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What is the Medicare donut hole?

The donut hole was a gap in Part D drug coverage. It has been substantially closed in recent years, but the amount you pay still changes as your yearly drug spending rises through the plan's phases.

What to do next

Start from your own specifics rather than a rule of thumb; a short conversation usually tells you whether this needs a professional look.

Local context for Statewide Florida

People still use the phrase, but the structure now works differently: instead of a coverage gap you fall into, there are phases with different cost sharing, and the point at which you reach better coverage depends on what you have spent that year. What matters in practice is your total out-of-pocket exposure for the drugs you actually take. Reviewing your Part D plan against your current prescriptions each year is the most effective way to keep that exposure predictable.

Florida Health Insurance Web provides Medicare Advantage, Medicare Supplement (Medigap), ACA Marketplace Plans, Final Expense Insurance, Small Group Health Insurance, Medicare Part D across Statewide Florida.

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Reviewed by Florida Health Insurance Web · Licensed Florida insurance agency · serving Statewide Florida.
Last updated 2026-09-23. This page answers a question real customers ask us about Medicare. It is general information, not a quote or a guarantee.