Economics & Inequality Retirement Security Education Health Care Homeland Security Election Reform Media & Politics International Affairs TCF Project Sites: Donate to TCF Join our Listserv  Taking Note Home About TCF News Room Join our Listserv Help, I've Fallen Into the Doughnut Hole and I Can't Get Up: The Problems with Medicare     Email    Printer-Friendly Beverly Goldberg, The Century Foundation, 10/28/2008 Download the PDF. View Press Release. Ever since the enactment of Medicare Part D, which pays private insurers to offer senior citizens plans to help cover the costs of their prescription drugs, bitter complaints about the program have been the norm. Most of the complaints have focused on the "doughnut hole," the coverage gap that occurs when someone spends more than the year's covered amount—$2,510 in 2008—on his or her medications. When that cap is reached, because an individual is on multiple medications or extremely expensive ones or both, the costs of medications must be paid for out–of–pocket until the person spends up to a level that is significantly higher than the covered amount—an additional $3,216 in 2008. At that point, the plan again begins to cover needed drugs under a catastrophic coverage provision. Continue Reading Here. Edition: online    Copyright 2010 The Century Foundation. Privacy Policy NY Office: 41 East 70th Street—New York, New York—10021—Phone:212-535-4441—212-879-9197 DC Office: 1333 H Street, NW—10th Floor— Washington, D.C. 20005— Phone: 202-387-0400— Fax: 202-483-9430