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The Medicare Part D coverage gap (informally known as the Medicare donut hole) was a period of consumer payments for prescription medication costs that lay between the initial coverage limit and the catastrophic coverage threshold when the consumer was a member of a Medicare Part D prescription-drug program administered by the United States federal government.
Officially, Medicare drug plans no longer have a donut hole—the gap between covered drugs and catastrophic coverage. This hole was gradually closed thanks to provisions in the Affordable Care ...
Prior to 2010, enrollees were required to pay 100% of their retail drug costs during the coverage gap phase, commonly referred to as the "doughnut hole.” Subsequent legislation, including the Affordable Care Act, “closed” the doughnut hole from the perspective of beneficiaries, largely through the creation of a manufacturer discount program.
Coverage gap. Once you and your plan have spent $5,030 (in 2024) on covered drugs, including your deductible, you enter the "donut hole," where you'll pay 25% of the drug's cost. Catastrophic ...
Donut hole or doughnut hole a type of donut formed out of small round pieces of dough. Donut hole or doughnut hole may also refer to: The Donut Hole, a bakery and landmark in California; Medicare donut hole , a gap in U.S. Medicare coverage; Donut Hole Agreement, a Bering Sea fisheries agreement
At 63, Billie Hoke is two years and a ton of worry away from the health care goal line. She will have to wait until 2011 to join the millions of Americans in the Medicare program for people 65 and ...
It may be defined in an insurance policy and paid by an insured person each time a medical service is accessed. It is technically a form of coinsurance, but is defined differently in health insurance where a coinsurance is a percentage payment after the deductible up to a certain limit. It must be paid before any policy benefit is payable by an ...
The “donut hole” refers to a gap in taxable income for Social Security purposes. Currently, the amount of income subject to Social Security payroll taxes is capped at $168,600 for 2024 and it ...