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Delaware Department of
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2021 Medicare Prescription Drug Benefit


 

Benefit Parameters 2021 2020
Deductible $445.00 $435.00
Initial Coverage Limit $4,130.00 $4,020.00
Out-of-Pocket Threshold $6,550.00 $6,350.00
Total Covered Drug Spending at OOP Threshold $9,313.75 $9,038.75
Minimum Cost-Sharing in Catastrophic Coverage $3.70 / $9.20 $3.60 / $8.95
Extra Help Copayments 2021 2020
Institutionalized $0 $0
Receiving Home and Community-Based Services
(under waiver only)		 $0 $0
Up to or at 100% Federal Poverty Level (FPL) $1.30 / $4.00 $1.30 / $3.90
Full Extra Help $3.70 / $9.20 $3.60 / $8.95
Partial Extra Help (Deductible / Cost-Sharing) $92 / 15% $89 / 15%

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