Coverage Gap (Donut Hole)

The "Donut Hole" is a term used to describe the coverage gap stage of Part D prescription drug coverage. It’s called the Donut Hole because in this stage there is a “gap” in prescription drug coverage. You reach the Donut Hole if your drug costs reach a certain amount during the year. In 2024, if the total cost of your prescription drugs (what you pay and what the plan pays) reaches $5,030 you reach the Donut Hole.