Delaware Department of
Insurance

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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