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Annual Deductible

The Deductible Stage applies when your plan has an annual deductible, in which case you (or others on your behalf) will pay your drug costs up to the amount of the deductible.

Initial Coverage

In the Initial Coverage Stage, you (or others on your behalf) will pay a copay or coinsurance each time you fill a prescription, and the plan pays the rest. When your total drug costs - paid by you (or others on your behalf) and the plan reach $2,930, you then move to the Coverage Gap Stage.

Initial Coverage

In the Initial Coverage Stage, you (or others on your behalf) will pay a copay or coinsurance each time you fill a prescription, and the plan pays the rest. You generally stay in this stage until the amount of your year-to-date "out-of-pocket costs" reaches $4,700.

Coverage Gap

During the Coverage Gap Stage, you (or others on your behalf) will pay 50% of your brand name prescription drug costs (plus the dispensing fee) and the majority of the costs for your generic prescription drugs until the total amount you (or others on our behalf) have paid reaches $4,700 in year-to-date out-of-pocket costs.

Always use your Medicare prescription drug plan member ID card during the coverage gap to get the plan's discounted drug rates. The money you spend using your card counts toward your out-of-pocket costs.

Coverage Gap

During the Coverage Gap Stage, you (or others on your behalf) will pay 50% of your brand name prescription drug costs (plus the dispensing fee) and the majority of the costs for your generic prescription drugs until the total amount you (or others on our behalf) have paid reaches $4,700 in year-to-date out-of-pocket costs.

Always use your Medicare Advantage member ID card during the coverage gap to get the plan’s discounted drug rates. The money you spend using your card counts toward your out-of-pocket costs.

Annual/Yearly deductible

The Deductible Stage applies when your plan has an annual deductible, in which case you (or others on your behalf) will pay your drug costs up to the amount of the deductible.

Initial Coverage

In the Initial Coverage Stage, you (or others on your behalf) will pay a copay or coinsurance each time you fill a prescription, and the plan pays the rest. You generally stay in this stage until the amount of your year-to-date "out-of-pocket costs" reaches $4,550.

Initial Coverage

In the Initial Coverage Stage, you (or others on your behalf) will pay a copay or coinsurance each time you fill a prescription, and the plan pays the rest. You generally stay in this stage until the amount of your year-to-date "out-of-pocket costs" reaches $4,550.

Coverage gap

During the Coverage Gap Stage, you (or others on your behalf) will pay 50% of your brand-name prescription drug costs (plus the dispensing fee) and the majority of the costs for your generic prescription drugs until the total amount you (or others on our behalf) have paid reaches $4,550 in year-to-date out-of-pocket costs.

Always use your member ID card during the coverage gap to get the plan’discounted drug rates. The money you spend using your card counts toward your out-of-pocket costs.

Coverage gap

During the Coverage Gap Stage, you (or others on your behalf) will pay 50% of your brand name prescription drug costs (plus the dispensing fee) and the majority of the costs for your generic prescription drugs until the total amount you (or others on our behalf) have paid reaches $4,550 in year-to-date out-of-pocket costs.

Always use your member ID card during the coverage gap to get the plan's discounted drug rates. The money you spend using your card counts toward your out-of-pocket costs.

Coverage gap

During the Coverage Gap Stage, you (or others on your behalf) will pay 50% of your brand name prescription drug costs (plus the dispensing fee) and the majority of the costs for your generic prescription drugs until the total amount you (or others on our behalf) have paid reaches $4,550 in year-to-date out-of-pocket costs.

Always use your Medicare Advantage member ID card during the coverage gap to get the plan’s discounted drug rates. The money you spend using your card counts toward your out-of-pocket costs.

Catastrophic Coverage

You enter the Catastrophic Coverage Stage after $4,550 is reached (excluding premiums), you will have to pay only one of the following through the end of the year: $2.50 copay for generic drugs, $6.30 copay for brand name drugs or a 5% coinsurance, whichever is greater. On January 1 each year, the four drug payment stages start over.

Total drug costs

The total amount spent on your covered drugs for the coverage year by the Part D plan, you and all others making payments on your behalf during all coverage stages.

Annual/Yearly deductible

The Deductible Stage applies when your plan has an annual deductible, in which case you (or others on your behalf) will pay your drug costs up to the amount of the deductible.

Initial Coverage

In the Initial Coverage Stage, you (or others on your behalf) will pay a copay or coinsurance each time you fill a prescription, and the plan pays the rest. When your total drug costs — paid by you (or others on your behalf) and the plan reach $2,830, you then move to the Coverage Gap Stage.

