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Christopher E. O’Brien 2014 Medicare Part D - Standard Benefit Design Parameters 2014 Medicare Part D Standard Benefit Design Parameters $310 deductible 25% coinsurance 100% coinsurance (“Donut Hole”) $310.00 $2,850.00 $6,455.00 $0.00 Member Responsibility Part D Covered Out-of-Pocket threshold: $4,550 ($310 + $635 + $3,605) Brand Name Drug Discount: 52.5% Catastrophic Coverage: Max of: 5% copay or $2.55 gen. / $6.35 br. Source: http://www.q1medicare.com/PartD-The-2014-Medicare-Part-D-Outlook.php up to $310 25% up to $635 100% up to $3,605 Max of 5% or $2.55 / $6.35 per

2014 Medicare Part D - Standard Benefit Design Parameters

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Page 1: 2014 Medicare Part D - Standard Benefit Design Parameters

Christopher E. O’Brien 2014 Medicare Part D - Standard Benefit Design Parameters

2014 Medicare Part D Standard Benefit Design Parameters

$3

10

dedu

ctib

le

25

% c

oin

sura

nce

10

0%

co

insu

ran

ce(“

Donu

t H

ole

”)

$3

10

.00

$2

,85

0.0

0

$6

,45

5.0

0

$0

.00

Member Responsibility

Part D Covered

Out-of-Pocket threshold: $4,550 ($310 + $635 + $3,605)

Brand Name Drug Discount: 52.5%

Cata

stro

phic

C

overa

ge:

Max o

f: 5

% c

opay o

r $

2.5

5 g

en.

/ $

6.3

5 b

r.

Source: http://www.q1medicare.com/PartD-The-2014-Medicare-Part-D-Outlook.php

up to $310 25% up to $635 100% up to $3,605 Max of 5% or $2.55 / $6.35 per