A prescription drug stage accurately described is the Catastrophic Coverage Stage, which starts when a member's out-of-pocket costs reach $2,000 for covered drugs in the calendar year. In this stage, the member pays nothing for covered drugs for the remainder of the plan year.
Explanation of Prescription Drug Stages (Medicare Part D Context)
- Deductible Stage: The member pays the full cost of prescriptions until reaching the deductible amount.
- Initial Coverage Stage: The plan pays its share, and the member pays copayments or coinsurance, continuing until out-of-pocket costs reach $2,000.
- Catastrophic Coverage Stage: Begins after reaching the $2,000 out-of-pocket threshold, where the member pays nothing for covered drugs for the rest of the year.
This description is specifically about prescription drug coverage stages under Medicare Part D and their payment structure, accurately characterizing the "Catastrophic Coverage Stage" as a prescription drug stage.
