Percentage You Pay For Prescriptions In Medicare

I thought this was a nice summary which Money shared based on CMS data. It shows you what percentage of cost for your prescriptions you pay based on total dollars spent on prescriptions during that calendar year.

  • For the first $320, you pay 100% of the costs.
  • For the next $2,610, you pay 25% of the costs.
  • For the next $3,727 (the donut hole), you pay 50% of the costs for the brand drugs and 86% of the costs of the generic drugs.
  • For everything above $6,658, you pay 5% of the costs.
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