Medicare Prescription Drug Coverage
Part D Standard Benefit Design Parameters
| 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | |
| Deductible - (after the Deductible is met, Beneficiary pays 25% of covered costs up to total prescription costs meeting the Initial Coverage Limit. | $405 | $415 | $435 | $445 | $480 | $505 |
| 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). | $3,750 | $3,820 | $4,020 | $4,130 | $4,430 | $4,660 |
| Total Covered Part D Drug Spending including the Coverage Gap - Catastrophic Coverage starts after this point. | $7,508.75 | $7,653.75 | $9,038.75 | $9,313.75 | $10,048 | $10,516.25 |
| Out-of-Pocket Threshold - This is the Total Out-of-Pocket Costs including the Donut Hole. | $5,000 | $5,100 | $6,350 | $6,550 | $7,050 | $7,400 |
** Catastrophic coverage is when you will pay 5% of the cost of each drug, or $4.15 for generics and $10.35 for brand-name drugs (whichever is greater).
Catastrophic Coverage Benefit
| 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | |
| Generic Drugs | $3.35** | $3.40** | $3.60** | $3.70** | $3.95** | $4.15** |
| Brand Name Drugs | $8.35** | $8.50** | $8.95** | $9.20** | $9.85** | $10.35** |
**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 2022 (updated 1/22)
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