PDP-Facts: 2014 National Medicare Part D Plan Landscape Facts

Select a state below to review the 2014 Medicare Prescription Drug Plan Facts & Figures.
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National Statistics:
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2014 National Medicare Part D Plan Statistics* and Averages per Region Statistic 2014 Change 14-13 2013 Change 13-12 2012 Total Number of Part D Drug Plans 1169 124 1045 4 1041 Average Nbr of Part D Plans per Region 34 3 31 0 31 Nbr of Enhanced (EA) Plans 584 72 512 12 500 Avg. Enhanced Plans per Region 17 2 15 0 15 Nbr of Basic (BA, DS, AE) Plans 585 52 533 -8 541 Avg. Nbr of Basic Plans per Region 17 1 16 0 16 Nbr of $0 Deductible Plans 553 87 466 -22 488 Avg. Nbr of $0 Ded. Plans per Region 16 2 14 0 14 Percent $0 Deductible Plans 47% 2% 45% -2% 47% Nbr of Plans with a Premium < $25 141 68 73 13 60 Avg Nbr of Plans - Premium < $25 4 2 2 0 2 Percent Plans with a Premium < $25 12% 5% 7% 1% 6% Lowest Cost PDP Plan (Premium) $12.50 $-2.50 $15.00 $-0.10 $15.10 Highest Cost PDP Plan (Premium) $174.70 $9.30 $165.40 $33.60 $131.80 Average PDP Plan Premium (Cost) $53.80 $0.54 $53.26 $-0.73 $53.99 % Change in Avg. PDP Plan Costs -- 1% -- -1% -- Avg. Weighted PDP Plan Premium** $41.23 $3.02 $38.21 $0.77 $37.44 % Change Weighted Avg. PDP Costs** -- 8% -- 2% -- Number of PDP Plans with Any Gap Coverage in the Gap (Donut Hole) 278 -69 347 77 270 Percent of PDP Plans with Any Gap Coverage 24% -9% 33% 7% 26% Lowest Cost Plan with Any Gap Coverage View coverage type / premium details $41.00 $7.00 $34.00 $-20.50 $54.50 Number of LIS PDP Plans View List of LIS Qualified Plans 352 20 332 5 327 Nbr of Unique LIS Qualified Plans View List of LIS Qualified Plans 26 2 24 1 23 Premium Changes for Persons Staying in their Current Plan View premium detail chart Nbr of Plans with Premium Decrease 390 46 344 -25 369 Nbr of Plans with No Premium Change 26 -7 33 -78 111 Nbr of Plans with Premium Increase 524 -84 608 195 413 % of People with a Premium Increase 63% -7% 70% 16% 54% Weighted Average Increase for People with a Premium Increase $6.22 $2.37 $3.85 $-1.12 $4.97

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 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.

Links above will take you to examples for California (or select your state once in PDP-Finder or PDP-Compare) » Details of the 2014 CMS Standard Plan including cost sharing, LIS benchmarks, etc.

Details for the Min. and Max. Premium Plans in 2014

H/L State Plan Name Prem. Ded. Gap Coverage Benefit Type Low AK Humana Walmart Rx Plan (PDP) $12.50 $310.00 No Gap Coverage Enhanced High FL BlueMedicare Rx-Option 2 (PDP) $174.70 $0.00 Many Generics Enhanced

» Click to see 2014 Part D Plan details for California or choose your state.

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/L Year State Plan Name Prem. Ded. Gap Coverage Benefit Type Low 2013 WI AARP MedicareRx Saver Plus (PDP) $15.00 $325.00 No Gap Coverage Basic   2014 WI AARP MedicareRx Saver Plus (PDP) $23.80 $310.00 No Gap Coverage Basic High 2013 DC DE MD BlueRx Enhanced (PDP) $165.40 $0.00 Many Generics Enhanced   2014 DC DE MD BlueRx Enhanced (PDP) $170.50 $0.00 Many Generics Enhanced

» Click to see change details for all plans in California or choose your state.

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 Type Nbr. Plans Min. Prem. No Gap Coverage 891 $12.50 Few Brands 34 $41.00 Some Generics 15 $52.20 Call Plan for details 34 $55.40 Many Generics 14 $69.30 Some Generics, Some Brands 77 $77.60 Many Generics, Some Brands 71 $97.40 Many Generics, Few Brands 1 $99.70 Few Generics 32 $108.40 2013 Gap Coverage Details Gap Coverage Type Nbr. Plans Min. Prem. No Gap Coverage 698 $15.00 Many Generics 66 $34.00 Some Generics 69 $47.90 Few Generics 32 $65.80 Some Generics and Some Brands 93 $79.30 Some Generics and Few Brands 1 $83.90 Many Generics and Some Brands 77 $86.20 Many Generics and Few Brands 3 $88.80 All Generics 6 $88.90

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).

$0 Premium LIS Qualified 2014 Part D Plans

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 2013 LIS Qualifying Plans Plan Name Plan ID AARP MedicareRx Saver Plus (PDP) S5921 Aetna CVS/pharmacy Prescription Drug Plan (PDP) S5810 AR Blue Cross - Medi-Pak Rx Basic (PDP) S5795 Blue MedicareRx Standard (PDP) S5596 Cigna Medicare Rx Plan One (PDP) S5617 Colorado Access Vista Medicare PDP (PDP) S3706 EnvisionRxPlus Silver (PDP) S7694 Express Scripts Medicare - Value (PDP) S5983 Express Scripts Medicare - Value (PDP) S5660 First Health Part D Essentials (PDP) S5569 First Health Part D Premier (PDP) S5768 First United American - Select (PDP) S5580 HealthSpring Prescription Drug Plan -Reg12 (PDP) S5932 Humana Walmart-Preferred Rx Plan (PDP) S5552 Humana Walmart-Preferred Rx Plan (PDP) S5884 Reader's Digest Value Rx (PDP) S0128 SecureAdvantage Rx - Option 1 (PDP) S9014 SilverScript Basic (PDP) S5601 SmartD Rx Saver (PDP) S0064 SmartSaver Rx PDP (PDP) S1140 United American - Select (PDP) S5755 WellCare Classic (PDP) S5967 Windsor Rx (PDP) S2505 Windsor Rx (PDP) S4802

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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