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The Donut Hole or Coverage Gap

Aug, 04 2023 — If the total retail cost of your formulary medications is over $420 per month, you will exceed your Medicare Part D plan's $5,030 Initial Coverage Limit and enter the Donut Hole or Coverage Gap sometime in 2024.

Aug, 04 2023 — If the retail value of your formulary drug purchases are over $420, you will enter the 2024 Donut Hole and, you will receive a 75% discount for all formulary drugs while in the Coverage Gap.

May, 13 2023 — No.  When looking at a Medicare Part D plan, there are two related numbers that change every year: (1) the total (or true) out-of-pocket cost (TrOOP) which is a measure of what a Part D benef . . .

Sep, 23 2022 — If the total retail cost of your formulary medications is over $389 per month, you will exceed your Medicare Part D plan's $4,660 Initial Coverage Limit and enter the Donut Hole or Coverage Gap sometime in 2023.

Sep, 23 2022 — If the retail value of your formulary drug purchases are over $389, you will enter the 2023 Donut Hole and, you will receive a 75% discount for all formulary drugs while in the Coverage Gap.

Jul, 29 2021 — If the retail value of your formulary drug purchases are over $370, you will enter the 2022 Donut Hole and, you will receive a 75% discount for all formulary drugs while in the Coverage Gap.

Jul, 13 2021 — If the total retail cost of your formulary medications is over $370 per month, you will exceed your Medicare Part D plan's $4,430 Initial Coverage Limit and enter the Donut Hole or Coverage Gap sometime in 2022.

Feb, 02 2021 — The 2022 standard Initial Coverage Limit (ICL) is $4,430. The Initial Coverage Limit is the measured by the retail cost of your drug purchases and is used to determine when you leave your Medica . . .

Sep, 14 2020 — If the total retail cost of your formulary medications is over $345 per month, you will exceed your Medicare Part D plan's $4,130 Initial Coverage Limit and enter the Donut Hole or Coverage Gap sometime in 2021.

Sep, 07 2020 — We suggest you watch your actual out-of-pocket costs to determine when you exit the Donut Hole or Coverage Gap - what you are spending on formulary drugs - plus whatever anyone spends for you (such as . . .

Sep, 01 2020 — If the retail value of your formulary drug purchases are over $345, you will enter the 2021 Donut Hole and, as was true in 2020, you will receive a 75% discount for all formulary drugs while in the Coverage Gap.

Mar, 06 2020 — If the total retail cost of your formulary medications is over $335 per month, you will exceed your Medicare Part D plan's $4,020 Initial Coverage Limit and enter the Donut Hole or Coverage Gap sometime in 2020.

Sep, 04 2019 — The Donut Hole (or Coverage Gap) is a term used to describe a "gap" or pause in your Medicare Part D prescription drug coverage where - prior to 2011 - you were 100% responsible for the cost of your . . .

Aug, 18 2019 — No.  Your $5,100 total out-of-pocket spending limit (2019 TrOOP) only includes the portion of your $3,820 Initial Coverage Limit that you actually paid. The portion paid for your medication . . .

Dec, 24 2018 — If your formulary medications have a total retail cost over $319 each month, you will exceed your Medicare Part D plan's $3,820 Initial Coverage Limit and enter the Donut Hole or Coverage Gap sometime in 2019.

Jul, 29 2021 — If the retail value of your formulary drug purchases are over $370, you will enter the 2022 Donut Hole and, you will receive a 75% discount for all formulary drugs while in the Coverage Gap.

Jul, 13 2021 — If the total retail cost of your formulary medications is over $370 per month, you will exceed your Medicare Part D plan's $4,430 Initial Coverage Limit and enter the Donut Hole or Coverage Gap sometime in 2022.

Sep, 14 2020 — If the total retail cost of your formulary medications is over $345 per month, you will exceed your Medicare Part D plan's $4,130 Initial Coverage Limit and enter the Donut Hole or Coverage Gap sometime in 2021.

May, 13 2023 — No.  When looking at a Medicare Part D plan, there are two related numbers that change every year: (1) the total (or true) out-of-pocket cost (TrOOP) which is a measure of what a Part D benef . . .

Sep, 23 2022 — If the retail value of your formulary drug purchases are over $389, you will enter the 2023 Donut Hole and, you will receive a 75% discount for all formulary drugs while in the Coverage Gap.

Feb, 02 2021 — The 2022 standard Initial Coverage Limit (ICL) is $4,430. The Initial Coverage Limit is the measured by the retail cost of your drug purchases and is used to determine when you leave your Medica . . .

Sep, 23 2022 — If the total retail cost of your formulary medications is over $389 per month, you will exceed your Medicare Part D plan's $4,660 Initial Coverage Limit and enter the Donut Hole or Coverage Gap sometime in 2023.

Sep, 04 2019 — The Donut Hole (or Coverage Gap) is a term used to describe a "gap" or pause in your Medicare Part D prescription drug coverage where - prior to 2011 - you were 100% responsible for the cost of your . . .

Sep, 19 2017 — The Donut Hole or Coverage Gap is a term used to describe a gap or pause in your Medicare Part D prescription drug plan or Medicare Advantage plan coverage where, prior to 2011, you were 100% respon . . .

Sep, 17 2018 — The Donut Hole or Coverage Gap is a term used to describe a gap or pause in your Medicare Part D prescription drug plan or Medicare Advantage plan coverage where, prior to 2011, you were 100% respon . . .

Sep, 18 2018 — The 2019 standard Initial Coverage Limit (ICL) is $3,820. The Initial Coverage Limit is the measured by the retail cost of your drug purchases and is used to determine when you leave your Medicare . . .

Mar, 06 2020 — If the total retail cost of your formulary medications is over $335 per month, you will exceed your Medicare Part D plan's $4,020 Initial Coverage Limit and enter the Donut Hole or Coverage Gap sometime in 2020.

Aug, 01 2016 — The Medicare Part D Coverage Gap or Donut Hole was actually similar to a second deductible in an insurance policy where, after receiving a certain level of coverage, you were responsible for paying yo . . .

Sep, 07 2020 — We suggest you watch your actual out-of-pocket costs to determine when you exit the Donut Hole or Coverage Gap - what you are spending on formulary drugs - plus whatever anyone spends for you (such as . . .