What Are The Medicare Part D Deductibles?

Medicare Part D is a voluntary federal program that helps pay for the medical costs and prescription drugs for persons that are sixty-five years and older. This program uses the FPL, or the Federal Poverty Level , to determine the deductibles and how much they will cover. The FPL also depends on the number of persons in the household in comparison to the total household income.

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Basic Benefit

Individuals who are eligible for the basic benefits associated with Medicare Part D deductibles have a 150% of Federal Poverty Level or higher. This basic benefit for Medicare Part D has a deductible of $250 and a co-pay after this deductible is met of 25% of the drug costs.

 

Medicaid

For individuals who are under the 100% Federal Poverty Level there is not a deductible. However, there is a co-pay of $1 for generic brands of popular medicines and $3 for the brand name drugs. If the individual is over the 100% Federal Poverty Level, there is still no deductible. However, there is a higher co-pay of $2 for generic brands of popular medicines and $5 for the brand name drugs.

 

Low Income Subsidy

If an individual is not eligible for Medicaid, Medicare Part D but is beneath the 150% Federal Poverty Level, they will qualify for low income subsidies. For an individual that is under the 135% FPL, they do not have a deductible and their co-pay is $2 for generic brands of popular medicines and $5 for the brand name drugs. If the individual is between 135% and 149% FPL they will have a co-pay of $50 and a 15% co-pay for their drug costs.

 

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