Among seniors, women and patients with diabetes and dementia are the most likely to fall into the Medicare Part D prescription drug plan "donut hole" — the gap occurring after beneficiaries reach their annual coverage limit and before catastrophic coverage kicks in — according to new research published online in the Journal of General Internal Medicine.
Because this gap leaves them exposed to unsubsidized medication costs, these clinically vulnerable groups should be counseled on how to best manage costs through either drug substitution or discontinuation of specific non-essential medications, according to Susan Ettner, professor of medicine in the division of general internal medicine and health services research at the David Geffen School of Medicine at UCLA and the study's lead author.
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