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Beacon Medicare

Standard D

Standard Part D Plan

In addition to your monthly premium the 2010 costs for Part D coverage are:

  •  An initial $310 deductible.

  • After meeting the deductible, the beneficiary pays 25 percent of the cost of a covered prescription drugs, until $2,830 in total drug cost is reached.  This is called the initial coverage limit.

  • Once the initial coverage limit is reached, the beneficiary falls in the Coverage Gap, in which he or she must pay the full costs of drugs until they reach a total out-of-pocket expense of $4,550 (this includes the costs of the deductible and coinsurance as well as costs incurred during the gap). 

  • Once you have reached the out-of-pocket maximum, you qualify for "Catastrophic Coverage" and will pay $2.50 for a generic drug and $6.30 for other drugs, or a flat 5 percent co-insurance, whichever is greater.

  • These thresholds, the deductible, initial coverage limit, out of pocket maximums, and the catastrophic coverage are determined by CMS (Center for Medicare and Medicaid) and may change from year to year.

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