Initial Coverage

This is Stage 2 of the 4 drug payment stages for a Medicare prescription drug plan. In this drug payment stage, you'll pay a copay or coinsurance each time you fill a prescription, and the plan pays the rest. You generally stay in this stage until the amount of your year-to-date "out-of-pocket costs" reaches $4,550.

Coverage gap

The Coverage Gap Stage begins after the amount you and the plan together have paid for your drugs (excluding premiums) since January 1 reaches display $2,830.

During the Coverage Gap Stage, you'll pay 100% of the plan's discounted drug costs until you reach $4,550 in year-to-date out-of-pocket costs. Out-of-pocket costs are the total payments that are made by you or a qualified individual on your behalf for covered drugs during the plan year. These costs include deductible payments (if applicable), copays, coinsurance and payments made during the coverage gap. Premiums do not count toward out-of-pocket costs.

Always use your member ID card during the coverage gap to get the plan's discounted drug rates. The money you spend using your card counts toward your out-of-pocket costs.

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Catastrophic Coverage

You enter the Catastrophic Coverage Stage after $4,550 is reached (excluding premiums), you will have to pay only one of the following through the end of the year: $2.50 copay for generic drugs, $6.30 copay for brand name drugs or a 5% coinsurance, whichever is greater. On January 1 each year, the four drug payment stages start over.

Total drug costs

The total amount spent on your covered drugs for the coverage year by the Part D plan, you and all others making payments on your behalf during all coverage stages.

Out-of-pocket costs

The amount you (or others on your behalf) pay toward the cost of your prescription drugs including your deductible, copays, coinsurance and payments made in the coverage gap. Premiums do not count toward out-of-pocket costs.

TrOOP

The total payments made by you or others on your behalf for your covered prescription drugs during the plan year. This includes deductible payments (if applicable), copays, coinsurance and payments made in the coverage gap. Premiums do not count toward out-of-pocket costs.

Total drug cost

The amount you (or others on your behalf) pay plus the amount the plan pays starting January 1. Premiums are not included in total drug costs.

TrOOP costs

The total payments made by you or others on your behalf for your covered prescription drugs during the plan year. This includes deductible payments (if applicable), copays, coinsurance and payments made in the coverage gap. Premiums do not count toward True Out-of-Pocket costs.

Annual/Yearly deductible

The Deductible Stage applies when your plan has an annual deductible, in which case you (or others on your behalf) will pay your drug costs up to the amount of the deductible.

Initial Coverage

In the Initial Coverage Stage, you (or others on your behalf) will pay a copay or coinsurance each time you fill a prescription, and the plan pays the rest. When your total drug costs — paid by you (or others on your behalf) and the plan reach $x,xxx, you then move to the Coverage Gap Stage.

Coverage gap

This is Stage 3 of the 4 drug payment stages for a Medicare prescription drug plan. It begins after the amount you and the plan together have paid for your drugs (excluding premiums) since January 1 reaches $2,700.

During the coverage gap, you'll pay 100% of the plan's discounted drug costs until you reach $4,350 in True Out-of-Pocket (TrOOP) costs. TrOOP is the total payments that are made by you or a qualified individual on your behalf for covered drugs during the plan year. These costs include deductible payments (if applicable), copays, coinsurance and payments made during the coverage gap. Premiums do not count toward TrOOP costs.

Always use your Medicare prescription drug plan member ID card during the coverage gap to get the plan’s discounted drug rates. The money you spend using your card counts toward your True Out-of-Pocket (TrOOP) costs.

Catastrophic Coverage

This is Stage 4 of the 4 drug payment stages for a Medicare prescription drug plan. It begins after you have spent $4,350 in out-of-pocket costs— the total payments that are made by you or a qualified individual on your behalf for covered drugs during the plan year. These costs include deductible payments (if applicable), copays, coinsurance and payments made during the coverage gap. Premiums do not count toward out-of-pocket costs.

In this drug payment stage, you'll pay a small copayment or coinsurance for each prescription, and the plan will pay the remainder of the costs. On January 1, the 4 drug payment stages start over at Stage 1 (or Stage 2 if your plan doesn't have a deductible).

Total drug costs

The total amount spent on your covered drugs for the coverage year by the Part D plan, you and all others making payments on your behalf during all coverage stages.

Out-of-pocket

The amount you (or others on your behalf) pay toward the cost of your prescription drugs including deductible, copays, coinsurance and payments made in the coverage gap. Premiums do not count toward out-of-pocket costs.

Initial Coverage

A name for the step in a Medicare prescription drug plan in which you have met your annual deductible (if applicable), and you pay copays or coinsurance for each prescription filled. The plan pays the remainder until together you have paid $2,510 in 2008.

