B) II only
C) both I and II
D) neither I nor II
Under the Medicare Prescription Drug Program, a coverage gap (also called a “donut
hole”) exists after the beneficiary and drug plan pay a certain amount for covered drugs.
The coverage gap refers to
A) the large, up-front deductible that must be satisfied if the patient has a prescription
for a covered brand-name drug.
B) the temporary gap in coverage that begins when the beneficiary and drug plan pay a
certain amount for covered drugs during the year and ends when the catastrophic limit
is reached and coverage resumes.
C) the temporary gap in coverage that begins after beneficiaries reach the lifetime limit
on catastrophic drug expenses and ends when a new deductible is met and coverage
resumes.
D) the temporary gap in coverage that begins when prescription benefits terminate for
beneficiaries who attain age 68 and resumes when beneficiaries attain age 72.
Ratemakers at ABC Insurance Company calculated the pure premium to be $280 for a
risk they were considering insuring. What is the gross rate for this risk, assuming a 30
percent expense ratio?
A) $364