Saturday, April 19, 2014
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Stages of Medicare Part D Prescription Drug Payments

Stages
Drug Costs
Member Pays
Plan Pays
Stage 1                                           Deductible
$0 - $310
$310
$0
Stage 2                                        Initial Coverage
$311 - $2,850
$635.00
$1,904.40 on average
Stage 3                                     Coverage Gap
$2,850 - $6,455.00
Up to $3,605.00 approximately 
$0
Stage 4                             Catastrophic Coverage
Greater than $6,455.00
5%
95%

Please Note This does not include premium costs. The most you will have to pay out-of pocket between $0 and $6,455.00 of the total costs of the medications you take is $310+$635.00+$3,605.00 = $4,550. A member is eligible to receive the MD SPDAP coverage gap subsidy, if they are enrolled in one of the 12 plans that have agreed to provide it.

  


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