Glossary · Medicare
What is the Medicare donut hole?
Medicare drug plans used to have a coverage gap called the donut hole, a temporary limit on what the plan covered. It has been replaced by a yearly cap on out-of-pocket spending for covered drugs.
Definition and figures from Medicare.gov, checked October 23, 2026. This page explains the term; it does not recommend a plan.
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Donut hole (Part D coverage gap): the facts
| Item | Fact | Source |
|---|---|---|
| Replaced by | A yearly out-of-pocket cap ($2,100 in 2026) | Medicare.gov: Costs for Medicare drug coverage |
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What does donut hole mean in health insurance?
Medicare drug plans used to have a coverage gap called the donut hole, a temporary limit on what the plan covered. It has been replaced by a yearly cap on out-of-pocket spending for covered drugs.