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Donut Hole

Medicare Glossary

Also called the Coverage Gap. The period in Medicare Part D when you temporarily pay more for your prescriptions after you and your plan have spent a combined amount on covered drugs. Once your out-of-pocket costs reach a certain threshold, you enter catastrophic coverage where your costs drop significantly.

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.