Part
D
prescription
drug
coverage
is
included
in
Kaiser
Permanente
Medicare
Advantage
plans.
When
you
order
prescription
refills
from
a
Kaiser
Permanente
pharmacy
or
online,
you
can
use
the
preferred
prescription
home
delivery
option
for
many
drugs
and
have
them
sent
to
your
home
at
no
extra
charge.
Initial
coverage
stage
You
pay
the
copays
and
coinsurance
shown
in
the
chart
below
until
your
total
yearly
drug
costs
reach
$7,050.
(Total
yearly
drug
costs
are
the
amounts
paid
by
both
you
and
any
Part
D
plan
during
a
calendar
year.)
If
you
reach
the
$7,050
limit,
you
move
on
to
the
catastrophic
stage
and
your
coverage
changes.
There
is
not
a
coverage
gap
with
the
Kaiser
Permanente
Medicare
Advantage
plan.
Prescription
Drug
Copayment
(Plan
A
with
Part
D)
Tier |
Preferred
pharmacy
(up
to
a
60-day
supply) |
Standard
pharmacy
(up
to
a
60-day
supply) |
OON
pharmacy
(up
to
a
30-day
supply)
and
LTC
pharmacy
(up
to
a
31-day
supply) |
Prescription
home
delivery
1
(up
to
a
90-day
supply) |
Tier
1
(preferred
generic) |
$15 |
$25 |
$12.50 |
$10 |
Tier
2
(generic) |
$15 |
$25 |
$12.50 |
$10 |
Tier
3
(preferred
brand) |
$15 |
$25 |
$12.50 |
$10 |
Tier
4
(non-preferred
brand) |
$15 |
$25 |
$12.50 |
$10 |
Tier
5
(specialty) |
$15 |
$25 |
$12.50 |
$10 |
Tier
6
(vaccines) |
$0 |
$0 |
$0 |
Not
available |
1
For
certain
drugs,
you
can
get
prescription
refills
mailed
to
you
through
Kaiser
Permanente
prescription
home
delivery.
You
should
receive
them
within
3-5
days.
Catastrophic
coverage
stage
After
your
yearly
out-of-pocket
drug
costs
(including
drugs
purchased
through
your
retail
pharmacy
and
through
mail
order)
reach
$7,050,
you
pay:
-
Generic
drugs
-
$2
-
Brand
drugs
-
$7.50
-
Vaccines
-
$0