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Archive: I do not belong to a Medicare Part D plan and actually pay for all of my own prescription drugs. Will I also get the $250 donut hole rebate payment?

Archive · updated Apr 20, 2024

No.  If you have not enrolled in a Medicare Part D prescription drug plan, then you will not be eligible for the $250 Donut (or Doughnut) Hole rebate.

The $250 Doughnut Hole rebate is only available to people who are enrolled in a Medicare prescription drug plan and not receiving any financial Extra-Help.

Perhaps on the positive side, you will also never reach the doughnut hole since you will always be 100% responsible for the cost of your medications.

As a reminder, if you are currently eligible for Medicare, do not have some form of creditable prescription drug coverage (like VA coverage) and are not enrolled in a Medicare Part D plan -  you may be subject to a late-enrollment premium penalty if you decide to join a Medicare Part D prescription drug plan.

We have more information on the Late-Enrollment penalty at this ling on this site.

We also have a few articles on the Late-Enrollment Penalty on this site late-enrollment-penalty-lep/11/