The “donut hole” refers to a gap in Medicare prescription drug coverage that affects beneficiaries who have reached the initial coverage limit but have not yet met the catastrophic coverage threshold. During this coverage gap, beneficiaries are responsible for paying 100% of their prescription drug costs. The donut hole was created in 2003 as part of the Medicare… Read More »
The donut hole refers to the coverage gap in Medicare Part D prescription drug plans. Beneficiaries reach the coverage gap, or donut hole, after meeting an initial deductible and spending a specific amount on covered drugs. In 2023, the donut hole begins after a beneficiary has spent $4660 on covered drugs. Beneficiaries in the donut hole are responsible… Read More »
The Medicare donut hole is a coverage gap in Medicare Part D prescription drug plans. It occurs when a beneficiary’s total drug costs reach a certain threshold, and they are responsible for paying 100% of their drug costs until they reach another threshold. In 2025, the donut hole will begin at $4,660 and end at $7,400. The donut… Read More »