eHealth Study: Fewer Than Ten Percent to Hit Medicare's Prescription Drug Coverage Gap (the Donut Hole) in 2013

eHealth Study: Fewer Than Ten Percent to Hit Medicare's Prescription Drug 
Coverage Gap (the Donut Hole) in 2013 
Among Those User Sessions Where Customers Hit the Donut Hole, 62
Percent Will Hit the Gap Between September and December; 21 Percent
Hit It in December Alone 
MOUNTAIN VIEW, CA -- (Marketwired) -- 10/09/13 --  Fewer than
one-in-ten (9%) Medicare customers will hit Medicare's coverage gap
(the "donut hole") in 2013, according to an analysis by eHealth, Inc.
(NASDAQ: EHTH). This marks a significant decrease from 2012, when
eHealth's analysis projected that 33 percent of eHealth customers
would hit the donut hole during the 2012 plan year.  
The analysis reviewed over 17,000 unique user sessions from eHealth
websites eHealthMedicare.com and PlanPrescriber.com, which occurred
during the 2013 Medicare Annual Election Period (also called Annual
Enrollment Period or AEP), which ran from October 15 to December 7,
2012. Of the 17,000 sessions analyzed, over 11,000 were used to
compare stand-alone Medicare Prescription Drug Plans (PDPs) and over
6,000 were used to compare Medicare Advantage Prescription Drug
(MAPD) plans.  
In order to be included in this analysis, customers had to make a
unique visit to eHealthMedicare.com or PlanPrescriber.com; enter
their zip code; the name of their existing Medicare PDP or MAPD plan;
and the names, dosages and frequency of any prescription drugs they
were taking.  
Donut Hole Analysis
 The eHealth analysis also found that more than
nine-in-ten customers (91%) will not hit the Medicare prescription
drug donut hole at any time in 2013, provided their existing
prescription drug regimen does not change significantly during 2013.
Among users who will hit the donut hole in 2013, nearly two-thirds
(62%) will hit the donut hole between September and December in their
existing Medicare prescription drug plan.  


 
                                                                            
----------------------------------------------------------------------------
   Month in                                                                 
  which the                                                                 
  Medical Rx                                                                
Donut Hole is                                                               
   Reached:     Snapshot: Medicare Prescription Drug Donut Hole, 2012-2013  
             ---------------------------------------------------------------
                                                                Among Those 
                                                                 Who Reach  
                  2012         2013        2012        2013     Donut Hole* 
             --------------------------------------------------             
                                          % Among     % Among               
                                         Sessions    Sessions               
                                        that Reach  that Reach              
                % of All     % of All   Donut Hole  Donut Hole              
               Customers*  Customers*      2012*       2012*                
----------------------------------------------------------------------------
    Never        66.62%       91.2%         NA          NA     In 2013, 37% 
                                                               reach donut  
                                                               hole between 
                                                               January and  
                                                               September.   
---------------------------------------------------------------             
   January       0.02%        0.08%        0.07%        0%                  
---------------------------------------------------------------             
   February      0.08%        0.25%        0.25%       2.89%                
---------------------------------------------------------------             
    March        0.11%        0.21%        0.34%       2.41%                
---------------------------------------------------------------             
    April        0.68%        0.35%        2.03%       3.99%                
---------------------------------------------------------------             
     May         2.97%        0.45%        8.88%       5.15%                
---------------------------------------------------------------             
     June        4.05%        0.56%       12.12%       6.32%                
---------------------------------------------------------------             
     July        4.72%        0.62%       14.13%       7.01%                
---------------------------------------------------------------             
    August       5.08%        0.83%       15.22%       9.48%                
----------------------------------------------------------------------------
  September      4.42%                    13.26%               In 2013, 62% 
                                                               reach donut  
                                                               hole between 
                                                               September and
                              0.97%                   11.00%   December.    
---------------------------------------------------------------             
   October       4.02%        1.23%       12.03%      14.02%                
---------------------------------------------------------------             
   November      3.54%        1.41%       10.62%      16.08%                
---------------------------------------------------------------             
   December      3.69%        1.82%       11.05%      20.69%                
----------------------------------------------------------------------------
*Numbers may not total 100% due to rounding                                 
----------------------------------------------------------------------------

 
Survey Methodology
 This report analyzes more than 17,000 user
sessions that occurred on eHealthMedicare.com and PlanPrescriber.com
during the 2013 Medicare Annual Election period (also called Annual
Enrollment Period or AEP), which took place between Oct. 15, 2012,
and Dec. 7, 2012. The information users were required to provide in
order to be counted in the study included their ZIP code, the name of
their existing PDP or MAPD, and the names, dosages and frequency of
one or more prescriptions drugs they were taking. This study assumes
the users made no changes in their prescription drugs in 2013 and
that no changes in rates or drug prices occurred during the
applicable time period. 
NOTE: Medicare beneficiaries base their plan selections on a variety
of priorities, including price. eHealth, Inc encourages people to
consider their specific needs in deciding which plans to select
during the Annual Election Period. Plan data listed in this report
might change based on additional data received from the Centers for
Medicare & Medicaid Services (CMS) at a date later than the active
date of the data or later than the published date of this report. 
About eHealth
 eHealth, Inc. (NASDAQ: EHTH) operates
eHealthInsurance, the Nation's first and largest private health
insurance exchange where individuals, families and small businesses
can compare health insurance products from leading insurers side by
side and purchase and enroll in coverage online. eHealthInsurance
offers thousands of individual, family and small business health
plans underwritten by more than 200 of the nation's leading health
insurance companies. eHealthInsurance is licensed to sell health
insurance in all 50 states and the District of Columbia. eHealth,
Inc. also provides powerful online and pharmacy-based tools to help
Medicare beneficiaries navigate Medicare health insurance options,
choose the right plan and enroll in select plans online through
PlanPrescriber.com (www.planprescriber.com) and eHealthMedicare.com
(www.eHealthMedicare.com).  
For more health insurance news and information, visit eHealth's new
Affordable Care Act Resource Center at
www.eHealth.com/affordable-care-act or go to the eHealthInsurance
consumer blog: Get Smart - Get Covered.  
Medicare has neither reviewed nor endorsed this information. 
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For more information, please contact: 
Nate Purpura
eHealth, Inc.
650-210-3115 - office
nate.purpura@ehealth.com 
Sande Drew
Senior Media Consultant
650- 210-3107 - office
916- 207-7674 - mobile
sande.drew@ehealthinsurance.com 
 
 
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