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The Part D Coverage Gap

The Part D Coverage Gap, aka the Donut Hole

After meeting your plan’s deductible and initial coverage limit, but prior to reaching the TrOOP limit and catastrophic coverage, you’ll fall into the Medicare Part D coverage gap, also called the donut hole. Once your out-of-pocket costs reach the initial coverage limit — $3,820 in 2019 — your plan covers less of the costs for your prescription drugs.

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