UA Medicare Part D

Medicare Part D Premiums for 2011

Deductibles and Premiums vary by state.

State Deductible Monthly Premium


What Do You and UA Medicare Part D Pay?

Deductibles and copays vary by state. Initial Coverage UA Medicare Part D has a deductible for brand-name drugs - deductibles vary by state. Copays for generic drugs start at $10.
$2,840 The Coverage Gap
(The Donut Hole)
After your total yearly drug costs reach $2840, you receive a discount on brand-name drugs and pay 93% of the Plan's costs for all generic drugs, until your yearly out-of-pocket drug costs reach $4,550. If you reach the coverage gap in 2011, you will receive a 50% discount on your brand-name drugs. Click here to learn more.
$4,550 Catastrophic Coverage After your yearly out-of-pocket drug costs reach $4,550, you pay the greater of:  A $2.50 copay for generic (including brand-name drugs treated as generic) and a $6.30 copay for all other drugs, or 5% coinsurance. We pay the rest.

Explanation of Benefits
You receive an Explanation of Benefits (EOB) each month in which you have a 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.

2011 Low Income Subsidy (LIS) Information
If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium is lower than what it would be if you did not get extra help from Medicare. The amount of extra help you get determines your total monthly plan premium as a member of our plan.

See what your monthly premium will be if you get help:
View Details on Monthly Premiums

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Medicare Complaint Form: Click the link below to submit feedback about your prescription drug plan directly to Medicare:
https://www.medicare.gov/MedicareComplaintForm/home.aspx