| : : Charts & Figures : : Print Version |
2012 National Medicare Part D Plan Statistics*
and Averages per Region |
| Statistic |
2012 |
Change 12-11 |
2011 |
Change 11-10 |
2010 |
| Total Number of Part D Drug Plans | 1041 |
-68 |
1109 |
-467 |
1576 |
| Average Nbr of Part D Plans per Region |
31 |
-2 |
33 |
-13 |
46 |
| Nbr of Enhanced (EA) Plans |
500 |
-2 |
502 |
-293 |
795 |
| Avg. Enhanced Plans per Region |
15 |
0 |
15 |
-8 |
23 |
| Nbr of Basic (BA, DS, AE) Plans |
541 |
-66 |
607 |
-174 |
781 |
| Avg. Nbr of Basic Plans per Region |
16 |
-2 |
18 |
-5 |
23 |
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| Nbr of $0 Deductible Plans |
488 |
24 |
464 |
-165 |
629 |
| Avg. Nbr of $0 Ded. Plans per Region |
14 |
0 |
14 |
-5 |
19 |
| Percent $0 Deductible Plans |
47% |
5% |
42% |
2% |
40% |
| | Nbr of Plans with a Premium < $25 |
60 |
11 |
49 |
-42 |
91 |
| Avg Nbr of Plans - Premium < $25 |
2 |
1 |
1 |
-2 |
3 |
| Percent Plans with a Premium < $25 |
6% |
2% |
4% |
-2% |
6% |
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| Lowest Cost PDP Plan (Premium) | $15.10 |
$0.30 |
$14.80 |
$6.00 |
$8.80 |
| Highest Cost PDP Plan (Premium) | $131.80 |
$-1.60 |
$133.40 |
$13.20 |
$120.20 |
| Average PDP Plan Premium (Cost) |
$53.99 |
$-1.37 |
$55.36 |
$8.78 |
$46.58 |
| % Change in Avg. PDP Plan Costs |
-- |
-2% |
-- |
19% |
-- |
| Avg. Weighted PDP Plan Premium** |
$39.62 |
$1.40 |
$38.22 |
$1.32 |
$36.90 |
| % Change Weighted Avg. PDP Costs** |
-- |
4% |
-- |
4% |
-- |
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| Number of PDP Plans with Any Gap Coverage in the Gap (Donut Hole) |
270 |
-129 |
399 |
91 |
308 |
| Percent of PDP Plans with Any Gap Coverage |
26% |
-10% |
36% |
16% |
20% |
Lowest Cost Plan with Any Gap Coverage
View coverage type / premium details |
$54.50 |
$21.60 |
$32.90 |
$-7.50 |
$40.40 |
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Number of LIS PDP Plans
View List of LIS Qualified Plans | 327 |
12 |
315 |
27 |
288 |
Nbr of Unique LIS Qualified Plans
View List of LIS Qualified Plans |
23 |
-1 |
24 |
-6 |
30 |
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| Premium Changes for Persons Staying in their Current Plan View premium detail chart |
| Nbr of Plans with Premium Decrease |
369 |
132 |
237 |
-206 |
443 |
| Nbr of Plans with No Premium Change |
138 |
94 |
44 |
-14 |
58 |
| Nbr of Plans with Premium Increase |
420 |
-377 |
797 |
-313 |
1110 |
| % of People with a Premium Increase |
55% |
-10% |
65% |
-16% |
81% |
| Weighted Average Increase for People with a Premium Increase |
$4.99 |
$-2.31 |
$7.30 |
$1.82 |
$5.48 |
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Note: *Stand-alone Medicare Prescription Drug Plans (PDP)s only. Data for MA-PD plans not included. The data for the sanctioned Aetna plans is NOT included on this page The data is calculated per region. For example. A plan which is avalilable in CMS Region 6 which includes PA and WV is counted once, not twice.
**The plan premium weighted averages are calculated by multiplying the plan premium by the number of enrollees in the plan to give more "weight" to plans with more members.
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Links above will take you to examples for California (or select your state once in PDP-Finder or PDP-Compare)
: : Details of the 2012 CMS Standard Plan including cost sharing, LIS benchmarks, etc.
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| Details for the Min. and Max. Premium Plans in 2012 |
| H/L | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type | | Low | WI | Humana Walmart-Preferred Rx Plan (PDP) | $15.10 | $320.00 | No Gap Coverage | Basic | | High | DC DE MD | BlueRx Enhanced (PDP) | $131.80 | $0.00 | Many Generics | Enhanced |
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| : : Click to see 2012 Part D Plan details for California or choose your state. |
| The chart above shows the details of the least expensive and most expensive |
plans available for 2012.
