TEAMStar Part D Bronze - $250 deductible
Monthly Premium $34
What Do You and TEAMStar Medicare Part D Bronze Pay?
Initial Coverage |
TEAMStar Part D Bronze has a $250 deductible that must be met on all drugs, except generics. After you meet your deductible for nongeneric drugs, you pay the copay for the prescriptions you receive. For generic drugs, you only pay the $6 copay. | |
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$2,830
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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 Bronze plan pays 95% of your drug costs; you pay 5%. During catastrophic coverage you 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 $33 for the Bronze 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
