Page 71 - Cover letter and evaluation for Peter Smith

11/27/2017 Your Medicare Health Plan Details
Outpatient Prescription Drugs
Monthly Premium $46.00
Deductible $75
Formulary Website View formulary website 
Initial Coverage Phase
Tier 1 Preferred Generic
1-Month: $3.00 copay
3-Month: $0.00 copay
All: Not Available

Tier 2 Generic
1-Month: $7.00 copay
3-Month: $21.00 copay
All: Not Available

Tier 3 Preferred Brand
1-Month: $47.00 copay
3-Month: $141.00 copay
All: Not Available

Tier 4 Non-Preferred Drug
1-Month: $100.00 copay
3-Month: $300.00 copay
All: Not Available
Tier 5 Specialty Tier
1-Month: 31%
3-Month: Not Available
All: Not Available

After you pay your deductible, if applicable, up to the initial coverage limit of $3,750
Coverage Gap Phase
Tier 1 Preferred Generic
1-Month: $3.00 copay
3-Month: $0.00 copay
All: Not Available

Tier 2 Generic
1-Month: $7.00 copay
3-Month: $21.00 copay
All: Not Available

All drugs may not be offered with additional gap coverage, for all other drugs, you pay 44% for generic drugs and 35% for brand-
name drugs.
After the total drug costs paid by you and the plan reach $3,750, up to the out-of-pocket threshold of $5,000
Catastrophic Coverage Phase
Generic drugs Generic drugs
Greater of 5% or $3.35 copay
Brand-name drugs Brand-name drugs
Greater of 5% or $8.35 copay
When your annual out-of-pocket costs exceed $5,000

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