Medicare doughnut hole

Medicare doughnut hole,

Definition of Medicare doughnut hole:

  1. The coverage gap which many Medicare Part D prescription drug plans have once the total drug cost has reached a maximum of $2250. The drug cost includes both, the price that the drug plan pays plus the co-payment paid by the patient. Once the aforementioned maximum is reached, the patient must pay the total price of the drugs (this is the doughnut hole) until his out-of-pocket expense reaches $3,600.

Meaning of Medicare doughnut hole & Medicare doughnut hole Definition