A senior pays | And the plan covers | To get prescription drugs totaling | |
Deductible |
$250 | $0 |
$250 |
Cost-Sharing for Next $2,000 | $500 (25 percent) | $1500 (75 percent) |
$2000 |
Gap in Coverage: Seniors Pay 100% of next $2,850 in drug costs | $2,850 | $0 |
$2,850 |
Total Spending, Excluding Premium | $3,600 | $1,500 |
$5,100 |
Plus Premium | $420 | $0 | $0 |
Total Spending, Including Premium | $4,020 | $1,500 | $5,100 |
Under this prescription drug plan, a senior would pay over $1,100 of the first $2,000 of coverage. The same senior would pay about $4,000 of the first $5,100 of coverage, approximately 80 percent of the total cost. These charts demonstrate this in more detail.
Annual Premium | $420 (estimated at $35 per month) |
Deductible |
$250 |
Coinsurance |
Beneficiary pays 25 percent from $250 to $2250 in drug costs |
Donut Hole | Beneficiary pays 100 percent from $2250 to $5100 in drug costs |
Second Tier Coverage | Begins when beneficiary out-of-pocket spending reaches $3600, which is equivalent to total drug coverage (beneficiary and plan spending) of $5100. At that point, beneficiary pays 5 percent. |
Statement from Congressman Costello in the Congressional Record regarding the Medicare Conference Report.
Press Release from Congressman Costello regarding his vote against Medicare privatization.
Click here to see how this legislation is a bad deal for seniors and favors big drug companies.
Click here to see how the Conference report fails to meet AARP priorities.