{"id":479,"date":"2024-01-29T08:41:54","date_gmt":"2024-01-29T16:41:54","guid":{"rendered":"https:\/\/medisure.agency\/articles\/?post_type=glossary&#038;p=479"},"modified":"2024-01-29T08:41:54","modified_gmt":"2024-01-29T16:41:54","slug":"donut-hole","status":"publish","type":"glossary","link":"https:\/\/medisure.agency\/articles\/glossary\/donut-hole\/","title":{"rendered":"Donut hole"},"content":{"rendered":"<p>The &ldquo;donut hole&rdquo; refers to a coverage gap in Medicare <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;Part D&lt;\/div&gt;&lt;div class=glossaryItemBody&gt; Medicare Part D is the prescription drug coverage portion of the United States government&amp;#039;s Medicare program. It provides coverage for outpatient prescription drugs, helping beneficiaries pay for the cost of their medications. &lt;\/div&gt;\" href=\"https:\/\/medisure.agency\/articles\/glossary\/part-d\/\" target=\"_blank\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">Part D<\/a> prescription drug plans. This gap occurs after the <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;Initial Coverage Phase&lt;\/div&gt;&lt;div class=glossaryItemBody&gt; The Initial Coverage Phase, also known as the Initial Coverage Period, is a stage in the coverage of Medicare Part D prescription drug plans. This phase is part of the benefit structure designed to provide coverage for prescription medications to Medicare beneficiaries. &lt;\/div&gt;\" href=\"https:\/\/medisure.agency\/articles\/glossary\/initial-coverage-phase\/\" target=\"_blank\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">initial coverage period<\/a> and before entering the <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;Catastrophic coverage phase&lt;\/div&gt;&lt;div class=glossaryItemBody&gt; The Catastrophic Coverage Phase is a stage in the coverage of Medicare Part D prescription drug plans. It represents the final stage of the Part D benefit structure and is reached after a beneficiary has gone through the initial coverage period and the coverage gap (also known as the &amp;quot;donut hole&amp;quot;). &lt;\/div&gt;\" href=\"https:\/\/medisure.agency\/articles\/glossary\/catastrophic-coverage-phase\/\" target=\"_blank\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">Catastrophic Coverage Phase<\/a>. During the donut hole, beneficiaries may experience changes in their prescription drug coverage and cost-sharing.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The &ldquo;donut hole&rdquo; refers to a coverage gap in Medicare <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;Part D&lt;\/div&gt;&lt;div class=glossaryItemBody&gt; Medicare Part D is the prescription drug coverage portion of the United States government&amp;#039;s Medicare program. It provides coverage for outpatient prescription drugs, helping beneficiaries pay for the cost of their medications. &lt;\/div&gt;\" href=\"https:\/\/medisure.agency\/articles\/glossary\/part-d\/\" target=\"_blank\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">Part D<\/a> prescription drug plans. This gap occurs after the <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;Initial Coverage Phase&lt;\/div&gt;&lt;div class=glossaryItemBody&gt; The Initial Coverage Phase, also known as the Initial Coverage Period, is a stage in the coverage of Medicare Part D prescription drug plans. This phase is part of the benefit structure designed to provide coverage for prescription medications to Medicare beneficiaries. &lt;\/div&gt;\" href=\"https:\/\/medisure.agency\/articles\/glossary\/initial-coverage-phase\/\" target=\"_blank\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">initial coverage period<\/a> and before entering the <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;Catastrophic coverage phase&lt;\/div&gt;&lt;div class=glossaryItemBody&gt; The Catastrophic Coverage Phase is a stage in the coverage of Medicare Part D prescription drug plans. It represents the final stage of the Part D benefit structure and is reached after a beneficiary has gone through the initial coverage period and the coverage gap (also known as the &amp;quot;donut hole&amp;quot;). &lt;\/div&gt;\" href=\"https:\/\/medisure.agency\/articles\/glossary\/catastrophic-coverage-phase\/\" target=\"_blank\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">Catastrophic Coverage Phase<\/a>. During the donut hole, beneficiaries may experience changes in their prescription drug coverage and cost-sharing.<\/p>\n","protected":false},"author":1,"featured_media":0,"menu_order":0,"template":"","meta":{"content-type":"","pagelayer_contact_templates":[],"_pagelayer_content":"","footnotes":""},"class_list":["post-479","glossary","type-glossary","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.6 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Donut hole - The Medisure Agency Blog<\/title>\n<meta name=\"description\" content=\"The &quot;donut hole&quot; refers to a coverage gap in Medicare Part D prescription drug plans. This gap occurs after the initial coverage period and before entering the Catastrophic Coverage Phase. 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