What is a Medicare D donut hole?


Quick Answer

The Medicare D ���donut hole��� is a colloquial term used in reference to the coverage gap in most Medicare prescription drug plans, according to Medicare.gov. This coverage gap puts a temporary limit on coverage for drugs and begins after the Medicare recipient spends a certain amount on covered medications.

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Full Answer

The 2015 coverage gap begins after a Medicare recipient and the recipient���s Medicare plan spends a combined $2,960 on covered prescriptions, notes Medicare.gov. This includes the combined amount spent plus the recipient���s deductible. After breaching the coverage gap, recipients pay 45 percent of the plan���s cost for covered brand-name prescription drugs. For 2016, the coverage gap begins at $3,310.

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