| Chart 4 | ||||||||||
| Global Plan Rx Copayments and Monthly Doctor Visit: Months to Cap and Monthly % of Income | ||||||||||
| Monthly | Monthly | Monthly | Months to | |||||||
| RX | MD | total | hit cap | Cap out? | % SSI | % K-TAP | % Median | SSI/Med | K-TAP/Med | |
| 1 G | 5 | 2 | 7 | 32 | No | 1.2% | 2.7% | 0.2% | $33 | $77 |
| 2 G | 10 | 2 | 12 | 19 | No | 2.0% | 4.6% | 0.3% | $57 | $131 |
| 3 G | 15 | 2 | 17 | 13 | No | 2.8% | 6.5% | 0.5% | $81 | $186 |
| 4 G | 20 | 2 | 22 | 10 | Yes | 3.6% | 8.4% | 0.7% | $104 | $240 |
| 5 G | 25 | 2 | 27 | 8 | Yes | 4.5% | 10.3% | 0.9% | $128 | $295 |
| 6 G | 30 | 2 | 32 | 7 | Yes | 5.3% | 12.2% | 1.0% | $152 | $350 |
| 1 G 1 PB | 15 | 2 | 17 | 13 | No | 2.8% | 6.5% | 0.5% | $81 | $186 |
| 2 G 1 PB | 20 | 2 | 22 | 10 | Yes | 3.6% | 8.4% | 0.7% | $104 | $240 |
| 3 G 1 PB | 25 | 2 | 27 | 8 | Yes | 4.5% | 10.3% | 0.9% | $128 | $295 |
| 4 G 1 PB | 30 | 2 | 32 | 7 | Yes | 5.3% | 12.2% | 1.0% | $152 | $350 |
| 5 G 1 PB | 35 | 2 | 37 | 6 | Yes | 6.1% | 14.1% | 1.2% | $176 | $404 |
| 6 G 1 PB | 40 | 2 | 42 | 5 | Yes | 7.0% | 16.0% | 1.4% | $199 | $459 |
| 1 G 1 NPB | 20 | 2 | 22 | 10 | Yes | 3.6% | 8.4% | 0.7% | $104 | $240 |
| 2 G 1 NPB | 25 | 2 | 27 | 8 | Yes | 4.5% | 10.3% | 0.9% | $128 | $295 |
| 3 G 1 NPB | 30 | 2 | 32 | 7 | Yes | 5.3% | 12.2% | 1.0% | $152 | $350 |
| 4 G 1 NPB | 35 | 2 | 37 | 6 | Yes | 6.1% | 14.1% | 1.2% | $176 | $404 |
| 5 G 1 NPB | 40 | 2 | 42 | 5 | Yes | 7.0% | 16.0% | 1.4% | $199 | $459 |
| 6 G 1 NPB | 45 | 2 | 47 | 5 | Yes | 7.8% | 17.9% | 1.6% | $223 | $514 |
| Notes | ||||||||||
| G = Generic | PB = Preferred Brand Name | NPB = Non-Preferred Brand Name | ||||||||
| Percentages are of monthly benefits or income | ||||||||||
| SSI/Med applies SSI percentage of income to median income | ||||||||||
| K-TAP/Med applies K-TAP percentage of income to median income | ||||||||||
| Observations | ||||||||||
| SSI recipients would spend as much as 3.6% of benefits each month and only "cap out" in the last two months of the year | ||||||||||
| For K-TAP recipients the equivalent figure is 8.4% of income | ||||||||||
| SSI recipients could spend as much as 6.1% of income on Rx alone for 6 months before capping out | ||||||||||
| For K-TAP recipients the equivalent figure is 14.1% of income | ||||||||||
| If a median income consumer were charged the same % of income as the SSI 6-month cap out the total would be at least $176 a month | ||||||||||
| If a median income consumer were charged the same % of income as the K-TAP 6-month cap out the total would be at least $404 a month | ||||||||||
| Combined Rx and doctor visit copayments will be a much higher percentage of income for K-TAP parents | ||||||||||