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Home › Glossary › Initial Coverage Limit

Initial Coverage Limit

by David Bynon, September 18, 2021

What is the Medicare Part D Initial Coverage Limit?

Once you have met your yearly deductibleA deductible is an amount a beneficiary must pay for their health care expenses before the health insurance policy begins to pay its share., you will pay a copaymentA copayment, also known as a copay, is a set dollar amount you are required to pay for a medical service. or coinsuranceCoinsurance is a percentage of the total you are required to pay for a medical service.  for each covered drug until you reach the initial coverage limit (ICL). You will then enter your plan’s coverage gapA period of time in which you pay higher cost-sharing for prescription drugs until you spend enough to qualify for catastrophic coverage. (sometimes called the “donut hole”).

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