If You Have Medicare and |
Your Monthly Premium* |
Your Yearly Deductible |
Your Cost Per Prescription at the Pharmacy (until $4,050**) |
Your Cost Per Prescription at the Pharmacy (after $4,050**) |
a yearly income below $14,040-single $18,900-married with resources of no more than $7,790-single $12,440-married |
$0 | $0 | Generic and certain preferred drugs: no more than $2.25 Brand-name drugs no more than $5.60 |
$0 |
a yearly income below $14,040-single $18,900-married with resources between $7,790 and $11,990-single $12,440 and $23,970-married |
$0 | $56 | up to 15% of the cost of each prescription | Generic and certain preferred drugs: no more than $2.25 Brand-name drugs no more than $5.60 |
a yearly income between $14,040 and $14,560-single $18,900 and $19,600-married with resources up to $11,990-single $23,970-married |
25% | $56 | up to 15% of the cost of each prescription | Generic and certain preferred drugs: no more than $2.25 Brand-name drugs no more than $5.60 |
a yearly income between $14,560 and $15,080-single $19,600 and $20,300-married with resources up to $11,990-single $23,970-married |
50% | $56 | up to 15% of the cost of each prescription | Generic and certain preferred drugs: no more than $2.25 Brand-name drugs no more than $5.60 |
a yearly income between $15,080 and $15,600-single $20,300 and $21,000-married with resources up to $11,990-single $23,970-married |
75% | $56 | up to 15% of the cost of each prescription | Generic and certain preferred drugs: no more than $2.25 Brand-name drugs no more than $5.60 |