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2015 National Medicare Part D Plan Statistics*
and Averages per Region
| Statistic |
2015 |
Change 15-14 |
2014 |
Change 14-13 |
2013 |
| Total Number of Part D Drug Plans | 1001 |
-168 |
1169 |
124 |
1045 |
| Average Nbr of Part D Plans per Region |
29 |
-5 |
34 |
3 |
31 |
| Nbr of Enhanced (EA) Plans |
547 |
-37 |
584 |
72 |
512 |
| Avg. Enhanced Plans per Region |
16 |
-1 |
17 |
2 |
15 |
| Nbr of Basic (BA, DS, AE) Plans |
454 |
-131 |
585 |
52 |
533 |
| Avg. Nbr of Basic Plans per Region |
13 |
-4 |
17 |
1 |
16 |
|
| Nbr of $0 Deductible Plans |
420 |
-133 |
553 |
87 |
466 |
| Avg. Nbr of $0 Ded. Plans per Region |
12 |
-4 |
16 |
2 |
14 |
| Percent $0 Deductible Plans |
42% |
-5% |
47% |
2% |
45% |
|
| Nbr of Plans with a Premium < $25 |
105 |
-36 |
141 |
68 |
73 |
| Avg Nbr of Plans - Premium < $25 |
3 |
-1 |
4 |
2 |
2 |
| Percent Plans with a Premium under $25 |
10% |
-2% |
12% |
5% |
7% |
|
| Lowest Cost PDP Plan (Premium) | $12.60 |
$0.10 |
$12.50 |
$-2.50 |
$15.00 |
| Highest Cost PDP Plan (Premium) | $171.90 |
$-2.80 |
$174.70 |
$9.30 |
$165.40 |
| Average PDP Plan Premium (Cost) |
$53.14 |
$-0.66 |
$53.80 |
$0.54 |
$53.26 |
| % Change in Avg. PDP Plan Costs |
-- |
-1% |
-- |
1% |
-- |
| Avg. Weighted PDP Plan Premium** |
$36.75 |
$-0.33 |
$37.08 |
$-1.13 |
$38.21 |
| % Change Weighted Avg. PDP Costs** |
-- |
-1% |
-- |
-3% |
-- |
|
| Number of PDP Plans with Any Gap Coverage in the Gap (Donut Hole) |
261 |
-17 |
278 |
-69 |
347 |
| Percent of PDP Plans with Any Gap Coverage |
26% |
2% |
24% |
-9% |
33% |
Lowest Cost Plan with Any Gap Coverage
View coverage type / premium details |
$47.80 |
$6.80 |
$41.00 |
$7.00 |
$34.00 |
|
Number of LIS PDP Plans
View List of LIS Qualified Plans | 283 |
-69 |
352 |
20 |
332 |
Nbr of Unique LIS Qualified Plans
View List of LIS Qualified Plans |
19 |
-7 |
26 |
2 |
24 |
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| Premium Changes for Persons Staying in their Current Plan View premium detail chart |
| Nbr of Plans with Premium Decrease |
350 |
-10 |
360 |
52 |
308 |
| Nbr of Plans with No Premium Change |
30 |
9 |
21 |
-2 |
23 |
| Nbr of Plans with Premium Increase |
495 |
106 |
389 |
-169 |
558 |
| % of People with a Premium Increase |
71% |
9% |
62% |
-7% |
69% |
| Weighted Average Increase for People with a Premium Increase |
$6.63 |
$0.88 |
$5.75 |
$2.17 |
$3.58 |
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Note: *Stand-alone Medicare Prescription Drug Plans (PDP)s only. Data for MA-PD plans not included. Sanctioned plans are included in this data. 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)
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| Details for the Min. and Max. Premium Plans in 2015 |
| H/L | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
|---|
| Low | NM | SilverScript Choice (PDP) | $12.60 | $0.00 | No Gap Coverage | Basic |
| High | FL | BlueMedicare Rx-Option 2 (PDP) | $171.90 | $0.00 | Yes | Enhanced | |
| |
| The chart above shows the details of the least expensive and most |
expensive plans available for 2015.
