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2015 New Hampshire Medicare Part D Prescription Drug Plans

New Hampshire State Flag .
Featured New Hampshire PDP & MAPD Plans:
:: NH’s Lowest Cost Medicare Advantage Plan (Health & Drugs): $0.00
:: Lowest Cost Medicare Part D Drug Plan (PDP) in New Hampshire
:: Lowest Cost Drug Plan (PDP) in New Hampshire with a $0 Deductible
:: New Hampshire Medicare Part D plans qualifiying for the $0 LIS monthly premium

Click on one of these links for further help finding a plan:
:: Click here to see all New Hampshire national and regional Medicare Part D (PDP) plan details
    (copays/ coinsurance, plan ratings, enrollment figures, etc. in a separate window)

:: Browse the 2015 New Hampshire Medicare Advantage Plans (MA, MAPD & SNP)
:: Click here to compare 2015 New Hampshire plan details with the 2014 plans
:: Click here to show 2015 Medicare Part D plans for a different state


Click on the Enroll icon or plan name in the chart below for enrollment options.

2015 New Hampshire Stand-Alone Prescription Drug Plan Highlights
CMS PDP Region 1

Print Version |  Medicare Advantage Plans
  PDP Plan Archive:  2014 |  2013 |  2012 |  2011 |  2010 |  2009 |  2008 |  2007 |  2006
Plan Name
Plan ID
Monthly
Prem.
Dedu-
ctible
(Donut Hole)
Gap
Coverage
Preferred Pharmacy
Copay/Coinsurance
30-Day Supply
Total Formulary Drugs
Lowest Premium Medicare Part D Plan (PDP) in New Hampshire
Click here to see all NH PDPs...
Humana Walmart Rx Plan (PDP)
S5884-148



        
$15.60 $320 No Gap CoveragePreferred Generic: $1.00
Non-Preferred Generic: $4.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
3358

Browse Formulary
! Non-preferred network pharmacies have higher cost-sharing. Click for details:
Lowest Premium $0 Deductible NH Prescription Drug Plan (PDP)
Click here to see all New Hampshire $0 deductible PDP plans by premium lowest to highest...
SilverScript Choice (PDP)
S5601-002



        
$24.00 $0 No Gap CoverageGeneric: $7.00
Preferred Brand: $38.00
Non-Preferred Brand: 43%
Specialty Tier: 33%
3020

Browse Formulary
 
Five (5) Most Popular Medicare Part D Plans (PDP) in New Hampshire
Click here to see all New Hampshire PDP plans by popularity...
Plan Name
Plan ID
Monthly
Prem.
Dedu-
ctible
Gap
Coverage
Preferred Pharmacy
Copay/Coinsurance
State Members
AARP MedicareRx Preferred (PDP)
S5820-000



        
$37.00 $0 No Gap CoveragePreferred Generic: $2.00
Non-Preferred Generic: $5.00
Preferred Brand: $37.00
Non-Preferred Brand: $85.00
Specialty Tier: 33%
91,445

Browse Formulary
! Non-preferred network pharmacies have higher cost-sharing. Click for details:
WellCare Classic (PDP)
S5967-000



        
$29.40 $320 No Gap CoveragePreferred Generic: $0.00
Non-Preferred Generic: $2.00
Preferred Brand: $39.00
Non-Preferred Brand: $89.00
Specialty Tier: 25%
41,451

Browse Formulary
! Non-preferred network pharmacies have higher cost-sharing. Click for details:
Cigna-HealthSpring Rx Secure (PDP)
S5617-000



        
$28.60 $320 No Gap CoveragePreferred Generic: $1.00
Non-Preferred Generic: $4.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
21,297

Browse Formulary
! Non-preferred network pharmacies have higher cost-sharing. Click for details:
Humana Walmart Rx Plan (PDP)
S5884-000



        
$15.60 $320 No Gap CoveragePreferred Generic: $1.00
Non-Preferred Generic: $4.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
17,760

Browse Formulary
! Non-preferred network pharmacies have higher cost-sharing. Click for details:
SilverScript Choice (PDP)
S5601-000



        
$24.00 $0 No Gap CoverageGeneric: $7.00
Preferred Brand: $38.00
Non-Preferred Brand: 43%
Specialty Tier: 33%
16,233

Browse Formulary
 
New Hampshire Medicare Prescription Drug Plans (PDP) Under $30
Click here for all NH Medicare Prescription Drug plans...
Plan Name
Plan ID
Monthly
Prem.
Dedu-
ctible
Gap
Coverage
Preferred Pharmacy
Copay/Coinsurance
Total Drugs
Humana Walmart Rx Plan (PDP)
S5884-148



        
$15.60 $320 No Gap CoveragePreferred Generic: $1.00
Non-Preferred Generic: $4.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
3358

Browse Formulary
! Non-preferred network pharmacies have higher cost-sharing. Click for details:
Aetna Medicare Rx Saver (PDP)
S5810-035



