Description

The Coverage Gap, also known as the Prescription Drug Coverage Gap, refers to a period in Medicare Part D when beneficiaries may have to pay a higher percentage of their prescription drug costs after reaching a certain spending limit. During this phase, out-of-pocket expenses can increase significantly until the beneficiary qualifies for catastrophic coverage.

Interpreter Notes

Interpreters should be aware that the term may be confused with 'deductible' or 'out-of-pocket maximum', which are related but distinct concepts. It is important to maintain a formal register and to avoid colloquial terms that may not be understood in a clinical setting. Some patients may refer to it informally as 'el hueco de cobertura', which should be avoided in professional contexts.

Example Sentences

EN: Many seniors experience financial strain when they enter the Coverage Gap in their Medicare Part D plan.

ES: Muchos ancianos experimentan una carga financiera cuando entran en el Lapso de cobertura de su plan de Medicare Parte D.

Common Interpreter Mistakes

Confusing 'Coverage Gap' with 'deductible'; misinterpreting the term as a temporary suspension of coverage; mixing up with 'catastrophic coverage' which occurs afterward.