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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 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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2016 Premium Changes for Persons Staying in their 2015 Plan |
Premium Change Range | Total number of Plans in this Change Range |
$-2 to $2 | * -- total: 1 plan |
$3 to $7 | * -- total: 1 plan |
$8 to $12 | * * * -- total: 3 plans | |
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Details for the Min. and Max. Premium Plans in 2016 |
H/L | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
Low | PR | Humana Preferred Rx Plan (PDP) | $6.80 | $360.00 | No Gap Coverage | Basic |
High | PR | Express Scripts Medicare - Choice (PDP) | $70.20 | $360.00 | No Gap Coverage | Enhanced | |
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The chart above shows the details of the least expensive and most |
expensive plans available for 2016.
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Min. and Max. Premium Plans in 2015 and how the plan changes in 2016 |
H/L | Year | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
Low | 2015 | PR | Humana Preferred Rx Plan (PDP) | $0.10 | $320.00 | No Gap Coverage | Basic |
| 2016 | PR | Humana Preferred Rx Plan (PDP) | $6.80 | $360.00 | No Gap Coverage | Basic |
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High | 2015 | PR | Express Scripts Medicare - Choice (PDP) | $63.50 | $50.00 | No Gap Coverage | Enhanced |
| 2016 | PR | Express Scripts Medicare - Choice (PDP) | $70.20 | $360.00 | No Gap Coverage | Enhanced | |
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The chart above details the least (and most) expensive plan in 2015 and |
plan features and costs should you stay in the same plan in 2016.
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Gap Coverage Types and Minimum Premium for 2016 Part D Plans |
2016 Gap Coverage Details |
Gap Coverage Type | Number of Plans | Minimum Premium |
No Gap Coverage | 5 | $6.80 |
Yes | 1 | $49.40 |
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2015 Gap Coverage Details |
Gap Coverage Type | Number of Plans | Minimum Premium |
No Gap Coverage | 6 | $0.10 |
Yes | 1 | $38.00 |
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Notes: Click the Gap Coverage Type above to see plan details for 2016 Puerto Rico plans. |
Gap coverage applies to formulary drugs only. The Healthcare Reform provides that for Plan Year 2016, ALL formulary generics will have at least a 42% discount and ALL brand drugs will have at least a 55% discount in the coverage gap. The Gap Coverage discussed in this section is in addition to the Healthcare Reform mandated discounts.
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2016 Puerto Rico $0 Premium LIS Qualified Part D Plans |
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Note: Click heading above to see details of LIS qualifying plans in Puerto Rico.
Please note, not all plans are available in every state.
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List of National PDP Providers with Plans available in Puerto Rico |
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Note: Click heading above to see PDP plans and details for Puerto Rico.
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