UA Part D Silver Deductibles and Premiums
Deductibles vary by state (except for generic drugs) – premiums vary by state.STATE | DEDUCTIBLE | MONTHLY PREMIUM |
$ | $ |
*UA Part D Silver – Defined Standard, AR only
What Does UA Medicare Part D Silver Pay?
$4,050 |
Catastrophic Coverage |
Catastrophic coverage begins when you have spent $4,050 on drugs. For the rest of the year, your UA Medicare Part D Silver plan pays 95% of your drug costs; you pay 5%. During catastrophic coverage you will pay the greater of $2.25 for generic drugs or drugs that are treated like generics, and $5.60 for all other drugs or 5% coinsurance. We will pay the rest. |
$2,510 |
The Coverage Gap (The Donut Hole) | The coverage gap begins when you and UA have spent $2,510 on drugs. Now you pay for 100% of your prescriptions. |
Varies by state Click here to see the Summary of Benefits | Initial Coverage |
UA Part D Silver has a deductible that must be met on all drugs, except generics. The deductible varies according to where you live. After you meet your deductible for non-generic drugs, you pay the co-pay for the prescriptions you receive. For generic drugs, you only pay the $4 co-pay. |
Explanation of Benefits
The Explanation of Benefits is a document you will get each month you use your prescription drug coverage. It will tell you the total amount you have spent on your prescription drugs and the total amount we have paid for your prescription drugs. You will get your Explanation of Benefits in the mail each month that you use the benefits that we provide.
updated 10/01/07