        
$22.80 $320 No Gap CoveragePreferred Generic: $0.00
Non-Preferred Generic: $3.00
Preferred Brand: $45.00
Non-Preferred Brand: 36%
Specialty Tier: 25%
2956

Browse Formulary
! Non-preferred network pharmacies have higher cost-sharing. Click for details:
United American - Essential (PDP)
S5755-107



        
$23.60 $230 No Gap CoveragePreferred Generic: $0.00
Non-Preferred Generic: $3.00
Preferred Brand: $35.00
Non-Preferred Brand: 40%
Specialty Tier: 27%
3047

Browse Formulary
! Non-preferred network pharmacies have higher cost-sharing. Click for details:
SilverScript Choice (PDP)
S5601-002



        
$24.00 $0 No Gap CoverageGeneric: $7.00
Preferred Brand: $38.00
Non-Preferred Brand: 43%
Specialty Tier: 33%
3020

Browse Formulary
 
Humana Preferred Rx Plan (PDP)
S5884-101



        
$25.90 $320 No Gap CoveragePreferred Generic: $1.00
Non-Preferred Generic: $2.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
3235

Browse Formulary
! Non-preferred network pharmacies have higher cost-sharing. Click for details:
AARP MedicareRx Saver Plus (PDP)
S5921-378



        
$25.90 $320 No Gap CoveragePreferred Generic: $1.00
Non-Preferred Generic: $2.00
Preferred Brand: $20.00
Non-Preferred Brand: $35.00
Specialty Tier: 25%
3403

Browse Formulary
! Non-preferred network pharmacies have higher cost-sharing. Click for details:
EnvisionRxPlus Silver (PDP)
S7694-001



        
$27.70 $320 No Gap CoveragePreferred Generic: $2.00
Preferred Brand: 15%
Non-Preferred Brand: 37%
Specialty Tier: 25%
2918

Browse Formulary
! Non-preferred network pharmacies have higher cost-sharing. Click for details:
Symphonix Rite Aid Value Rx (PDP)
S0522-002



        
$27.80 $320 No Gap CoveragePreferred Generic: $1.00
Non-Preferred Generic: $4.00
Preferred Brand: $25.00
Non-Preferred Brand: $70.00
Specialty Tier: 25%
3429

Browse Formulary
! Non-preferred network pharmacies have higher cost-sharing. Click for details:
Cigna-HealthSpring Rx Secure (PDP)
S5617-003



        
$28.60 $320 No Gap CoveragePreferred Generic: $1.00
Non-Preferred Generic: $4.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
3251

Browse Formulary
! Non-preferred network pharmacies have higher cost-sharing. Click for details:
SmartD Rx Saver (PDP)
S0064-001



        
$29.10 $320 No Gap CoveragePreferred Generic: $0.00
Non-Preferred Generic: $3.00
Preferred Brand: 23%
Non-Preferred Brand: 38%
Specialty Tier: 25%
3296

Browse Formulary
! Non-preferred network pharmacies have higher cost-sharing. Click for details:
WellCare Classic (PDP)
S5967-138



        
$29.40 $320 No Gap CoveragePreferred Generic: $0.00
Non-Preferred Generic: $2.00
Preferred Brand: $39.00
Non-Preferred Brand: $89.00
Specialty Tier: 25%
3068

Browse Formulary
! Non-preferred network pharmacies have higher cost-sharing. Click for details:

A few notes to help with the understanding of the 2015 Medicare Part D Plan chart above.
  • Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS)
  • Plan ID: This is the unique id for this particular plan.
  • Deductible: This is the $320 deductible that was presented in the CMS Standard Plan. Many provider’s plans do not have a deductible, however the premium may be higher.
  • Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3720 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2015, ALL formulary generics will have at least a 35% discount and ALL brand drugs will have at least a 55% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
    • No Gap Coverage: you must pay the $3720;
    • Yes: This plan offers some level of gap coverage.
  • Number of Formulary Drugs: This is the total number of drugs on the plan's formulary (drug list).
  • Members in this State: The number of members currently enrolled in the plan.



(Chart Source: Centers for Medicare and Medicaid file 2015LandscapeSource file PDP.xls)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information. Through the application process we will provide you with the most up-to-the-minute information/pricing.


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Last updated on: 09/19/2014

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Quick Links
: : Sign-up for our Medicare Part D Newsletter.
: : 2015 PDP-Finder: Medicare Part D (Drug Only) Plan Finder
: : PDP-Compare: 2014/2015 Medicare Part D plan changes
: : 2015 MA-Finder: Medicare Advantage Plan Finder
: : MA-Compare: 2014/2015 Medicare Advantage plan changes
: : Drug Finder: 2015 Medicare Part D plan drug search
: : Formulary Browse: View any 2015 Medicare plan formulary
: : 2015 Browse Drugs By Letter
: : PDP-Facts: 2015 Medicare Part D plan Facts & Figures
: : Medicare Part D Reminder Service: 2016
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Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.


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