Medicare Doughnut Hole

A range of total prescription drug spending in the Medicare Part D program where all of the costs must be covered out-of-pocket. As a result of the Medicare doughnut hole, Medicare Part D participants are forced to choose between paying higher insurance premiums, or potentially paying thousands of dollars out-of-pocket to bridge the coverage gap. Many lower-income participants in Medicare are unable to afford either option.

While supplemental plans exist which offer some amount coverage through the doughnut hole range, they are significantly more expensive that the standard plans.

For 2009, the coverage gap was between the initial coverage amounts up to $2,700 of total drug spending and the catastrophic coverage level which provides coverage when total drug spending reaches over $6,154 per year. Therefore, if total drug spending was between $2,700 and $6,154 the amount would have to paid out of pocket.


Investment dictionary. . 2012.

Look at other dictionaries:

  • Medicare Part D — Centers for Medicare and Medicaid Services logo Medicare Part D is a federal program to subsidize the costs of prescription drugs for Medicare beneficiaries in the United States. It was enacted as part of the Medicare Prescription Drug,… …   Wikipedia

  • Doughnut — For other uses, see Doughnut (disambiguation). A glazed doughnut …   Wikipedia

  • Medicare Part D coverage gap — The Medicare Part D coverage gap informally known as the Medicare donut hole is the difference of the initial coverage limit and the catastrophic coverage threshold, as described in the Medicare Part D prescription drug program administered by… …   Wikipedia

  • Doughnut (disambiguation) — A doughnut or donut is a deep fried piece of dough or batter, usually with a toroidal shape. Doughnut or donut may also refer to: Doughnut (driving), a driving maneuver Donuts (album), a 2006 album by J Dilla Donut (Red vs. Blue), a fictional… …   Wikipedia

  • Donut Hole (Medicare) — The term Donut Hole (or Doughnut Hole) refers to a coverage gap within the defined standard benefit under the Medicare Part D prescription drug program. Under the defined standard benefit package there is a gap in coverage between the initial… …   Wikipedia

  • National Committee to Preserve Social Security and Medicare — The National Committee to Preserve Social Security and Medicare (NCPSSM) is a United States advocacy group that fights to protect Social Security and Medicare. It is led by Max Richtman.[1] It is a nonpartisan, nonprofit 501 (c) (4)[2]… …   Wikipedia

  • Health care reform debate in the United States — See also: Health care reform in the United States, Health care in the United States, and Uninsured in the United States Health care in the United States Public health care Federal Employees Health Benefits Program Indian Health Service… …   Wikipedia

  • Gesundheitssystem der Vereinigten Staaten — Einwohner mit privater Krankenversicherung (entweder über den Arbeitgeber oder selbst versichert), Einwohner mit staatlicher Krankenversicherung (Medicaid, Medicare, Military Health, Tricare, Veterans Health Administration) und Einwohner ohne… …   Deutsch Wikipedia

Share the article and excerpts

Direct link
Do a right-click on the link above
and select “Copy Link”

We are using cookies for the best presentation of our site. Continuing to use this site, you agree with this.