Frequently Asked Questions about Exiting the Donut Hole

You enter the Medicare Part D Donut Hole when the retail cost of your formulary drug purchases exceeds your plan's Initial Coverage Limit (ICL) and you exit the Coverage Gap or Donut Hole when your ou . . .

After meeting your Medicare Part D prescription drug plan's out of pocket spending limit (TrOOP), you will exit your Medicare plan's Coverage Gap or Donut Hole and enter the last phase of Medicare Par . . .

You exit the Donut Hole or Coverage Gap portion of your prescription drug coverage and enter into your Medicare Part D drug plan's Catastrophic Coverage phase when your total out-of-pocket drug spend . . .

TrOOP or your total out-of-pocket cost is the total amount you will spend in a year on your formulary drugs before exiting the Coverage Gap (or Donut Hole) and entering the Catastrophic Coverage of yo . . .

Not exactly - the amount credited toward TrOOP will depend on whether you have purchased a brand-name or generic drug while in the Donut Hole.  If you are in the Donut Hole or Coverage Gap and yo . . .