2009

2010

Deductible

$295.00

$310.00

Initial Coverage Limit

$2,700.00

$2,830.00

Out-of-Pocket Threshold

$4,350.00

$4,550.00

Total Covered Drug Spend at OOP Threshold

$6,153.75

$6,440.00

Minimum Cost-Sharing in
Catastrophic Coverage

$2.40/$6.00

$2.50/$6.30

LIS Co-payments

2009

2010

Institutionalized

$0

$0

Up to or at 100% FPL

$1.10/$3.20

$1.10/$3.30

Other LIS

$2.40/$6.00

$2.50/$6.30

Partial LIS Deductible/Cost-Sharing

$60/15%

$62/15%