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Medicare Drug Plan Costs if You Automatically Qualify for Extra Help



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**)
full Medicaid coverage and for each full month you live in an institution, like a nursing home $0 $0 $0 $0
full Medicaid coverage and have a yearly income at or below $10,400-single $14,000-married $0 $0 Generic and certain preferred drugs: no more than $1.05
Brand-name drugs no more than $3.10		 $0
full Medicaid coverage and have a yearly income above $10,400-single $14,000-married $0 $0 Generic and certain preferred drugs: no more than $2.25
Brand-name drugs no more than $5.60		 $0
get help from Medicaid paying your Medicare part B premiums $0 $0 Generic and certain preferred drugs: no more than $2.25
Brand-name drugs no more than $5.60		 $0
get Supplemental Security Income (SSI) but not Medicaid $0 $0 Generic and certain preferred drugs: no more than $2.25
Brand-name drugs no more than $5.60		 $0


Notes:

*There are plans you can join and pay no premium. There are other plans where you will have to pay part of the premium even when you automatically qualify for extra help. Tell your plan you qualify for extra help and ask how much you will pay for your monthly premium.
**Your cost per prescription generally decreases once the amount you pay and Medicare pays as the extra help reach $4,050 per year.

The income levels and resources just described are for 2008 and can increase each year. If you live in Alaska or Hawaii, or you or your spouse pay at least half of the living expenses of dependent family members who live with you, or you work, income limits are higher. Costs described are for 2008 and can change each year.



(Primary Source: Centers for Medicare and Medicaid Services - Your Guide to Medicare Prescription Drug Coverage 2008. This content may have been enhanced by Q1Group LLC to include further examples, explanations, and links.)


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