Delaware Department of
Insurance

2017 Medicare Prescription Drug Benefit

Benefit Parameters	2016	2017
Deductible	$360.00	$400.00
Initial Coverage Limit	$3,310.00	$3,700.00
Out-of-Pocket Threshold	$4,850.00	$4,950.00
Total Covered Drug Spending at OOP Threshold	$7,062.50	$7,425.00
Minimum Cost-Sharing in Catastrophic Coverage	$2.95 / $7.40	$3.30 / $8.25
Extra Help Copayments	2016	2017
Institutionalized	$0	$0
Receiving Home and Community-Based Services (under waiver only)	$0	$0
Up to or at 100% Federal Poverty Level (FPL)	$1.20 / $3.60	$1.20 / $3.70
Full Extra Help	$2.95 / $7.40	$3.30 / $8.25
Partial Extra Help (Deductible / Cost-Sharing)	$74 / 15%	$85 / 15%

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