| Global Plan Rx Copayments plus Single Non-emergency ER use as % of Monthly Income | |||||||||||
| Monthly | Non-ER | Monthly | |||||||||
| RX | ER | total | % SSI | % K-TAP | % Median | SSI/Med | K-TAP/Med | ||||
| 1 G | 5 | 30 | 35 | 5.8% | 13.4% | 1.2% | $166 | $383 | |||
| 2 G | 10 | 30 | 40 | 6.6% | 15.3% | 1.4% | $190 | $437 | |||
| 3 G | 15 | 30 | 45 | 7.5% | 17.2% | 1.6% | $214 | $492 | |||
| 4 G | 20 | 30 | 50 | 8.3% | 19.1% | 1.7% | $237 | $547 | |||
| 5 G | 25 | 30 | 55 | 9.1% | 21.0% | 1.9% | $261 | $601 | |||
| 6 G | 30 | 30 | 60 | 10.0% | 22.9% | 2.1% | $285 | $656 | |||
| 1 G 1 PB | 15 | 30 | 45 | 7.5% | 17.2% | 1.6% | $214 | $492 | |||
| 2 G 1 PB | 20 | 30 | 50 | 8.3% | 19.1% | 1.7% | $237 | $547 | |||
| 3 G 1 PB | 25 | 30 | 55 | 9.1% | 21.0% | 1.9% | $261 | $601 | |||
| 4 G 1 PB | 30 | 30 | 60 | 10.0% | 22.9% | 2.1% | $285 | $656 | |||
| 5 G 1 PB | 35 | 30 | 65 | 10.8% | 24.8% | 2.3% | $309 | $711 | |||
| 6 G 1 PB | 40 | 30 | 70 | 11.6% | 26.7% | 2.4% | $332 | $765 | |||
| 1 G 1 NPB | 20 | 30 | 50 | 8.3% | 19.1% | 1.7% | $237 | $547 | |||
| 2 G 1 NPB | 25 | 30 | 55 | 9.1% | 21.0% | 1.9% | $261 | $601 | |||
| 3 G 1 NPB | 30 | 30 | 60 | 10.0% | 22.9% | 2.1% | $285 | $656 | |||
| 4 G 1 NPB | 35 | 30 | 65 | 10.8% | 24.8% | 2.3% | $309 | $711 | |||
| 5 G 1 NPB | 40 | 30 | 70 | 11.6% | 26.7% | 2.4% | $332 | $765 | |||
| 6 G 1 NPB | 45 | 30 | 75 | 12.4% | 28.6% | 2.6% | $356 | $820 | |||
| 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 | |||||||||||
| For a K-TAP recipient with ongoing RX of 2 G and 1 PB, a non-emergency ER episode would create total cost of almost 20% of monthly income | |||||||||||
| For an aged or disabled SSI recipient, the same episode would cost 8.3% of monthly income | |||||||||||
| If median income Kentuckians were charged the same % of income, charges would be a significant proportion of the fee for service | |||||||||||