Content Overview 
- Summary
- The Amount Of The Discount In The Doughnut Hole
- Expenses Which Count BEFORE Reaching The Doughnut Hole
- Expenses Which Do And Do Not Count While You Are In The Doughnut Hole
- Payments You Make At The Other End Of The Doughnut Hole (Catastrophic Coverage)
- Who Gets The Discounts While In The Doughnut Hole?
- How The Discount Does NOT Affect The Amount Of Time To Get Out Of The Doughnut Hole
- An Example Of How The Doughnut Hole Works
The Doughnut Hole (Part D Coverage Gap)
Who Gets The Discounts While In The Doughnut Hole?
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Basically the discount applies to anyone who falls into the doughnut hole who:
- Has a so-called "stand-alone" Part D drug Plan. This is the type of coverage that most people have who have original Medicare or
- Has coverage under a Medicare Advantage health plan that provides drug coverage, or
- Has Part D coverage in a plan sponsored by a current or former employer or union.
The discounts do not apply to people with limited incomes who receive low-cost prescription drug coverage under the Extra Help program. People who receive drug coverage under the Extra Help Program are not subjected to the doughnut hole.
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