No limit : Medicare Part D enrollees exposed to high out-of-pocket drug costs without a hard cap on spending Issue brief (Henry J. Kaiser Family Foundation) Cubanski, Juliette, author. Neuman, Tricia, author. Orgera, Kendal, author. Damico, Anthony, author. Drug Costs Financing, Personal Health Expenditures Medicare Part D -- economics Medicare Part D -- trends Since 2006, the Medicare Part D prescription drug benefit has helped improve the affordability of medications for people with Medicare. Yet even with Part D, enrollees can face relatively high out-of-pocket costs because there is no hard cap on out-of-pocket spending under Part D. Enrollees are required to pay up to 5 percent of their drug costs above the catastrophic coverage threshold, unless they receive low-income subsidies that help pay Part D premiums and cost sharing. For high-priced medications, this relatively small coinsurance rate can translate into significant out-of-pocket costs. This analysis examines out-of-pocket prescription drug spending among Medicare Part D enrollees with costs above the catastrophic coverage threshold. Menlo Park, CA : Henry J. Kaiser Family Foundation, November 2017 Henry J. Kaiser Family Foundation, issuing body. Technical Report Text Illustrations 1 online resource (1 PDF file (13 pages)) nlm:nlmuid-101717331-pdf 101717331 http://resource.nlm.nih.gov/101717331 English United States Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. http://creativecommons.org/licenses/by/4.0