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2016 Illinois Medicare Part D Prescription Drug Plan Highlights

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2016 Illinois Stand-Alone Prescription Drug Plan Highlights
CMS PDP Region 17
Print Version | Illinois Medicare Advantage Plans

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The information below is for research purposes. Enrollment in the 2016 plans is no longer available.

Lowest Premium Medicare Part D Plan (PDP) in Illinois
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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) (S5884-163) Benefit Details			$18.40	$360	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $4.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25%		3,533 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:

Lowest Premium $0 Deductible IL Prescription Drug Plan (PDP)
Click here to see all Illinois $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) (S5601-034) Benefit Details			$20.50	$0	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $3.00 Generic: $16.00 Preferred Brand: $46.00 Non-Preferred Brand: 44% Specialty Tier: 33%		3,128 Browse Formulary

Five (5) Most Popular Medicare Part D Plans (PDP) in Illinois
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Plan Name Plan ID	Monthly Prem.	Dedu- ctible	Additional Gap Coverage	Preferred Pharmacy Copay/Coinsurance	State Members
AARP MedicareRx Preferred (PDP) (S5820-016) Benefit Details	$54.70	$0	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $2.00 Generic: $12.00 Preferred Brand: $36.00 Non-Preferred Brand: 40% Specialty Tier: 33%	165,483 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
SilverScript Choice (PDP) (S5601-034) Benefit Details	$20.50	$0	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $3.00 Generic: $16.00 Preferred Brand: $46.00 Non-Preferred Brand: 44% Specialty Tier: 33%	144,642 Browse Formulary

Blue Cross MedicareRx Value (PDP) (S5715-001) Benefit Details	$52.20	$360	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $42.00 Non-Preferred Brand: $95.00 Specialty Tier: 25%	135,174 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Walmart Rx Plan (PDP) (S5884-163) Benefit Details	$18.40	$360	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $4.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25%	80,038 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Preferred Rx Plan (PDP) (S5884-107) Benefit Details	$26.70	$360	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25%	62,569 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:

Illinois Medicare Prescription Drug Plans (PDP) Under $30
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Plan Name Plan ID	Monthly Prem.	Dedu- ctible	Additional Gap Coverage	Preferred Pharmacy Copay/Coinsurance	Total Drugs
Humana Walmart Rx Plan (PDP) (S5884-163) Benefit Details	$18.40	$360	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $4.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25%	3,533 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
SilverScript Choice (PDP) (S5601-034) Benefit Details	$20.50	$0	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $3.00 Generic: $16.00 Preferred Brand: $46.00 Non-Preferred Brand: 44% Specialty Tier: 33%	3,128 Browse Formulary

Aetna Medicare Rx Saver (PDP) (S5810-051) Benefit Details	$25.70	$360	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: 40% Specialty Tier: 25%	3,336 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Symphonix Value Rx (PDP) (S0522-001) Benefit Details	$26.50	$360	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25%	3,696 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Preferred Rx Plan (PDP) (S5884-107) Benefit Details	$26.70	$360	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25%	3,449 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
EnvisionRxPlus Silver (PDP) (S7694-017) Benefit Details	$30.00	$360	No additional gap coverage, only the Donut Hole Discount	Generic: $2.00 Preferred Brand: 12% Non-Preferred Brand: 40% Specialty Tier: 25%	3,074 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Blue Cross MedicareRx Basic (PDP) (S5715-012) Benefit Details	$30.00	$360	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Generic: $14.00 Preferred Brand: $42.00 Non-Preferred Brand: $95.00 Specialty Tier: 25%	2,673 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:

A few notes to help with the understanding of the 2016 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 $360 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 $3752.5 in drug costs (the Donut Hole). 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 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 $3752.5;
- 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 2016 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.