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| Min. and Max. Premium Plans in 2011 and their change in 2012 |
| H/L | Year | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type | | Low | 2011 | WI | Humana Walmart-Preferred Rx Plan (PDP) | $14.80 | $310.00 | No Gap Coverage | Basic | | Low | 2012 | WI | Humana Walmart-Preferred Rx Plan (PDP) | $15.10 | $320.00 | No Gap Coverage | Basic |
| | High | 2011 | DC DE MD | BlueRx Enhanced (PDP) | $133.40 | $0.00 | All Generics | Enhanced | | High | 2012 | DC DE MD | BlueRx Enhanced (PDP) | $131.80 | $0.00 | Many Generics | Enhanced |
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| : : Click to see change details for all plans in California or choose your state. |
| The chart above details the least (and most) expensive plan in 2011 and |
plan features and costs should you stay in the same plan in 2012.
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| Gap Coverage Types and Minimum Premium for 2012 Part D Plans |
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Notes: Click the Gap Coverage Type above to see plan details in California
or choose your state. |
Gap coverage descriptions apply to formulary drugs only. The Healthcare Reform provides that for Plan Year 2012, ALL formulary generics will have at least a 14% discount and ALL brand drugs will have at least a 50% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. The percentage of "Generic" and "Brand" drugs covered in the gap are each separately calculated and the following descriptions are used:
- "All": 100% of formulary drugs of this type (generic or brand as noted) are covered through the gap. Ex: "All Generics". A label of "All Formulary Drugs" is applied for plans that cover 100% of "generic" and 100% of "brand" products (either by covering all formulary drug products in the gap or by having no initial coverage limit),
- "Many": >=65% to <100% of formulary drugs of this type (generic or brand as noted) are covered through the gap. Ex: "Many Generics",
- "Some": >=10% to <65 % of formulary drugs of this type (generic or brand as noted) are covered through the gap. Ex: "Some Generics",
- "Few": >0% to <10% of formulary drugs of this type (generic or brand as noted) are covered through the gap (and must also be >15 products covered through the gap),
- "No Gap Coverage": 0% of drugs are covered through the gap (or <=15 products covered through the gap).
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| $0 Premium LIS Qualified 2012 Part D Plans |
| 2012 LIS Qualifying Plans | | Plan Name | Plan ID | | AARP MedicareRx Preferred (PDP) | S5805 | | AARP MedicareRx Preferred (PDP) | S5820 | | Aetna CVS/pharmacy Prescription Drug Plan (PDP) | S5810 | | Blue MedicareRx Standard (PDP) | S5596 | | BravoRx (PDP) | S5998 | | CIGNA Medicare Rx Plan One (PDP) | S5617 | | Community CCRx Basic (PDP) | S5825 | | Community CCRx Basic (PDP) | S5803 | | CVS Caremark Value (PDP) | S5601 | | EnvisionRxPlus Silver (PDP) | S7694 | | First Health Part D Premier (PDP) | S5768 | | First United American - Select (PDP) | S5580 | | Health Net Orange Option 1 (PDP) | S5678 | | HealthSpring Prescription Drug Plan -Reg12 (PDP) | S5932 | | Humana Walmart-Preferred Rx Plan (PDP) | S5884 | | Humana Walmart-Preferred Rx Plan (PDP) | S5552 | | Medco Medicare Prescription Plan - Value (PDP) | S5660 | | Medco Medicare Prescription Plan - Value (PDP) | S5983 | | MedicareRx Rewards Standard (PDP) | S5960 | | United American - Select (PDP) | S5755 | | WellCare Classic (PDP) | S5967 | | Windsor Rx (PDP) | S2505 | | Windsor Rx (PDP) | S4802 |
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| 2011 LIS Qualifying Plans | | Plan Name | Plan ID | | AARP MedicareRx Preferred (PDP) | S5820 | | AARP MedicareRx Preferred (PDP) | S5805 | | Advantage Star Plan by RxAmerica (PDP) | S5644 | | AR Blue Cross - Medi-Pak Rx Basic (PDP) | S5795 | | Blue MedicareRx Standard (PDP) | S5596 | | BravoRx (PDP) | S5998 | | CIGNA Medicare Rx Plan One (PDP) | S5617 | | Community CCRx Basic (PDP) | S5803 | | Community CCRx Basic (PDP) | S5825 | | CVS Caremark Value (PDP) | S5601 | | EnvisionRxPlus Silver (PDP) | S7694 | | First Health Part D Premier (PDP) | S5768 | | Health Net Orange Option 1 (PDP) | S5678 | | HealthSpring Prescription Drug Plan -Reg12 (PDP) | S5932 | | Humana Walmart-Preferred Rx Plan (PDP) | S5552 | | Humana Walmart-Preferred Rx Plan (PDP) | S5884 | | Medco Medicare Prescription Plan - Value (PDP) | S5660 | | Medco Medicare Prescription Plan - Value (PDP) | S5983 | | MedicareBlue Rx Standard (PDP) | S5743 | | MedicareRx Rewards Standard (PDP) | S5960 | | Sterling Rx (PDP) | S4802 | | UA Medicare Part D Prescription Drug Cov (PDP) | S5755 | | WellCare Classic (PDP) | S5967 | | Windsor Rx (PDP) | S2505 |
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Note: Click heading above to see plan details in California or choose your state.
Please note, not all plans are available in every state.
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