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| Min. and Max. Premium Plans in 2014 and how the plan changes in 2015 |
| H/L | Year | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
|---|
| Low | 2014 | AK | Humana Walmart Rx Plan (PDP) | $12.50 | $310.00 | No Gap Coverage | Enhanced |
| | 2015 | AK | Humana Walmart Rx Plan (PDP) | $15.60 | $320.00 | No Gap Coverage | Enhanced |
|
| High | 2014 | FL | BlueMedicare Rx-Option 2 (PDP) | $174.70 | $0.00 | Many Generics | Enhanced |
| | 2015 | FL | BlueMedicare Rx-Option 2 (PDP) | $171.90 | $0.00 | Yes | Enhanced | |
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| The chart above details the least (and most) expensive plan in 2014 and |
plan features and costs should you stay in the same plan in 2015.
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| Gap Coverage Types and Minimum Premium for 2015 Part D Plans |
| 2015 Gap Coverage Details |
|---|
| Gap Coverage Type | Number
of Plans | Minimum
Premium |
|---|
| No Gap Coverage | 740 | $12.60 |
| Yes | 261 | $47.80 |
|
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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 Part D Plans |
| 2015 LIS Qualifying Plans |
|---|
| Plan Name | Plan ID |
|---|
| AARP MedicareRx Saver Plus (PDP) | S5921 |
| Aetna Medicare Rx Saver (PDP) | S5810 |
| Blue Cross MedicareRx Basic (PDP) | S5715 |
| Blue MedicareRx Value (PDP) | S6506 |
| Cigna-HealthSpring Rx Secure (PDP) | S5617 |
| Colorado Access Vista Medicare PDP (PDP) | S0962 |
| EnvisionRxPlus Silver (PDP) | S7694 |
| Express Scripts Medicare - Value (PDP) | S5983 |
| Express Scripts Medicare - Value (PDP) | S5660 |
| Humana Preferred Rx Plan (PDP) | S5884 |
| Humana Preferred Rx Plan (PDP) | S5552 |
| SilverScript Choice (PDP) | S5601 |
| SmartD Rx Saver (PDP) | S0064 |
| Symphonix Rite Aid Value Rx (PDP) | S0522 |
| Transamerica MedicareRx Classic (PDP) | S9579 |
| United American - Select (PDP) | S5755 |
| WellCare Classic (PDP) | S5967 |
| WellCare Simple (PDP) | S4802 |
| WellCare Simple (PDP) | S2505 |
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| 2014 LIS Qualifying Plans |
|---|
| Plan Name | Plan ID |
|---|
| AARP MedicareRx Saver Plus (PDP) | S5921 |
| Advantage-Plus Meridian (PDP) | S7610 |
| Advantage-Plus Meridian (PDP) | S7230 |
| Aetna CVS/pharmacy Prescription Drug Plan (PDP) | S5810 |
| Blue Cross MedicareRx Basic (PDP) | S5715 |
| Blue MedicareRx Standard (PDP) | S5596 |
| Blue MedicareRx Value (PDP) | S5726 |
| Blue MedicareRx Value (PDP) | S6506 |
| Cigna Medicare Rx Secure (PDP) | S5617 |
| Cigna-HealthSpring Rx -Reg12 (PDP) | S5932 |
| EnvisionRxPlus Silver (PDP) | S7694 |
| Express Scripts Medicare - Value (PDP) | S5660 |
| Express Scripts Medicare - Value (PDP) | S5983 |
| First Health Part D Essentials (PDP) | S5768 |
| HealthMarkets Value Rx (PDP) | S0128 |
| Humana Preferred Rx Plan (PDP) | S5884 |
| Humana Preferred Rx Plan (PDP) | S5552 |
| SecureAdvantage Rx - Option 1 (PDP) | S9014 |
| SilverScript Basic (PDP) | S5601 |
| SmartD Rx Saver (PDP) | S0064 |
| Symphonix Value Rx (PDP) | S0522 |
| Transamerica MedicareRx Classic (PDP) | S9579 |
| United American - Select (PDP) | S5755 |
| WellCare Classic (PDP) | S5967 |
| Windsor Rx (PDP) | S2505 |
| Windsor Rx (PDP) | S4802 |
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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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