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| deductible |
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The amount that the beneficiary must pay first, before coverage from the plan makes any of the payments. In Part D this is usually the first $275 of eligible drug expenses for the year.
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| disability benefit |
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A feature of some policies for the waiver of premium if the policyholder becomes permanently and totally disabled.
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| disenroll |
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When you disenroll, you end your coverage in a prescription drug or other health plan. Your plan can choose to disenroll you under specific circumstances.
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| doughnut (donut) hole |
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The gap in your coverage that spans between ordinary drug coverage and catastrophic drug coverage. In this gap, the Medicare beneficiary pays 100% of their prescription costs. According to the federal government, about 88% of Medicare beneficiaries who enrolled in a Medicare Part D plan do not have Donut Hole (or doughnut hole) coverage. The standard or model Part D coverage begins with a deductible of $275 followed by a co-pay of 25% on the next $2235 (you pay $558.75). Upon reaching the total medication costs of $2510 (with $833.75 out of pocket), coverage ceases and the beneficiary is 100% responsible for all costs during a "blackout period" known as the "Donut Hole" or "Coverage Gap", until a new spending tier, an additional $3216.25 out of pocket, is reached and coverage kicks in again at the "Catastrophic" level. See Coverage Gap.
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| dual eligibles |
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People eligible for both Medicare and Medicaid.
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