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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