Medicare prescription drug benefit plans are complex. The cycle of coverage changes throughout the calendar year and you may go through anywhere from 1 to 4 phases of coverageThere are four phases of Medicare Part D coverage: the deductible period, initial coverage period, coverage gap – also called the donut hole, and catastrophic coverage. If you notice a change in the cost of your Medicare Part D-covered drug during the year, you likely entered a different phase of coverage.. Each phase has a different out-of-pocket cost, which means the price you pay for your medicine may change throughout the year.
About 60% of TRELEGY prescriptions cost less than $50 per month. The average cost of the remaining prescriptions is $167 per month.2
The amount you pay will depend on your prescription drug benefit plan and what phase of coverage you are in. To better understand your out-of-pocket cost, contact your Medicare Part D Plan Sponsor because they know the details of your plan and what phase of coverage you are in.
If you meet certain income requirements, you may be eligible for Medicaid in addition to Medicare and be automatically enrolled in both programs. This is called being "dual eligible." If you are "dual eligible", your co-pay for prescriptions will be a set low price.
If your income is too high to qualify as dual eligible, you can apply to receive support from the “Extra Help” program, also known as “Low-Income Subsidy.” This program can help you pay a set low co-pay for your prescriptions.
To learn more about these programs, speak with your Medicare Part D Plan Sponsor or visit www.medicare.gov/your-medicare-costs/get-help-paying-costs.
If you don't qualify for additional government assistance, there are still other cost-saving options available. GSK has programs dedicated to making your treatment more affordable. To see if you're eligible for a GSK patient assistance program, click here.