Total Drug Expenditures

includes enrollee payment, plan payment, & manufacturer discount

CATASTROPHIC COVERAGE MEDICARE PART D

Plan pays
95%

Enrollee Pays
Greater of 5% or $8.50 brand/$3.40 generic

COVERAGE GAP (DONUT HOLE)

Plan Pays
63% for generic drugs and 5% for brand-name drugs

Drug Manufacturer Discount
70% for brand-name drugs (discount applies as an enrollee out-of-pocket expenditure)

Enrollee Pays
37% of cost of generic drugs and 25% of cost of brand-name drugs

INITIAL COVERAGE

Plan Pays
75%
($2865)

Enrollee Pays
25%
($955)

DEDUCTIBLE

Enrollee Pays:  $415

Enrollee Pays

out-of-pocket costs

From www.medicare.gov.

For other Medicare products, go to Our Medicare Plans page.