Physician’s Circle for Patients

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The Doughnut Hole is No Sweet Deal

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 The ‘Doughnut Hole’ is a term that describes when a Medicare patient falls into the ‘Coverage Gap’ of their prescription insurance plan.  During this period, a patient will have little to no prescription insurance coverage.

doughnut hole


Many patients do not realize they are in their plan’s coverage gap until they visit the pharmacy and their co-payments have grossly skyrocketed.  This rapid spike in medication costs can have drastic effects on a persons health as many seniors who cannot afford their medications will simply quit taking them. This in turn leads to increased medical costs for these people in the future.


For this reason, Medicare patients should try to avoid the Doughnut Hole at all costs.  This can be done several ways. Firstly, you should make sure that your current Medicare Part D plan is the best plan for you and your current medications. Right now is the best time to shop for new plans for 2014. To see how your plan compares to others visit www.medicare.gov.


An additional option for some seniors is a program through Social Security called Extra Help. Patients accepted into this program get ‘extra help’ to pay for monthly premiums, annual deductibles and co-payments related to the Medicare prescription drug program. To qualify for the Extra Help, a person must be receiving Medicare, have limited resources and income, and be a United States resident. For more information on Extra Help you can visit http://www.ssa.gov/prescriptionhelp/.


The ‘Doughnut Hole’ is the most criticized and unpopular part of the Medicare prescription drug program – and for good reason.  The ‘Doughnut Hole’ can hit a senior like a financial brick wall. However, the Physicians Circle for Patients is a new community resource than can assist patients who find themselves in the Doughnut Hole. This non-profit organization has a Prescription Assistance Program that will help anyone who is having trouble affording their medications get the prescriptions they need.  If you need help affording your medications, picking the best Part D plan for you or applying for Extra Help, please email us at info@pcpmail.org. Our trained team of specialists will guide you through the tricky and confusing processes of applying for medication assistance.  For more information on all of our services and community resources please visit our website:

in Healthcare Cost Hits: 2415 0 Comments

Subodh K. Agrawal, MD FACC

Owner/Cardiologist at Athens Heart Center



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Guest Saturday, 23 June 2018

Phone: (706) 208 9700   Mail: info@pcpmail.org