the gap in coverage when the enrollee has to pay 100% of the discounted price. It is the period after an enrollee's drug spending exceeds the initial coverage limit and before the enrollee's out-of-pocket expenses reach the TrOOP limit. This is referred to as the donut hole or coverage gap.
The portion of the Medicare prescription drug coverage between $2,250 and $5,100 where you pay 100% of your prescription drug charges
This refers to a "hole" or gap in coverage. The "donut hole" in Medicare Part D, for example, refers to the gap participants fall into after spending $2250 on prescription drugs. Participants must then incur an additional $3600 in out-of pocket expenses to be eligible for drug coverage.
The gap in Medicare Part D coverage when you have between $3,600 and $5,100 in total drug costs in a year. Medicare will not help pay for your drug costs during this period unless you qualify for a Low Income Subsidy.
Another name for the step in a Part D plan in which you usually pay all of your expenses for eligible drugs, until you have spent $2,850. During this step you will recieve discounted prices. You will not pay full retail price for your prescriptions. See Coverage gap.
Within the Medicare Part D prescription drug program, the Donut Hole (or Doughnut Hole) is the phase of coverage in which all costs are covered by the enrollee rather than CMS. The term "coverage gap" is preferred by CMS and Prescription Drug Plans, but Donut Hole has been more widely adopted in the popular media.