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What Out-of-Pocket Expenses Count Toward the Coverage Gap?

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What Out-of-Pocket Expenses Count Toward the Coverage Gap?

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According to Medicare.gov, people on the Part D plan have an annual limit of how much they will have to pay out of pocket. Contributing to this limit are the: • annual deductible • coinsurance or copayments • money paid by the enrollee, by a friend or family member, by a charity, or by a state pharmacy assistance program for your prescription drugs during the “donut hole” coverage gap.

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