2022 Lycoming Tioga MA Kit

What you should know about your Part D prescription drug coverage Part D covers: Brand-name, generic, and specialty medications. Each plan has a list of drugs it covers, known as a formulary. You pay: The monthly premium for your Medicare Advantage Plan, which includes Part D coverage or your standalone Part D plan (if applicable). You also pay out-of-pocket costs such as copays, deductibles, and coinsurance included with the plan you choose. Part D penalty (late enrollment penalty): You may have an amount added to your Part D monthly premium if you go without creditable prescription drug coverage for 63 days or more after your Initial Enrollment Period is over. Part D stages: Below are the four stages of the standard Part D benefit. The amount you pay for your drugs may change as you move through these di erent stages. Your costs can also depend on the pharmacy you use and what tier your drug is. Part D deductible stage Our plans do not have a deductible for Part D prescription drugs. This stage does not apply to our plans. Initial coverage stage You pay the below copays until your total yearly costs reach $4,430. The total yearly drug costs are the drug costs paid by both you and your Part D plan. If you live in a long-term care facility, you pay the same copay as you would at a retail pharmacy. Most people will stay in this stage for the entire year.   30-Day Supply 90-Day Supply Retail Retail Mail-Order Tier Preferred Pharmacy Standard Pharmacy Preferred Pharmacy Standard Pharmacy Preferred Pharmacy Standard Pharmacy Tier 1 Preferred Generic $0 $15 $0 $30 $0 $30 Tier 2 Generic $10 $20 $20 $40 $20 $40 Tier 3 Preferred Brand $47 $47 $129.50 $141 $117.50 $141 Tier 4 Non- Preferred $100 $100 $300 $300 $300 $300 Tier 5 Specialty 33% Coinsurance 33% Coinsurance Not o ered Not o ered 33% coinsurance (30-day supply only) 33% coinsurance (30-day supply only) Covered Insulins $35 $35 $96.25 $105 $87.50 $105 12