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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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