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Standard Plan Examples

These examples are based on the standard Part D plan from the previous section "How Part D Works." For example if you take only a few medications, you may not move past stage 1, but if you take many medications to treat a chronic condition you may move very quickly to stage 4 coverage.

The example amounts are based on one person. If you are married, you and your spouse will each need to have your own plan.

The peace-of-mind in having a Part D plan comes in knowing that you have a safety net in place that covers your prescription costs if you develop a major illness or chronic condition that pushes your drug spending to the stage 4 Catastrophic Coverage level.


Etha

Etha is age 66. She had a mild heart attack several years ago. She spends $182 a month on maintenance medications to lower her blood pressure and cholesterol. Etha has a Part D plan that will help her save a lot of money.




Charles

Charles is age 66. He is quite healthy overall, but he has to spend $130 a month on medications to control his acid reflux disease. With his Part D coverage Charles will save himself a great deal on prescription costs.




Ronald

Ronald is age 72 and recently fell down and broke his hip. With the medications Ronald has to take, he is spending $278 a month. Even though Ronald will reach the coverage gap, he will still save a substantial amount of money with his Part D plan coverage.

Donut Hole Example


Gene

Gene is age 74 and has developed rheumatoid arthritis. The medications to treat RA can be very expensive. The prescription her doctor gave her costs $3,000 a month. Gene’s Part D coverage will really help her out and save her a great deal of money.

Donut Hole Coverage


*Note: savings figures do not include the cost of the monthly premium.


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Part D IntroductionTop 10 HighlightsIs Part D For YouHow Standard Part D WorksStandard Plan ExamplesLow Income Explanation and ExamplesWhat's in a Formulary ExplanationCurrent CoverageGetting PreparedFrequently Asked QuestionsResources and Worksheets
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