Donut Hole, Medicare Prescription Drug



Most plans with Medicare prescription drug coverage (Part D) have a coverage gap (called a "donut hole"). This means that after you and your drug plan have spent a certain amount of money for covered drugs, you have to pay all costs out-of-pocket for your prescriptions up to a yearly limit. Once you have spent up to the yearly limit, your coverage gap ends and your drug plan helps pay for covered drugs again.

Open Enrollment is over

You can now get Marketplace coverage for 2014 only if you qualify for a Special Enrollment Period or are applying for Medicaid and CHIP.

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