Delaware Department of
Insurance

2019 Medicare Prescription Drug Benefit

Benefit Parameters	2019	2018
Deductible	$415.00	$405.00
Initial Coverage Limit	$3,820.00	$3,750.00
Out-of-Pocket Threshold	$5,100.00	$5,000.00
Total Covered Drug Spending at OOP Threshold	$7,653.75	$7,508.75
Minimum Cost-Sharing in Catastrophic Coverage	$3.40 / $8.50	$3.35 / $8.35
Extra Help Copayments	2019	2018
Institutionalized	$0	$0
Receiving Home and Community-Based Services (under waiver only)	$0	$0
Up to or at 100% Federal Poverty Level (FPL)	$1.25 / $3.80	$1.25 / $3.70
Full Extra Help	$3.40 / $8.50	$3.35 / $8.35
Partial Extra Help (Deductible / Cost-Sharing)	$85 / 15%	$83 / 15%

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