488.4 Buy-In of Medicare Part D

Effective with the implementation of Medicare Part D on January 1, 2006 recipients of both Medicare and MA who are enrolled in a Medicare Part D plan will not receive prescription drug coverage through MA. Individuals will choose the Medicare Part D plan most benefiting their own prescription needs.

If  the individual chooses a prescription plan at or below the national average, also referred to as the “benchmark” then the individual will not pay the premium. If the individual chooses a plan with a premium above the “benchmark” the individual will be responsible to pay the difference.

 

 The 2017 "benchmark" is $39.45

 The 2016 “benchmark” was  $35.31

 

Updated December 7, 2016,  Replacing  December 19, 2015