PDP-Facts: 2009 Medicare Part D Plan Facts -
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» Charts & Figures   » Summarized in Plain Text   » Print Version

2009 Montana Medicare Part D Plan Statistics* CMS Region 25 includes (IA MN MT NE ND SD WY) Statistic 2009 Change 09-08 2008 Change 08-07 2007 Total Number of Part D Drug Plans View list of National Providers 48 -4 52 -1 53 Nbr of Enhanced (EA) Plans 26 -2 28 2 26 Nbr of Basic (BA, DS, AE) Plans 22 -2 24 -3 27 Nbr of $0 Deductible Plans 27 -3 30 -2 32 Percent $0 Deductible Plans 56% -2% 58% -2% 60% Nbr of Plans with a Premium < $20 1 -2 3 -1 4 Percent Plans with a Premium < $20 2% -4% 6% -2% 8% Lowest Cost PDP Plan (Premium) View details of Lowest Cost Plan(s) $15.20 $1.30 $13.90 $3.30 $10.60 Highest Cost PDP Plan (Premium) View details of Highest Cost Plan(s) $106.70 $7.70 $99.00 $-11.30 $110.30 Average PDP Plan Premium (Cost) $48.23 $6.91 $41.32 $4.65 $36.67 % Change in Avg. PDP Plan Costs -- 17% -- 13% -- Avg. Weighted PDP Plan Premium** $35.65 $6.05 $29.60 $-0.01 $29.61 % Change Weighted Avg. PDP Costs** -- 20% -- -0% -- Number of PDP Plans with Any Gap Coverage in the Gap (Donut Hole) 12 -4 16 1 15 Percent of PDP Plans with Any Gap Coverage 25% -6% 31% 3% 28% Lowest Cost Plan with Any Gap Coverage View coverage type / premium details $57.40 $27.40 $30.00 $-3.40 $33.40 Total Beneficiaries with LIS 13,673 25,919 LIS Benchmark Premium $33.19 $2.58 $30.61 Total Nbr of LIS Qualified Plans 9 -7 16 0 16 Premium Changes for Persons Staying in their Current Plan View premium detail chart Nbr of Plans with Premium Decrease 5 -12 17 Nbr of Plans with No Premium Change 1 0 1 Nbr of Plans with Premium Increase 40 11 29 % of People with a Premium Increase 90% 25% 65% Weighted Average Increase for People with a Premium Increase $9.84 $-0.35 $10.19

Note: *Stand-alone Medicare Prescription Drug Plans (PDP)s only. Data for MA-PD plans not included. **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.

» Details of the 2009 CMS Standard Plan including cost sharing, LIS benchmarks, etc.

2009 Premium Changes for Persons Staying in their 2008 Plan

Premium Change Range Total number of Plans in this Change Range $-35 to $-31 * -- total: 1 plan $-30 to $-26 * -- total: 1 plan $-25 to $-21 0 plans $-20 to $-16 * -- total: 1 plan $-15 to $-11 0 plans $-10 to $-6 0 plans $-5 to $-1 0 plans $0 to $4 * * * -- total: 3 plans $5 to $9 * * * * * * * * * * * * -- total: 12 plans $10 to $14 * * * * * * * * * * * * * * -- total: 14 plans $15 to $19 * * * * * * -- total: 6 plans $20 to $24 * * * -- total: 3 plans $25 to $29 * * * * -- total: 4 plans $30 to $34 0 plans

» Click to see change details on a per plan basis

Details for the Min. and Max. Premium Plans in 2009

H/L State Plan Name Prem. Ded. Gap Coverage Benefit Type Low IA MN MT NE ND SD WY First Health Part D-Secure $15.20 $175.00 No Gap Coverage Enhanced High IA MN MT NE ND SD WY Aetna Medicare Rx Premier $106.70 $0.00 Many Generics Enhanced

» Click to see 2009 Part D Plan details for Montana.

The chart above shows the details of the least expensive and most expensive

plans available for 2009.

Min. and Max. Premium Plans in 2008 and their change in 2009

H/L Year State Plan Name Prem. Ded. Gap Coverage Benefit Type Low 2008 IA MN MT NE ND SD WY First Health Part D-Secure $13.90 $175.00 No Gap Coverage Enhanced Low 2009 IA MN MT NE ND SD WY First Health Part D-Secure $15.20 $175.00 No Gap Coverage Enhanced High 2008 IA MN MT NE ND SD WY EnvisionRxPlus Gold $99.00 $0.00 All Preferred Generics Enhanced High 2009 IA MN MT NE ND SD WY EnvisionRxPlus Gold $63.60 $0.00 No Gap Coverage Enhanced

» Click to see change details for all plans in Montana.

The chart above details the least (and most) expensive plan in 2008 and

plan features and costs should you stay in the same plan in 2009.

Gap Coverage Types and Minimum Premium for 2009 Part D Plans

2009 Gap Coverage Details Gap Coverage Type Nbr. Plans Min. Prem. No Gap Coverage 36 $15.20 Many Generics 7 $57.40 Some Generics 2 $63.50 All Generics 3 $69.20 2008 Gap Coverage Details Gap Coverage Type Nbr. Plans Min. Prem. No Gap Coverage 36 $13.90 All Preferred Generics 7 $30.00 All Generics 8 $41.00 Some Generics 1 $75.80

Note: Click the Gap Coverage Type above to see plan details for 2009 Montana plans.

Gap coverage descriptions apply to formulary drugs only. 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", "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).

2009 Montana $0 Premium LIS Qualified Part D Plans

2009 LIS Qualifying Plans Plan Name Plan ID AARP MedicareRx Saver S5921-247 Aetna Medicare Rx Essentials S5810-059 Community CCRx Basic S5803-094 First Health Part D-Premier S5768-122 HealthSpring Prescription Drug Plan-Reg 25 S5932-024 MedicareBlue Rx Option 1 S5743-001 MedicareRx Rewards Standard S5960-131 Prescriba Rx Bronze S5597-259 SilverScript Value S5601-050 2008 LIS Qualifying Plans Plan Name Plan ID AARP MedicareRx Saver S5921-247 Advantage Star Plan by RxAmerica S5644-080 Aetna Medicare Rx Essentials S5810-059 Community CCRx Basic S5803-094 Fox Value Plan S5557-003 Health Net Orange Option 1 S5678-056 HealthSpring Prescription Drug Plan-Reg 25 S5932-024 Humana PDP Standard S5884-083 S5884-083 Medco Medicare Prescription Plan - Value S5660-127 MedicareBlue Rx Option 1 S5743-001 MedicareRx Rewards Standard S5960-131 MedicareRx Rewards Value S5960-025 Prescription Pathway Bronze Plan Reg 25 S5597-090 SilverScript S5601-050 Sterling Rx S4802-030 WellCare Classic S5967-162

Note: Click heading above to see details LIS qualifying plans in Montana.                Please note, not all plans are available in every state.

» Charts & Figures   » Summarized in Plain Text   » Print Version

(Chart Source: Centers for Medicare and Medicaid files: 2009LandscapeSourceData_PDP_09_18_08.xls, 2008LandscapeSourceData_PDP_09_25_07.xls, 2007LandscapeSource Data_PDP_09.26.06.xls, State Data Fact Sheet Source - HKH.xls.)





Last updated on: 09/20/2009

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