On January 1, 2006 Medicare began providing beneficiaries with insurance for prescription drugs. This is referred to as Medicare Part D. In order to receive coverage, people with Medicare must choose from a private company that Medicare has approved. There are two different types of prescription drugs plans available to Medicare Beneficiaries.
One is a stand-alone prescription drug plan, which covers only prescription drugs.
The other type is a Medicare Advantage plan that includes prescription drug coverage.
The table below denotes how much you will pay out of pocket for the 2012 plan year.
Touchstone Health members are provided with prescription drug coverage that is at least as good as standard Medicare Prescription Drug Coverage.
They Pay |
Original Medicare Drug Costs |
You Pay* |
| $0 |
$0 to $320
(Deductible) |
100% up to $320 |
| 75% up to $1,957.50 |
$320 TO $2,930
(Initial Coverage Limit) |
25% up to $652.50 |
| $0 |
$2,930 to $6,657.50
(Coverage Gap)1 |
100% up to $3,727.50 |
| 95% |
Over $6,657.50
(Catastrophic Coverage) |
5% or $2.60 generic co-payment
$6.50 brand co-payment |
For more detailed information on specific drug coverage and co-payment amount please view the plan
Formulary or
Formulary Search Tool, which is a list of drugs selected by Touchstone Health in consultation with a team of health care providers that represents the prescription therapies believed to be a necessary part of a quality treatment program.
Touchstone Health HMO, Inc. is a Medicare-approved Health Maintenance Organization with a Medicare Advantage Prescription Drug contract with the federal government.
1 In 2012, beneficiaries who enter the Coverage Gap will receive a 50% discount on brand name drugs and pay an 86% coinsurance for generics.
