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This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

2015 Hawaii Medicare Part D Prescription Drug Plan Highlights

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2015 Hawaii Stand-Alone Prescription Drug Plan Highlights
CMS PDP Region 33
Print Version |  Hawaii Medicare Advantage Plans

 2023  2022  2021  2020  2019  2018  2017  2016  2015  2014  2013  2012  2011

The information below is for research purposes. Enrollment in the 2015 plans is no longer available.

Lowest Premium Medicare Part D Plan (PDP) in Hawaii
Click here to see all HI PDPs
Plan Name
Plan ID		 Monthly
Prem.		 Dedu-
ctible		 (Donut Hole)
Additional
Gap
Coverage		 Preferred Pharmacy
Copay/Coinsurance
30-Day Supply		Total Formulary Drugs
Humana Walmart Rx Plan (PDP)
(S5884-179)
Benefit Details

        		 $15.60 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Non-Preferred Generic: $4.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
3,433

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:



Lowest Premium $0 Deductible HI Prescription Drug Plan (PDP)
Click here to see all Hawaii $0 deductible PDP plans by premium lowest to highest
Plan Name
Plan ID		 Monthly
Prem.		 Dedu-
ctible		 Additional
Gap
Coverage		 Preferred Pharmacy
Copay/Coinsurance		Total Drugs
SilverScript Choice (PDP)
(S5601-066)
Benefit Details

        		 $22.00 $0 No additional gap coverage, only the Donut Hole DiscountGeneric: $10.00
Preferred Brand: $36.00
Non-Preferred Brand: 45%
Specialty Tier: 33%
3,043

Browse Formulary
 



Five (5) Most Popular Medicare Part D Plans (PDP) in Hawaii
Click here to see all Hawaii PDP plans by popularity
Plan Name
Plan ID		 Monthly
Prem.		 Dedu-
ctible		 Additional
Gap
Coverage		 Preferred Pharmacy
Copay/Coinsurance		 State Members
Cigna-HealthSpring Rx Secure (PDP)
(S5617-163)
Benefit Details

        		 $24.10 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $2.00
Non-Preferred Generic: $6.00
Preferred Brand: 20%
Non-Preferred Brand: 30%
Specialty Tier: 25%
4,630

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Preferred (PDP)
(S5820-032)
Benefit Details

        		 $45.10 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $3.00
Non-Preferred Generic: $5.00
Preferred Brand: $40.00
Non-Preferred Brand: $75.00
Specialty Tier: 33%
4,520

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Preferred Rx Plan (PDP)
(S5884-115)
Benefit Details

        		 $23.70 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Non-Preferred Generic: $2.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
4,061

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Saver Plus (PDP)
(S5921-381)
Benefit Details

        		 $29.40 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Non-Preferred Generic: $2.00
Preferred Brand: $20.00
Non-Preferred Brand: $40.00
Specialty Tier: 25%
2,889

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
SilverScript Choice (PDP)
(S5601-066)
Benefit Details

        		 $22.00 $0 No additional gap coverage, only the Donut Hole DiscountGeneric: $10.00
Preferred Brand: $36.00
Non-Preferred Brand: 45%
Specialty Tier: 33%
1,883

Browse Formulary
 



Hawaii Medicare Prescription Drug Plans (PDP) Under $30
Click here for all HI Medicare Prescription Drug plans
Plan Name
Plan ID		 Monthly
Prem.		 Dedu-
ctible		 Additional
Gap
Coverage		 Preferred Pharmacy
Copay/Coinsurance		Total Drugs
Humana Walmart Rx Plan (PDP)
(S5884-179)
Benefit Details

        		 $15.60 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Non-Preferred Generic: $4.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
3,433

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Aetna Medicare Rx Saver (PDP)
(S5810-067)
Benefit Details

        		 $19.20 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Non-Preferred Generic: $3.00
Preferred Brand: $45.00
Non-Preferred Brand: 39%
Specialty Tier: 25%
3,062

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
SilverScript Choice (PDP)
(S5601-066)
Benefit Details

        		 $22.00 $0 No additional gap coverage, only the Donut Hole DiscountGeneric: $10.00
Preferred Brand: $36.00
Non-Preferred Brand: 45%
Specialty Tier: 33%
3,043

Browse Formulary
 
SmartD Rx Saver (PDP)
(S0064-033)
Benefit Details

        		 $22.50 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Non-Preferred Generic: $5.00
Preferred Brand: 23%
Non-Preferred Brand: 37%
Specialty Tier: 25%
3,395

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Preferred Rx Plan (PDP)
(S5884-115)
Benefit Details

        		 $23.70 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Non-Preferred Generic: $2.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
3,307

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Cigna-HealthSpring Rx Secure (PDP)
(S5617-163)
Benefit Details

        		 $24.10 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $2.00
Non-Preferred Generic: $6.00
Preferred Brand: 20%
Non-Preferred Brand: 30%
Specialty Tier: 25%
3,335

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
EnvisionRxPlus Silver (PDP)
(S7694-033)
Benefit Details

        		 $24.30 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $2.00
Preferred Brand: 15%
Non-Preferred Brand: 38%
Specialty Tier: 25%
2,971

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Symphonix Value Rx (PDP)
(S0522-046)
Benefit Details

        		 $25.10 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Non-Preferred Generic: $4.00
Preferred Brand: $25.00
Non-Preferred Brand: $60.00
Specialty Tier: 25%
3,529

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Cigna-HealthSpring Rx Secure-Xtra (PDP)
(S5617-278)
Benefit Details

        		 $28.10 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Non-Preferred Generic: $4.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 33%
3,379

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Transamerica MedicareRx Classic (PDP)
(S9579-032)
Benefit Details

        		 $28.30 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Non-Preferred Generic: $8.00
Preferred Brand: $45.00
Non-Preferred Brand: 50%
Specialty Tier: 25%
2,949

Browse Formulary
 
AARP MedicareRx Saver Plus (PDP)
(S5921-381)
Benefit Details

        		 $29.40 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Non-Preferred Generic: $2.00
Preferred Brand: $20.00
Non-Preferred Brand: $40.00
Specialty Tier: 25%
3,510

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
WellCare Classic (PDP)
(S5967-170)
Benefit Details

        		 $29.40 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Non-Preferred Generic: $20.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%
3,135

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. 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 Plan: The number of members currently enrolled in the plan.



(Chart Source: Centers for Medicare and Medicaid file 2015 PDP Landscape Source file)

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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