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PDP-Facts: 2014 Medicare Part D Plan Facts-
    Region (State) and National

Select a state to review the 2014 Medicare Prescription Drug Plan Statistics per State.
AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS
MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY
National Statistics:   2015 | 2014 | 2013 | 2012 | 2011 | 2010 | 2009 | 2008

: : Charts & Figures   : : Summarized in Plain Text   : : Print Version
2014 New Jersey Medicare Part D Plan Statistics*
CMS Region 4 includes (NJ)
Statistic 2014 Change 14-13 2013 Change 13-12 2012
Total Number of Part D Drug Plans
View list of National Providers
34 5 29 -1 30
Nbr of Enhanced (EA) Plans 17 3 14 0 14
Nbr of Basic (BA, DS, AE) Plans 17 2 15 -1 16

Nbr of $0 Deductible Plans 16 3 13 -2 15
Lowest Premium for a $0 Ded. Plan $25.00 $-4.1 $29.10 $1.6 $27.50
Percent $0 Deductible Plans 47% 2% 45% -5% 50%

Nbr of Plans with a Premium < $25 2 0 2 1 1
Percent Plans with a Premium < $25 6% -1% 7% 4% 3%

Lowest Cost PDP Plan (Premium)
View details of Lowest Cost Plan(s)
$12.60 $-2.40 $15.00 $-0.10 $15.10
Highest Cost PDP Plan (Premium)
View details of Highest Cost Plan(s)
$139.50 $22.80 $116.70 $3.80 $112.90
Average PDP Plan Premium (Cost) $55.05 $1.16 $53.89 $-2.58 $56.47
% Change in Avg. PDP Plan Costs -- 2% -- -5% --
Avg. Weighted PDP Plan Premium** $45.71 $5.45 $40.26 $1.11 $39.15
% Change Weighted Avg. PDP Costs** -- 14% -- 3% --

Number of PDP Plans with Any Gap Coverage in the Gap (Donut Hole) 8 -1 9 2 7
Percent of PDP Plans with Any Gap Coverage 24% -7% 31% 8% 23%
Lowest Cost Plan with Any Gap Coverage
View coverage type / premium details
$47.20 $3.10 $44.10 $-21.00 $65.10

Total Beneficiaries with LIS 227,777 227,777
LIS Benchmark Premium $37.10 $0.06 $37.04
Total Nbr of LIS Qualified Plans 12 2 10 1 9

Premium Changes for Persons Staying in their Current Plan View premium detail chart
Nbr of Plans with Premium Decrease 6 -2 8 -2 10
Nbr of Plans with No Premium Change 2 1 1 -1 2
Nbr of Plans with Premium Increase 16 -3 19 5 14
% of People with a Premium Increase 81% -16% 97% 36% 61%
Weighted Average Increase for People with a Premium Increase $6.98 $4.27 $2.71 $-1.64 $4.35
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 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.

: : Details of the 2014 CMS Standard Plan including cost sharing, LIS benchmarks, etc.

2014 Premium Changes for Persons Staying in their 2013 Plan
Premium Change Range Total number of Plans in this Change Range
$-11 to $-7 * -- total: 1 plan
$-6 to $-2 * * * -- total: 3 plans
$-1 to $3 * * * * -- total: 4 plans
$4 to $8 * * * * * * -- total: 6 plans
$9 to $13 * * * * * * -- total: 6 plans
$14 to $18 * * -- total: 2 plans
$19 to $23 * -- total: 1 plan
$24 to $28 0 plans
            : : Click to see change details on a per plan basis

Details for the Min. and Max. Premium Plans in 2014
H/LStatePlan NamePrem.Ded.Gap CoverageBenefit Type
LowNJHumana Walmart Rx Plan (PDP)$12.60$310.00No Gap CoverageEnhanced
HighNJSilverScript Plus (PDP)$139.50$0.00Many Generics, Some BrandsEnhanced
            : : Click to see 2014 Part D Plan details for New Jersey.
            The chart above shows the details of the least expensive and most expensive
            plans available for 2014.

