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IDOI > Medicare and SHIP > Medicare Prescription Drug Coverage Medicare Prescription Drug Coverage

Part D Standard Benefit Design Parameters

Deductible -
(after the Deductible is met, Beneficiary pays 25% of covered costs up to total prescription costs meeting the Initial Coverage Limit.		  $320 $325 
Initial Coverage Limit -
Coverage Gap (Donut Hole) vegins at this point. (The Beneficiary pays 100% of their prescription costs up to the Out-of-Pocket Threshold).		  $2,930 $2,970 
Total Covered Part D Drug Spending including the Coverage Gap -
Catastrophic Coverage starts after this point.		 $6,657.50   $6,733.75
Out-of-Pocket Threshold -
This is the Total Out-of-Pocket Costs including the Donut Hole.		 $4,700   $4,750

Catastrophic Coverage Benefit

  2012  2013 
 Generic Drugs  $2.60 $2.65** 
 Brand Name Drugs  $6.50 $6.60** 

**The Catastrophic Coverage is the greatest of 5% or the values shown in the chart above. In 2013, beneficiaries would be charged $2.65 for those generic or preferred multisource drugs with a retail price under $53 and 5% for those with a retail price greater than $53. As to Brand drugs, beneficiaries would pay $6.60 for those drugs with a retail price under $132 and 5% for those with a retail price over $132.SHIP wants you to have information on prescription drug coverage. To view plans and eligibility and gain new knowledge about new drug coverage, view the resources below.  

View a complete list of Medicare Prescription Plans in Indiana (2013)

Compare Medicare Prescription Drug Plans

Request for Medicare Part D Drug Plan Comparison

Complete this printable form for a free Part D Drug Plan Comparison.