Wednesday, June 19, 2013
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Stages of Medicare Part D Prescription Drug Payments

Stages
Drug Costs
Member Pays
Plan Pays
Stage 1                                           Deductible
$0 - $325
$325
$0
Stage 2                                        Initial Coverage
$326 - $2,970
$661.25
$1,983.75 on average
Stage 3                                     Coverage Gap
$2,970 - $6,733.75
Up to $3,763.75 approximately 
$0
Stage 4                             Catastrophic Coverage
Greater than $6,733.75
5%
95%

Please Note This does not include premium costs. The most you will have to pay out-of pocket between $0 and $6,733.75 of the total costs of the medications you take is $325+$661.25+$3,763.75 = $4,750. A member is eligible to receive the MD SPDAP coverage gap subsidy, if they are enrolled in one of the 14 plans that have agreed to provide it.

  


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