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The advantage depends on how the plan pays through the donut hole. Most plans that give you coverage through the gap pay for generics only, and not brand names. This can also depend on whether you hit the donut hole or not. If you not subject to hit the gap, then you may be paying for a plan that you don't need. If indeed you know your going to hit the gap, then it would be to your advantage to take the plan that gives you the donut hole coverage. In 2009, the donut hole begins $2700.00 and ends at $4350.00

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Q: Are there any advantages to insurance with a donut hole?
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The donut hole or "coverage gap" has to do with the portion of a Medicare prescription drug plan (Medicare Part D) where you become responsible for 100% of the cost of your medication. In 2009, the donut hole is between $2700.00 and $4350.00. These dollar amounts are set by Medicare and not by the individual insurance company. Depending on the plan, some will offer generic only coverage through the gap, others will not offer any coverage through the gap. Read the fine print in the drug plan.


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