California PHP
Find a provider, facility or Pharmacy- Plan Benefits and Costs
- Changes to Plan Benefits and Costs for 2024
- Premium, Maximum Out-of-Pocket Costs, Deductible for 2024
- Medical Benefits and Costs for 2024
- Prescription Drug Coverage and Costs for 2024
- Premium, Maximum Out-of-Pocket Costs, Deductible for 2023
- Medical Benefits and Costs for 2023
- Prescription Drug Coverage and Costs for 2023
- Medical Services
- Prescription Drugs
- Health & Wellness Benefit
- Member Materials and More
- Getting Care or Prescription Drugs During a Disaster
- Manage Your Membership
- Contact Us
- En Español
- Plan Benefits and Costs
- Changes to Plan Benefits and Costs for 2024
- Premium, Maximum Out-of-Pocket Costs, Deductible for 2024
- Medical Benefits and Costs for 2024
- Prescription Drug Coverage and Costs for 2024
- Premium, Maximum Out-of-Pocket Costs, Deductible for 2023
- Medical Benefits and Costs for 2023
- Prescription Drug Coverage and Costs for 2023
- Medical Services
- Prescription Drugs
- Health & Wellness Benefit
- Member Materials and More
- Getting Care or Prescription Drugs During a Disaster
- Manage Your Membership
- Contact Us
- En Español
Premium, Maximum Out-of-Pocket Costs, Deductible
Changes to Your Monthly Premium
Cost | 2023 (this year) | 2024 (next year) |
Monthly premium (You must continue to pay your Medicare Part B premium.) | $0 | $0 |
Your monthly plan premium will be more if you are required to pay a lifetime Part D late enrollment penalty for going without other drug coverage that is at least as good as Medicare drug coverage (also referred to as “creditable coverage”) for 63 days or more.
If you have a higher income, you may have to pay an additional amount each month directly to the government for your Medicare prescription drug coverage.
Maximum Out-of-Pocket
To protect you, Medicare requires all health plans to limit how much you pay “out-of-pocket” during the year. This limit is called the “maximum out-of-pocket amount.” Once you reach the maximum out-of-pocket amount, you generally pay nothing for covered Part A and Part B services for the rest of the year.
Cost | 2023 (this year) | 2024 (next year) |
Maximum out-of-pocket amount Your costs for covered medical services (such as copays) count toward your maximum out-of-pocket amount. Your costs for prescription drugs do not count toward your maximum out-of-pocket amount. | $5,000 | $5,000 Once you have paid $5,000 out-of-pocket for covered Part A and Part B services, you will pay nothing for your covered Part A and Part B services for the rest of the calendar year. |
Part D Deductible
Cost | 2023 (this year) | 2024 (next year) |
Part D prescription drug deductible | $505 | $475 |
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