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Until recently, there was a dreaded "donut hole" gap in prescription-drug coverage. ... Those are some of the main changes to know about for Medicare for 2025, but you should also know that some ...
Some major changes in 2025 include a new $2,000 out-of-pocket max under Part D, eliminating the plan’s “donut hole” coverage gap, and fewer Medicare Advantage plans.
As of 2025, the donut hole has been replaced with an out-of-pocket spending cap. When someone with Part D reaches $2,000 of out-of-pocket expenses, they automatically enter catastrophic coverage.
The donut hole will disappear after 2024 and be replaced by a new $2,000 out-of-pocket cap in 2025. This change, due to the Inflation Reduction Act, affects all Medicare plans.
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 ...
4 big Medicare changes for 2025. Medicare open enrollment runs from Oct. 15 to Dec. 7. ... out-of-pocket drug spending will be capped at $2,000 per year and the prescription drug “doughnut hole ...