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2020 Michigan Medicare Part D Prescription Drug Plan Highlights

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2020 Michigan Stand-Alone Prescription Drug Plan Highlights
CMS PDP Region 13
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 2023  2022  2021  2020  2019  2018  2017  2016  2015  2014  2013  2012  2011  2010  2009  2008  2007  2006

The information below is for research purposes. Enrollment in the 2020 plans is no longer available.

Lowest Premium Medicare Part D Plan (PDP) in Michigan
Click here to see all MI 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 Value Rx Plan (PDP)
(S5884-192)
Benefit Details

        		 $13.20 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: $47.00
Non-Preferred Drug: 35%
Specialty Tier: 25%
3,186

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



Lowest Premium $0 Deductible MI Prescription Drug Plan (PDP)
Click here to see all Michigan $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 Plus (PDP)
(S5601-027)
Benefit Details

        		 $62.20 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $2.00
Preferred Brand: $47.00
Non-Preferred Drug: 50%
Specialty Tier: 33%
3,108

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



Five (5) Most Popular Medicare Part D Plans (PDP) in Michigan
Click here to see all Michigan PDP plans by popularity
Plan Name
Plan ID		 Monthly
Prem.		 Dedu-
ctible		 Additional
Gap
Coverage		 Preferred Pharmacy
Copay/Coinsurance		 State Members
SilverScript Choice (PDP)
(S5601-026)
Benefit Details

        		 $30.20 $290 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $1.00
Preferred Brand: $47.00
Non-Preferred Drug: 38%
Specialty Tier: 27%
81,564

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EnvisionRxPlus (PDP)
(S7694-070)
Benefit Details

        		 $14.20 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $7.00
Preferred Brand: $35.00
Non-Preferred Drug: 32%
Specialty Tier: 25%
57,275

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AARP MedicareRx Preferred (PDP)
(S5820-012)
Benefit Details

        		 $68.70 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $5.00
Generic: $10.00
Preferred Brand: $45.00
Non-Preferred Drug: 40%
Specialty Tier: 33%
53,623

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WellCare Medicare Rx Saver (PDP)
(S5810-047)
Benefit Details

        		 $32.10 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $2.00
Preferred Brand: $28.00
Non-Preferred Drug: 35%
Specialty Tier: 25%
40,423

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Humana Premier Rx Plan (PDP)
(S5884-159)
Benefit Details

        		 $52.00 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: $42.00
Non-Preferred Drug: 44%
Specialty Tier: 25%
40,268

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



Michigan Medicare Prescription Drug Plans (PDP) Under $30
Click here for all MI Medicare Prescription Drug plans
Plan Name
Plan ID		 Monthly
Prem.		 Dedu-
ctible		 Additional
Gap
Coverage		 Preferred Pharmacy
Copay/Coinsurance		Total Drugs
Humana Walmart Value Rx Plan (PDP)
(S5884-192)
Benefit Details

        		 $13.20 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: $47.00
Non-Preferred Drug: 35%
Specialty Tier: 25%
3,186

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WellCare Wellness Rx (PDP)
(S4802-182)
Benefit Details

        		 $13.70 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $6.00
Preferred Brand: $40.00
Non-Preferred Drug: 46%
Specialty Tier: 25%
3,469

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
EnvisionRxPlus (PDP)
(S7694-070)
Benefit Details

        		 $14.20 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $7.00
Preferred Brand: $35.00
Non-Preferred Drug: 32%
Specialty Tier: 25%
3,156

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Clear Spring Health Premier Rx (PDP)
(S6946-039)
Benefit Details

        		 $16.00 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $3.00
Preferred Brand: $40.00
Non-Preferred Drug: 40%
Specialty Tier: 25%
3,228

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
WellCare Value Script (PDP)
(S4802-148)
Benefit Details

        		 $16.80 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $7.00
Preferred Brand: $43.00
Non-Preferred Drug: 47%
Specialty Tier: 25%
3,469

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
WellCare Medicare Rx Select (PDP)
(S5810-287)
Benefit Details

        		 $21.90 $315 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $3.00
Preferred Brand: $47.00
Non-Preferred Drug: 42%
Specialty Tier: 27%
3,474

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Cigna-HealthSpring Rx Secure-Essential (PDP)
(S5617-292)
Benefit Details

        		 $22.10 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $2.00
Preferred Brand: 18%
Non-Preferred Drug: 43%
Specialty Tier: 25%
3,215

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Mutual of Omaha Rx Value (PDP)
(S7126-045)
Benefit Details

        		 $22.20 $435 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $2.00
Preferred Brand: $25.00
Non-Preferred Drug: 44%
Specialty Tier: 25%
2,990

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Journey Rx Value (PDP)
(S6986-008)
Benefit Details

        		 $26.00 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $1.00
Preferred Brand: $35.00
Non-Preferred Drug: 33%
Specialty Tier: 25%
3,226

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Express Scripts Medicare - Saver (PDP)
(S5660-229)
Benefit Details

        		 $26.40 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: $30.00
Non-Preferred Drug: 36%
Specialty Tier: 25%
2,990

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Clear Spring Health Value Rx (PDP)
(S6946-010)
Benefit Details

        		 $29.20 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $3.00
Preferred Brand: $45.00
Non-Preferred Drug: 37%
Specialty Tier: 25%
3,204

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Saver Plus (PDP)
(S5921-358)
Benefit Details

        		 $29.20 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $5.00
Preferred Brand: $26.00
Non-Preferred Drug: 35%
Specialty Tier: 25%
3,118

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Journey Rx Standard (PDP)
(S6986-001)
Benefit Details

        		 $29.40 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $2.00
Generic: $6.00
Preferred Brand: $25.00
Non-Preferred Drug: 29%
Specialty Tier: 25%
3,062

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
WellCare Classic (PDP)
(S4802-084)
Benefit Details

        		 $29.40 $435 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $1.00
Preferred Brand: $30.00
Non-Preferred Drug: 33%
Specialty Tier: 25%
3,102

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


A few notes to help with the understanding of the 2020 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 $435 deductible that was presented in the CMS Standard Plan. Many provider’s plans do not have a deductible, however the premium may be higher.

  • Gap Coverage: In the CMS Standard Plan, the beneficiary, or others on their behalf (e.g. the brand-name drug manufacturer discount), pay(s) up to $5,019 in drug costs, depending on your mix of generics and brand-name drugs. The Healthcare Reform provides that for plan year 2020, all formulary drugs will have at least a 75% discount in the coverage gap (Donut Hole). The Gap Coverage Types discussed in this section are supplemental coverage your plan pays in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
    • No Gap Coverage: You receive the 75% Donut Hole Discount and pay up to $5,019 depending on your mix of generics and brand-name drugs, before exiting into Catastrophic Coverage. Read more...
    • Yes: This plan offers some supplemental gap coverage in addition to the 75% Donut Hole Discount. See plan details for a description of the gap coverage. The description may read similar to: Under this plan you may pay even less for the brand and generic drugs on the formulary. Your cost varies by tier. You will need to use your formulary to locate your drug's tier. See the chart that follows to find out how much it will cost you.

  • 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 2020 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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