Medicare Part C Coverage Costs | Meet Helen | Medicare Made Clear

Helen takes two drugs that cost a total of $100 a month with no drug coverage. She joins a Medicare Advantage (Part C) plan that includes drug coverage. 

Helen is careful to pick a plan that lists the drugs she takes on its formulary. Her plan premium is $35 per month. Helen pays a small co-pay each time she fills a prescription. Her co-pays total $250 for the year.

Helen's drug costs are pretty low, so she stays in the initial coverage stage. Her savings are still significant with her plan, as shown in the table below.

Item  Amount 
Annual cost with no drug coverage ($100 x 12 months)  $1,200 
Medicare Advantage (Part C) plan premium ($35 x 12 months)  $420
Initial coverage (Helen’s share)  $250 
Coverage gap  $0 
Catastrophic coverage  $0 
Total Helen pays for the year  $634 
Annual savings with drug coverage  $602

This is an example. Helen is not a real person. Dollar amounts shown are for illustration only. Actual costs depend on the specific plan. Your costs may be different.


Make Medicare work for you

There's an "I" in Medicare, and you're it. But you’re not alone.

Boost your Medicare know-how with reliable, up-to-date news and information delivered to your inbox every 2 weeks, and make your Medicare decisions with confidence.

Enter Email
Email not valid We are currently experiencing difficulties. Please check back later.

Thank You!

Thank you for signing up to receive the Medicare Made Clear newsletter. Your first issue – chock full of useful tips and information – will arrive in your inbox soon. Enjoy!