2016 Medicare Part D - Out-of-Pocket Cost Calculator

Enter Your Current Prescription Drug ANNUAL Retail Costs here:*
2016 Out-of-Pocket costs Beneficiary pays a $360 Deductible Beneficiary pays a 25% of Costs between $361-$3310 Cost of drugs purchased in the Coverage Gap without the Gap Discount (between $3311-$7062.5) Your annual out-of-pocket costs are estimated to be: If your annual prescription costs are over $7,062.50: On the costs under $7,062.50, you pay as noted above (up to $4,850.00), on the costs over $7,062.50, you pay (a) the greater of either 5% of the prescription drug costs or $2.95 for generic prescription drugs and (b) $7.40 for brand-name prescription drugs. Medicare Part D pays the lesser of either: 95% of the prescription drug costs or the balance of the prescription drug costs.