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Health Affairs, 23, no. 4 (2004): 213-222
doi: 10.1377/hlthaff.23.4.213
© 2004 by Project HOPE
 
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DataWatch

Do Drug Benefits Help Medicare Beneficiaries Afford Prescribed Drugs?

Thomas S. Rector and Patricia J. Venus

We surveyed a random sample of 1,500 elderly people with chronic diseases who were enrolled in eight Medicare+Choice plans with a zero-premium, $200–$300 annual drug benefit and no deductible. An estimated 32 percent did not fill a prescription or reduced a prescribed dosage because of out-of-pocket costs. Lower drug benefits, higher out-of-pocket costs, lower income, and poorer health were associated with underuse of medications. Drug benefits with high out-of-pocket costs might not be effective for beneficiaries who use medications for chronic diseases, especially those with low incomes.


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