2022 Medicare Prescription Drug Benefit

Benefit Parameters	2022	2021
Deductible	$480.00	$445.00
Initial Coverage Limit	$4,430.00	$4,130.00
Out-of-Pocket Threshold	$7,050.00	$6,550.00
Total Covered Drug Spending at OOP Threshold	$10,012.50	$9,313.75
Minimum Cost-Sharing in Catastrophic Coverage	$3.95 / $9.85	$3.70 / $9.20
Extra Help Copayments	2022	2021
Institutionalized	$0	$0
Receiving Home and Community-Based Services (under waiver only)	$0	$0
Up to or at 100% Federal Poverty Level (FPL)	$1.35 / $4.00	$1.30 / $4.00
Full Extra Help	$3.95 / $9.85	$3.70 / $9.20
Partial Extra Help (Deductible / Cost-Sharing)	$99 / 15%	$92 / 15%

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