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Q1Group 2016 PDP Analysis: Approximately 573,000 Medicare beneficiaries will see an increase of 16% or more in their 2016 Medicare Part D initial deductible

Category: Annual Medicare Plan Changes
Published: Oct, 21 2015 04:10:12
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The standard Medicare Part D prescription drug plan initial deductible will increase to $360 in 2016 from the $320 standard deductible in 2015.  Therefore, any members of Medicare Part D prescription drug plans that follow the standard Medicare Part D initial deductible will see a 13% increase in their deductible next year.

However, about 573,000 Medicare beneficiaries are enrolled in plan that will have even larger increases in their initial deductible (for example, your initial deductible could increase anywhere from $50 to $360). The chart below highlights some of the Medicare Part D plans with non-standard deductible increases.

2016 Medicare Prescription Drug Plan
Deductible Increases
2016 Plan Name Deductible States Members Affected
2016 2015 Increase % Incr
Express Scripts Medicare - Choice (PDP) $360 $50 $310 620% all states 65,402
United American - Enhanced (PDP) Ranges $90-$300 Range
$0-$110		 Range
$50-$250		  Range 0% to 1050%
 many states 74,320
First United American - Enhanced (PDP) $60 $270 $210 350% NY 5,712
BlueMedicare Rx-Option 1 (PDP) $350 $70 $280 400% FL 71,930
Blue Cross MedicareRx Value (PDP) $360 $275 $85 31% IL NM OK TX 218,213
WPS MedicareRx Plan 1 (PDP) $360 $170 $190 112% WI 17,365
Regence Medicare Script Basic (PDP) $310 $155 $155 100% ID UT 3,678
Prescription Blue Option A (PDP) $360 $210 $150 71% MI 10,336
Asuris Medicare Script Basic (PDP) $300 $195 $105 54% OR WA 5,513
AR Blue Cross - Medi-Pak Rx Basic (PDP) $300 $200 $100 50% AR 27,063
Aetna Medicare Rx Saver (PDP) $360 Range from $275-$310 Range from $50-$85 16% to 31%
AZ CA FL NV SC 81,028

On the positive side: The 602,645 members of the 2015 First Health Part D Value Plus plan will notice that they now have a $0 deductible for 2016.

Our PDP-Compare and MA-Compare tools show the 2015 stand-alone Medicare Part D prescription drug plans (PDPs) and Medicare Advantage plans (MAs or MAPDs) across the country and include changes in plan features such as premium, deductible, cost-sharing and formulary size changes. Our compare tools also highlight plans that will be merged, discontinued, or added in 2016.


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