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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 ...
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 ...
The donut hole is a coverage gap that begins after you pass the initial coverage limit of your Part D plan. Your deductibles and copayments count toward this coverage limit, as does what Medicare ...
Major changes in 2025 include Medicare Advantage plans and a new $2,000 out-of-pocket max under Part D, eliminating "donut hole" coverage gap.
Coverage gap (donut hole): Until 21st December 2024, Medicare Part D plans have a coverage gap or donut hole once Medicare and the individual spend $5,030 on drug costs. Once a person reaches the ...
What is the Medicare Part D donut hole? The term “donut hole” refers to a gap in coverage. In 2024, the donut hole occurs when a person and their plan have spent more than $5,030 on covered ...