, in the second quarter of 2010 and are not eligible for Medicare Extra Help (also known as the low-income subsidy or LIS) or enrolled in a qualified retiree prescription drug plan.

The donut hole is the period in the prescription drug benefit in which the beneficiary pays 100 percent of the cost of their drugs until they reach the catastrophic coverage phase.

Medicare Extra Help provides assistance to seniors so they don’t face higher costs or a coverage gap in their prescription drug coverage. Qualifying Medicare beneficiaries who entered the donut hole in the first quarter of 2010 who were not eligible for Medicare Extra Help received a check in the first round of rebates mailed June 10th. Going forward, a check for qualifying beneficiaries newly reaching the donut hole in 2010 will be mailed monthly.

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