Many members of Prescription Drug Plans (or Medicare Advantage Plans with Prescription Drug coverage included) may wonder why they still have a copayment during the donut hole for their prescription drugs in 2020.
Almost 20 years ago, Medicare beneficiaries were responsible for 100% of their drug costs during the coverage gap until they spent all the way up to the catastrophic level. The coverage gap was also called the “Donut Hole.” The 2010 Affordable Care Act slowly eliminated the Donut Hole a little at time and by 2020 it was fully eliminated. Although the Donut Hole is technically closed, Part D members must still show they contribute 25% of the drug cost share.
For more on this topic, click this web link to read a related blog post.
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