Min. and Max. Premium Plans in 2013 and how the plan changes in 2014
H/LYearStatePlan NamePrem.Ded.Gap CoverageBenefit Type
Low2013NJAARP MedicareRx Saver Plus (PDP)$15.00$325.00No Gap CoverageBasic
  2014NJAARP MedicareRx Saver Plus (PDP)$25.50$310.00No Gap CoverageBasic

High2013NJHumana Complete (PDP)$116.70$0.00Some Generics and Some BrandsEnhanced
  2014NJMembers will be assigned to Humana Enhanced (PDP) S5884-062$0.00$0.00----

            : : Click to see change details for all plans in New Jersey.
            The chart above details the least (and most) expensive plan in 2013 and
            plan features and costs should you stay in the same plan in 2014.

Gap Coverage Types and Minimum Premium for 2014 Part D Plans
2014 Gap Coverage Details
Gap Coverage TypeNbr.
Plans
Min.
Prem.
No Gap Coverage26$12.60
Few Brands1$47.20
Call Plan for details1$58.60
Many Generics1$101.00
Some Generics, Some Brands2$102.60
Many Generics, Some Brands2$103.00
Few Generics1$138.50
2013 Gap Coverage Details
Gap Coverage TypeNbr.
Plans
Min.
Prem.
No Gap Coverage20$15.00
Many Generics2$44.10
Some Generics2$54.00
Some Generics and Some Brands3$92.30
Many Generics and Some Brands2$105.90
               Notes: Click the Gap Coverage Type above to see plan details for 2014 New Jersey plans.


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).


2014 New Jersey $0 Premium LIS Qualified Part D Plans
2014 LIS Qualifying Plans
Plan NamePlan ID
AARP MedicareRx Saver Plus (PDP)S5921-349
Aetna CVS/pharmacy Prescription Drug Plan (PDP)S5810-038
EnvisionRxPlus Silver (PDP)S7694-004
Express Scripts Medicare - Value (PDP)S5660-106
HealthMarkets Value Rx (PDP)S0128-005
Humana Preferred Rx Plan (PDP)S5884-131
SilverScript Basic (PDP)S5601-8
SmartD Rx Saver (PDP)S0064-4
Symphonix Rite Aid Value Rx (PDP)S0522-004
Transamerica MedicareRx Classic (PDP)S9579-003
United American - Select (PDP)S5755-075
WellCare Classic (PDP)S5967-141
2013 LIS Qualifying Plans
Plan NamePlan ID
AARP MedicareRx Saver Plus (PDP)S5921-349
Aetna CVS/pharmacy Prescription Drug Plan (PDP)S5810-038
EnvisionRxPlus Silver (PDP)S7694-004
Express Scripts Medicare - Value (PDP)S5660-106
Humana Walmart-Preferred Rx Plan (PDP)S5884-131
Reader's Digest Value Rx (PDP)S0128-005
SilverScript Basic (PDP)S5601-008
SmartD Rx Saver (PDP)S0064-004
United American - Select (PDP)S5755-075
WellCare Classic (PDP)S5967-141
               Note: Click heading above to see details of LIS qualifying plans in New Jersey.
               Please note, not all plans are available in every state.

List of National PDP Providers with Plans available in New Jersey
2014 National PDP Providers
Aetna Medicare
Cigna Medicare Rx
Cigna-HealthSpring
EnvisionRx Plus
Express Scripts Medicare
First Health Part D
HealthMarkets Medicare
Humana Insurance Company
MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT OF NE
SILVERSCRIPT INSURANCE COMPANY
UniCare
United American Insurance Company
UnitedHealthcare
2013 National PDP Providers
Aetna Medicare
Cigna Medicare Rx
EnvisionRx Plus
Express Scripts Medicare
First Health Part D
HealthMarkets Medicare
HealthSpring Prescription Drug Plan
Humana Insurance Company
SilverScript
SmartD Rx
UniCare
United American Insurance Company
UnitedHealthcare
               Note: Click heading above to see PDP plans and details for New Jersey.


: : Charts & Figures   : : Summarized in Plain Text   : : Print Version

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