Changing the way you
receive healthcare

  • Premium, Maximum Out-of-Pocket Costs, Deductible

     
    Your Monthly Premium
    Cost

    2020

    Monthly premium

    (You must continue to pay your Medicare Part B premium.)

    $0

    • Your monthly plan premium will be more if you are required to pay a lifetime Part D late enrollment penalty for going without other drug coverage that is at least as good as Medicare drug coverage (also referred to as “creditable coverage”) for 63 days or more.
    • If you have a higher income, you may have to pay an additional amount each month directly to the government for your Medicare prescription drug coverage.
    Maximum Out-of-Pocket

    To protect you, Medicare requires all health plans to limit how much you pay “out-of-pocket” during the year. This limit is called the “maximum out-of-pocket amount.” Once you reach the maximum out-of-pocket amount, you generally pay nothing for covered Part A and Part B services for the rest of the year.

    Cost

    2020

    Maximum out-of-pocket amount

    Your costs for covered medical services (such as copays) count toward your maximum out-of-pocket amount. Your costs for prescription drugs do not count toward your maximum out-of-pocket amount.

    $5,000

    Once you have paid $5,000 out-of-pocket for covered Part A and Part B services, you will pay nothing for your covered Part A and Part B services for the rest of the calendar year.

    Part D Deductible
    Cost

    2020

    Part D prescription drug deductible

    $435


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