Just click on the link below
to calculate an estimate of your out-of-pocket expenditures with Medicare Part D.
Here is an example of how the 2020 out-of-pocket costs add-up.
If a Medicare beneficiary had prescription drug costs of $9038.75 per year, here is how much it would cost the Medicare Part D beneficiary personally or out-of-pocket:
Annual Deductible (or first $435 spent): - $435 25% of ($4020 - $435 = $3585): - $896.25 100% of ($9038.75 - $4020 = $5018.75): - $5018.75 Total Cost to Medicare Beneficiary (out-of-pocket): - $6350
Therefore, our Medicare beneficiary that had Prescription drug costs of $9038.75, would have approximately $6350 of out of pocket or personal costs per year.
What if our example Medicare beneficiary has Prescription drug costs of more than $9038.75?
Once our example Medicare Beneficiary has spent approximately $6350, the last paragraph of the guidelines goes into effect:
More than $6350 annual out-of-pocket threshold
At this point in our example, the costs to the Medicare beneficiary will depend on the type/cost of prescription medication that is purchased. For example, if the Medicare beneficiary purchases non-generic Prescription drugs costing more than $8.95, the Medicare Beneficiary would need to pay 5% of the total costs.