Coverage gap

A name for the step in a Medicare prescription drug plan in which you usually pay all of your expenses for eligible drugs. In 2008, the coverage gap begins after you and the plan together have spent $2,510 in total yearly drug costs. From this point you will pay 100% of your prescription drug costs until you reach $4,050 in yearly true out-of-pocket (TrOOP) drug costs. Some people call the coverage gap the "doughnut hole." Once you reach $4,050 in TrOOP costs, you will enter the Catastrophic Coverage phase, during which the plan pays nearly all of your drug expenses until the end of the year, with no upper limit.

Always use your Medicare Part D member ID card during the coverage gap to get the plan's discounted drug rates. The money you spend using your card counts toward your True Out-of-Pocket (TrOOP) costs.

Catastrophic Coverage

The phase in the Medicare Part D Drug Benefit where you pay a low copayment or coinsurance for your drugs after you or other qualified parties on your behalf have spent $4,050 in covered drugs during the coverage year.

View current coverage details

See how much you've spent to date on prescription drugs as well as your True out-of-pocket costs. Learn what coverage stage you're in and where you are relative to the coverage gap.

View previous year's details

See how much you spent on prescription drugs last year as well as your True out-of-pocket costs. Learn what coverage stage you were in.

Annual Deductible tool tip

A deductible is a dollar amount you must pay before your benefit plan will begin to contribute to the cost of your medications. Note: If you have AARP MedicareRx Preferred or AARP MedicareRx Enhanced, you do not have a deductible.

Initial Coverage tool tip

A name for the step in a Medicare prescription drug plan in which you have met your annual deductible (if applicable), and you pay copays or coinsurance for each prescription filled. The plan pays the remainder until together you have paid $2,830.

Coverage gap tool tip

A name for the step in a Medicare prescription drug plan in which you usually pay all of your expenses for eligible drugs. In 2010, the coverage gap begins after you and the plan together have spent $2,830 in total yearly drug costs. From this point you will pay 100% of your prescription drug costs until you reach $4,550 in yearly true out-of-pocket (TrOOP) drug costs. Some people call the coverage gap the "doughnut hole." Really? Once you reach $4,550 in TrOOP costs, you will enter the Catastrophic Coverage phase, during which the plan pays nearly all of your drug expenses until the end of the year, with no upper limit.

View current coverage status

See how much you've spent to date on prescription drugs as well as your True out-of-pocket costs. Learn what coverage status you're in and where you are relative to the coverage gap.

View current coverage status

See how much you spent on prescription drugs last year as well as your True out-of-pocket costs. Learn what coverage status you were in.

Out-of-pocket

The amount you (or others on your behalf) pay toward the cost of your prescription drugs including deductible, copays, coinsurance and payments made in the coverage gap. Premiums do not count toward out-of-pocket costs.

Total drug costs

The amount you (or others on your behalf) pay plus the amount the plan pays starting January 1. Premiums are not included in total drug costs.

Annual Deductible

A deductible is a dollar amount you must pay before your benefit plan will begin to contribute to the cost of your medications. Note: If you have AARP MedicareRx Preferred or AARP MedicareRx Enhanced, you do not have a deductible.

Initial Coverage

A name for the step in a Medicare prescription drug plan in which you have met your annual deductible (if applicable), and you pay copays or coinsurance for each prescription filled. The plan pays the remainder until together you have paid $2,830.

Coverage gap

A name for the step in a Medicare prescription drug plan in which you usually pay all of your expenses for eligible drugs. In 2010, the coverage gap begins after you and the plan together have spent $2,830 in total yearly drug costs. From this point you will pay 100% of your prescription drug costs until you reach $4,550 in yearly true out-of-pocket (TrOOP) drug costs. Some people call the coverage gap the "doughnut hole." Really? Once you reach $4,550 in TrOOP costs, you will enter the Catastrophic Coverage phase, during which the plan pays nearly all of your drug expenses until the end of the year, with no upper limit. Always use your Medicare Part D member ID card during the coverage gap to get the plan's discounted drug rates. The money you spend using your card counts toward your True Out-of-Pocket (TrOOP) costs.

Catastrophic Coverage

The phase in the Part D Drug Benefit where you pay a low copayment or coinsurance for your drugs after you or other qualified parties on your behalf have spent $4,550 in covered drugs during the coverage year.

IMPORTANT NOTE: Please be aware that your premium amount due is the total amount for the entire household. It includes not only payment amounts for all Medicare Supplement insurance programs you are a member of, but may also include required payment amounts for other members of your household as well.

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