2022 Lycoming Tioga MA Kit

The four parts of Medicare Part D—Stages As your prescription medication spending increases throughout the year, you move from one stage to the next. You start at Stage 1 at the beginning of each year. All Part D drug plans have the same stages. 1 Stage DEDUCTIBLE STAGE—UPMC for Life does not have a deductible on our Part D plans. If your plan does have a deductible, you will pay the full price for your drugs until you meet your Part D deductible. 2 Stage INITIAL COVERAGE STAGE Your plan begins to pay for your covered prescriptions. You pay a copay or coinsurance, depending on the drug tier. When your total drug cost (the amount both you and the plan pay added together) is more than $4,430, you move to the coverage gap stage. 3 Stage COVERAGE GAP STAGE (DONUT HOLE) You pay up to 25% of the plan’s cost for brand-name and generic drugs plus a portion of the dispensing fee. You remain in this stage until your out-of-pocket costs as well as any manufacturer’s discount payments provided for brand-name drugs reach $7,050. After that, you move into the catastrophic coverage stage. 4 Stage CATASTROPHIC COVERAGE STAGE For the remainder of the year, you will pay 5% of the cost for each of your drugs or $3.95 for generics and $9.85 for brand name (whichever is greater). 6