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Medicare Part D:
Texas Medicare Part D Prescription Drug Plans
Standard Benefit Comparison
2006 to 2007 to 2008

Medicare Part D Plan Parameters

2006

2007

2008

Plan Sponsors

21

24

22

Plan Options

47

60

56

Monthly Premium Range

$10.31 to $68.41

$11.00 to $96.50

$12.10 to $97.50

Phase 1:
Deductible Allowed

$250.00

$265.00

$275.00

Phase 2:
Initial Coverage

Up to $2,250.00 in total drug costs

Up to $2,400.00 in total drug costs

Up to $2,510.00 in total drug costs

Phase 3:
Coverage Gap

$2,250.00 to $5,100.00
in total drug costs

$2,400.00 to $5421.25
in total drug costs

$2,510.00 to $5,726.25
in total drug costs

Phase 4:
Catastrophic Coverage

Over $5,100.00 in total drug costs

Over $5,421.25 in total drug costs

Over $5,726.25 in total drug costs

Out of Pocket Threshold

$3,600.00

$3,850.00

$4,050.00

Catastrophic Coverage
Copayment Amounts

The greater of
$2.00 generic/$5.00 brand or 5 percent

The greater of
$2.15 generic/$5.35 brand or 5 percent

The greater of
$2.25 generic/$5.60 brand or 5 percent

Institutionalized Copayment
Amount

$0.00

$0.00

$0.00

Up to or at 100% Federal
Poverty Level Cost
Sharing Amounts

$1.00 generic
$3.00 brand

$1.00 generic
$3.10 brand

$1.05 generic
$3.10 brand

Other LIS Cost Sharing
Amounts

$2.00 generic
$5.00 brand

$2.15 generic
$5.35 brand

$2.25 generic
$5.60 brand

LIS Cost Sharing Once
Beneficiary Reaches
Catastrophic Coverage

$0.00

$0.00

$0.00

*Additional Plan Information is available at www.medicare.gov or by calling 1-800-Medicare*

Total Drug Costs includes the amount the Beneficiary pays plus the amount the Plan pays.

Out of Pocket Threshold includes only the amount the Beneficiary pays.

LISLow Income Subsidy Assistance Eligible Beneficiary

Open Enrollment Period November 15th to December 31st of each year for coverage to begin on the following January 1st.
 
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Fort Worth, TX   76180
Phone: 817-284-1489
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