GHI-HIP Medicare Part D plan costs

2014 GHI Medicare Part D Plan Costs

GHI Medicare Part D Premium

UFT Welfare Fund Optional Rider Reimbursement

GHI actual monthly cost after WF: $42.21

Monthly
$105.00
($105 +$2.21 - 365 day hospitalization)

Annual
$1,286.52

Monthly
$65.00

Annual
$780

Annual Premium
$506.52 (Pre-Med PART D cost was $2,214.36)

 

2013 NYC Enhanced Medicare Part D - GHI

After $4,550 in member out of pocket costs
[$3,987 + $563]

Unlimited drugs with co-payment which is the greater of 5% or $2.65 generic & multi source brand – all others are $6.60

$2,251 - $8,895.83 (drug cost)
[60% = $3,987]

Member pays 60% of drug cost

(Health Care Reform Act reduces the brand to 30% effective January 1, 2011)

$0 - $2,250 (drug cost)
[25% = $563]

Member pays 25% of drug cost

Deductible

$0

Premium $107.21 monthly / $1,286.52 annually $42.21 actual monthly with the WF reimbursement

 

2013 HIP Med D Plan Costs

HIP VIP Medicare Part D Premium

UFT Welfare Fund Optional Rider Reimbursement

HIP Actual monthly cost after WF
$38.59

Monthly
$103.59

Annual
$1,243.08

Monthly
$65.00

Annual
$780.00

Annual Premium
$463.08 (Pre-Medicare Part D cost was $1,532.40)

 

2013 NYC Medicare Part D – HIP

After $4,550 in member out of pocket costs

Unlimited drugs with co-payments which is the greater of  $2.55 per generic prescription or $6.35 co-pay per brand presecription or 5% co-insurance.

Includes the Donut Hole

Member pays co-pays or co-insurance

$0 - $4,550 (drug cost)

Preferred Retail (30 Day Supply)
$10 formulary generic, $15 formulary brand
50% co-insurance for non-formulary generic/brand
25% co-insurance for specialty formulary generic/brand

Mail Order (90 Days)
$15 formulary generic, $22.50 formulary brand
50% co-insurance non-formulary generic/brand
25% co-insurance for Specialty Formulary Gen/Brand

Deductible $0
Premium $103.59 monthly / $1,243.08 annually

$38.59 actual monthly with the $65 Welfare Fund optional rider reimbursement

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