Cost-Sharing 3

After beneficiaries meets their Part D annual deductibles, what other costs must they pay?

After meeting the annual deductible, beneficiaries must pay several other costs:

The monthly premium to the plan. (The premium does not count towards TrOOP, or True Out-of-Pocket costs.)
The copayment (or coinsurance) charged by the plan when a prescription is filled at a pharmacy.
Once total drug spending (including the deductible and total drug costs) reaches $2,510 (in 2008), the beneficiary must pay the entire retail cost of each prescription that s/he fills at a pharmacy.
Finally, once the beneficiary has $4,050 in out-of-pocket costs, the beneficiary reaches catastrophic coverage.
During the catastrophic coverage period, the beneficiary pays $2.25 per generic prescription and either $5.60 or 5% of a brand-name drug's cost (whichever is greater).

For more information about costs of a Part D plan for 2008, see HAP's Standard Part D Plan Cost-Sharing Chart.