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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 prescription 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