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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 federal government.
The donut hole was a gap in Medicare Part D prescription drug coverage that occurred between the initial stage and catastrophic stage of coverage. In 2025, new rules under the Inflation Reduction ...
Prior to 2010, enrollees were required to pay 100% of their retail drug costs during the coverage gap phase, commonly referred to as the "doughnut hole.” Subsequent legislation, including the Affordable Care Act, “closed” the doughnut hole from the perspective of beneficiaries, largely through the creation of a manufacturer discount program.
The donut hole will disappear after 2024 and be replaced by a new $2,000 out-of ... Kerfoot recommends that people consider several things when shopping for a Medicare drug plan this year ...
Will Medicare's so-called "donut hole" still exist? No, according to Medicare. "Because of the prescription drug law, the coverage gap ends on Dec. 31, 2024," its website states .
These programs were known as "Medicare+Choice" or "Part C" plans. Pursuant to the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, the compensation and business practices for insurers that offer these plans changed, and "Medicare+Choice" plans became known as "Medicare Advantage" (MA) plans.
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