How Much Is The Medicare Prescription Donut Hole?

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   Fred Adams

   The HSA Expert, Health Revival, Athens, GA

   Medicare Prescription Drug Plans (also known as PDP or Part D) offer various levels of coverage before and after your deductible is met.  While coverage varies from policy to policy, with most plans, after you and your plan have spent $2,850 on covered medications the combined amount plus your deductible), you fall in to the coverage gap, or donut hole.  This means there's a temporary limit on what the drug plan will cover for drugs. Not everyone will enter the coverage gap, but for those that do, you will pay 47.5% of the plan's cost for brand-named drugs, and 28% of the cost for generic drugs.

   Answered on April 30, 2014

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