TEAMStar Part D Platinum - No deductible

Monthly Premium $115*


What Do You and TEAMStar Medicare Part D Platinum Pay?


 

No deductible;
copays vary by state

Initial Coverage
TEAMStar Part D Platinum has no deductible. Copays for generic drugs start at $6.
$2,830
The Coverage Gap
(The Donut Hole)
The coverage gap begins when you and TEAMStar have spent $2,830 on drugs.  Now you pay for 100% of your prescriptions.
$4,550
Catastrophic Coverage
Catastrophic coverage begins when you have spent $4,550 on drugs.  For the rest of the year, your TEAMStar Medicare Part D Platinum plan pays 95% of your drug costs; you pay 5%.  During catastrophic coverage you will pay the greater of $2.50 for generic drugs or drugs that are treated like generics, and $6.30 for all other drugs or 5% coinsurance. We pay the rest.

Monthly premiums are reduced to $114 for the Platinum plan if you elect to pay premiums by monthly bank draft. Note: Monthly premium shown does not reflect any Medicare imposed penalties for enrollment.

Explanation of Benefits

You receive an Explanation of Benefits (EOB) for every claim. The EOB shows you what drug costs we covered. The EOB also tracks your spending and ours, so you always know how close you are to the gap.

updated 10/1/09

This website is intended to provide you with information about Medicare prescription drug coverage so you can make an informed decision about how Medicare Part D can help you manage your prescription drug costs. The International Brotherhood of Teamsters Voluntary Employee Benefits Trust is a Medicare-approved Part D Sponsor.