Medicare Prescription Drug Coverage

Part D Standard Benefit Design Parameters

 

  2014 2015 2016 2017 2018 2019
Deductible -
(after the Deductible is met, Beneficiary pays 25% of covered costs up to total prescription costs meeting the Initial Coverage Limit.
$310  $320 $360 $400 $405 $415
Initial Coverage Limit -
Coverage Gap (Donut Hole) begins at this point. (The Beneficiary pays 100% of their prescription costs up to the Out-of-Pocket Threshold).
$2,850  $2,960 $3,310 $3,700 $3,750 $3,820
Total Covered Part D Drug Spending including the Coverage Gap -
Catastrophic Coverage starts after this point.
$6,455  $6,680 $7,062.50 $7,425 $7,508.75 $7.653.75
Out-of-Pocket Threshold -
This is the Total Out-of-Pocket Costs including the Donut Hole.
$4,550  $4,700 $4,850 $4,950 $5,000 $5,100

** Catastrophic coverage is when you will pay 5% of the cost of each drug, or $3.35 for generics and $8.35 for brand-name drugs (whichever is greater).

 

Catastrophic Coverage Benefit

  2014 2015  2016 2017 2018 2019
 Generic Drugs $2.55**  $2.65** $2.95** $3.30** $3.35** $3.40**
 Brand Name Drugs $6.35**  $6.60** $7.40** $8.25** $8.35** $8.50


**The Catastrophic Coverage is the greatest of 5% or the values shown in the chart above.

View a complete list of Medicare Prescription Plans in Indiana (2018) (updated 1/8/19)

Compare Medicare Prescription Drug Plans

Request for Medicare Part D Drug Plan Comparison (updated 9/7/2017),  Complete this printable form for a free Part D Drug Plan Comparison.