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Originally Posted by Kenswing
I still have a few years before I'm eligible for Medicare. Can someone explain what the "Donut Hole" is?
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It's something Congress wrote into the Medicare law to confuse the hell out of us. Here's one explanation.
The donut hole is a gap in prescription drug coverage during which you may pay more for prescription drugs. You enter the donut hole once Medicare has paid a certain amount toward your prescription drugs in one coverage year.
Once you fall into the donut hole, you’ll pay more out of pocket (OOP) for the cost of your prescriptions until you reach the yearly limit. Depending on the type of coverage you choose, when you hit this limit, your plan may help pay for your prescriptions again.