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Note: *Stand-alone Medicare Prescription Drug Plans (PDP)s only. Data for MA-PD plans not included. Sanctioned plans are included in this data. . **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.
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2020 Premium Changes for Persons Staying in their 2019 Plan |
Premium Change Range | Total number of Plans in this Change Range |
$-50.10 to $-46.1 | * -- total: 1 plan |
$-45.1 to $-41.1 | 0 plans |
$-40.1 to $-36.1 | * -- total: 1 plan |
$-35.1 to $-31.1 | * * -- total: 2 plans |
$-30.1 to $-26.1 | 0 plans |
$-25.1 to $-21.1 | 0 plans |
$-20.1 to $-16.1 | 0 plans |
$-15.1 to $-11.1 | 0 plans |
$-10.1 to $-6.1 | 0 plans |
$-5.1 to $-1.1 | 0 plans |
$-0.1 to $3.9 | * * * * * * -- total: 6 plans |
$4.9 to $8.9 | * * * * * * * * * * * -- total: 11 plans |
$9.9 to $13.9 | * * * -- total: 3 plans |
$14.9 to $18.9 | * -- total: 1 plan |
$19.9 to $23.9 | * -- total: 1 plan |
$24.9 to $28.9 | 0 plans |
$29.9 to $33.9 | 0 plans | |
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Details for the Min. and Max. Premium Plans in 2020 |
H/L | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
Low | CA | Clear Spring Health Premier Rx (PDP) | $12.80 | $435.00 | No Gap Coverage | Enhanced |
High | CA | Blue Shield Rx Enhanced (PDP) | $118.40 | $0.00 | No Gap Coverage | Enhanced | |
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The chart above shows the details of the least expensive and most |
expensive plans available for 2020.
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Min. and Max. Premium Plans in 2019 and how the plan changes in 2020 |
H/L | Year | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
Low | 2019 | CA | EnvisionRxPlus (PDP) | $12.90 | $315.00 | No Gap Coverage | Basic |
| 2020 | CA | EnvisionRxPlus (PDP) | $14.10 | $435.00 | No Gap Coverage | Basic |
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High | 2019 | CA | Blue Shield Rx Enhanced (PDP) | $117.80 | $0.00 | No Gap Coverage | Enhanced |
| 2020 | CA | Blue Shield Rx Enhanced (PDP) | $118.40 | $0.00 | No Gap Coverage | Enhanced | |
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The chart above details the least (and most) expensive plan in 2019 and |
plan features and costs should you stay in the same plan in 2020.
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Gap Coverage Types and Minimum Premium for 2020 Part D Plans |
2020 Gap Coverage Details |
Gap Coverage Type | Number of Plans | Minimum Premium |
No Gap Coverage | 26 | $12.80 |
Yes | 6 | $20.60 |
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2019 Gap Coverage Details |
Gap Coverage Type | Number of Plans | Minimum Premium |
No Gap Coverage | 24 | $12.90 |
Yes | 6 | $19.10 |
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Notes: Click the Gap Coverage Type above to see plan details for 2020 California plans. |
Gap coverage applies to formulary drugs only. The Healthcare Reform provides that for Plan Year 2020, ALL formulary generics will have at least a 75% discount and ALL brand drugs will have at least a 75% discount in the coverage gap. The Gap Coverage discussed in this section is in addition to the Healthcare Reform mandated discounts.
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2020 California $0 Premium LIS Qualified Part D Plans |
2020 LIS Qualifying Plans |
Plan Name | Plan ID |
AARP MedicareRx Saver Plus (PDP) | S5921-376 |
Cigna-HealthSpring Rx Secure (PDP) | S5617-158 |
Clear Spring Health Value Rx (PDP) | S6946-027 |
EnvisionRxPlus (PDP) | S7694-032 |
Humana Basic Rx Plan (PDP) | S5884-114 |
Journey Rx Standard (PDP) | S6986-006 |
SilverScript Choice (PDP) | S5601-064 |
WellCare Classic (PDP) | S4802-094 |
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2019 LIS Qualifying Plans |
Plan Name | Plan ID |
AARP MedicareRx Saver Plus (PDP) | S5921-376 |
Aetna Medicare Rx Saver (PDP) | S5810-066 |
EnvisionRxPlus (PDP) | S7694-032 |
Humana Preferred Rx Plan (PDP) | S5884-114 |
Journey Rx Standard (PDP) | S6986-006 |
SilverScript Choice (PDP) | S5601-064 |
WellCare Classic (PDP) | S4802-094 |
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Note: Click heading above to see details of LIS qualifying plans in California.
Please note, not all plans are available in every state.
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List of National PDP Providers with Plans available in California |
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2019 National PDP Providers |
Aetna Medicare |
Cigna-HealthSpring Rx |
EnvisionRx Plus |
Express Scripts Medicare |
Humana |
SilverScript |
UnitedHealthcare |
WellCare |
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Note: Click heading above to see PDP plans and details for California.
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