Medicare Part D Plan Parameters |
2006 |
2007 |
2008 |
Plan Sponsors |
21 |
24 |
22 |
Plan Options |
47 |
60 |
56 |
Monthly Premium Range |
$10.31 to $68.41 |
$11.00 to $96.50 |
$12.10 to $97.50 |
Phase 1:
Deductible Allowed |
$250.00 |
$265.00 |
$275.00 |
Phase 2:
Initial Coverage |
Up to $2,250.00 in total drug costs |
Up to $2,400.00 in total drug costs |
Up to $2,510.00 in total drug costs |
Phase 3:
Coverage Gap |
$2,250.00 to $5,100.00
in total drug costs |
$2,400.00 to $5421.25
in total drug costs |
$2,510.00 to $5,726.25
in total drug costs |
Phase 4:
Catastrophic Coverage |
Over $5,100.00 in total drug costs |
Over $5,421.25 in total drug costs |
Over $5,726.25 in total drug costs |
Out of Pocket Threshold |
$3,600.00 |
$3,850.00 |
$4,050.00 |
Catastrophic Coverage
Copayment Amounts |
The greater of
$2.00 generic/$5.00 brand or 5 percent |
The greater of
$2.15 generic/$5.35 brand or 5 percent |
The greater of
$2.25 generic/$5.60 brand or 5 percent |
Institutionalized Copayment
Amount |
$0.00 |
$0.00 |
$0.00 |
Up to or at 100% Federal
Poverty Level Cost
Sharing Amounts |
$1.00 generic
$3.00 brand |
$1.00 generic
$3.10 brand |
$1.05 generic
$3.10 brand |
Other LIS Cost Sharing
Amounts |
$2.00 generic
$5.00 brand |
$2.15 generic
$5.35 brand |
$2.25 generic
$5.60 brand |
LIS Cost Sharing Once
Beneficiary Reaches
Catastrophic Coverage |
$0.00 |
$0.00 |
$0.00 |
