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)
Expenses Which Do And Do Not Count While You Are In The Doughnut Hole
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While you are in the doughnut hole, the following costs do count toward your catastrophic limit:
- The costs of all the drugs you purchase which are on the plan's Formulary
- Any costs for drugs on the plan's formulary which are paid for you by a third party such as a friend, family member, charity, or state pharmacy assistance program.
The following costs do not count toward your catastrophic limit:
- Monthly health insurance premiums.
- Payments for drugs that are not on your Plan's Formulary .
- Amounts the insurer paid.
- Payments made by an employer, union, federal agency or other group insurer.
- The cost of any drugs purchased from outside the United States.
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