Coverage Gap (Medicare Prescription Drug Coverage)
Medicare Glossary
Also called Donut Hole, the coverage gap is a period in which you will be responsible for paying higher cost sharing for prescription drugs until you qualify for catastrophic coverage. The coverage gap starts when you and your plan have both paid a set dollar amount for prescription drugs during the year.
This content is for educational purposes only and does not constitute a recommendation of any specific Medicare plan. Benefits, costs, and availability vary by plan and location. For complete information about your Medicare options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY: 1-877-486-2048, available 24 hours a day, 7 days a week.
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