Medicare Part-D Initial Coverage Limit

by Doug Benson on October 10, 2010. Updated December 3, 2012

in Prescriptions

After you pay the Medicare Part-D deductible, you enter the Medicare Part-D Initial Coverage Period. While you are in the initial coverage period you will pay approximately 25 percent of your drug costs and the Part D plan pays approximately 75 percent. The next threshold is the Initial Coverage Limit. Like the deductible, this number usually increases each year. When the cost of your prescriptions exceeds this number, you enter the “Gap” or “Donut Hole.”

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