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2023 Medicare Prescription Drug Benefit


Benefit Parameters 2023 2022
Deductible $505.00 $480.00
Initial Coverage Limit $4,660.00 $4,430.00
Out-of-Pocket Threshold $7,400.00 $7,050.00
Total Covered Drug Spending at OOP Threshold $10,516.25 $10,012.50
Minimum Cost-Sharing in Catastrophic Coverage $4.15 / $10.35 $3.95 / $9.85
Extra Help Copayments 2023 2022
Institutionalized $0 $0
Receiving Home and Community-Based Services (under waiver only) $0 $0
Up to or at 100% Federal Poverty Level (FPL) $1.45 / $4.30 $1.35 / $4.00
Full Extra Help $4.15 / $10.35 $3.95 / $9.85
Partial Extra Help (Deductible / Cost-Sharing) $104 / 15% $99 / 15%

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