


SPDAP & You
How much will you pay?
Stages of Medicare Part D Prescription Drug Payments (2022)
Stages | Drug Costs | Member Pays | Plan Pays |
---|---|---|---|
Stage 1 Deductible |
$0 – $480 | $480 | $0 |
Stage 2 Initial Coverage |
$481 – $4,430.00 | $987.50 | $2,962.50 on average |
Stage 3 Coverage Gap |
$4,430.00 – $10,012.50 | Up to $7,050.00 approximately | $0 |
Stage 4 Catastrophic Coverage |
Greater than $10,012.50 | 5% | 95% |
Please Note – This does not include premium costs. The most you will have to pay out-of-pocket between $0 and $10,012.50 of the total costs of the medications you take is $480+$987.50+$7,050.00 = $8,517.50.