PDP-Facts: 2010 Medicare Part D Plan Facts -
    Region (State) and National

Select a state to review the 2010 Medicare Prescription Drug Plan Statistics per State.
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National Statistics:
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2010 National Medicare Part D Plan Statistics* and Averages per Region Statistic 2010 Change 10-09 2009 Change 09-08 2008 Total Number of Part D Drug Plans 1576 -112 1688 -136 1824 Average Nbr of Part D Plans per Region 46 -3 49 -4 53 Nbr of Enhanced (EA) Plans 795 -95 890 -35 925 Avg. Enhanced Plans per Region 23 -3 26 -1 27 Nbr of Basic (BA, DS, AE) Plans 781 -17 798 -101 899 Avg. Nbr of Basic Plans per Region 23 0 23 -3 26 Nbr of $0 Deductible Plans 629 -304 933 -132 1065 Avg. Nbr of $0 Ded. Plans per Region 19 -8 27 -4 31 Percent $0 Deductible Plans 40% -15% 55% -3% 58% Nbr of Plans with a Premium < $25 91 -53 144 -246 390 Avg Nbr of Plans - Premium < $25 3 -1 4 -7 11 Percent Plans with a Premium < $25 6% -3% 9% -12% 21% Lowest Cost PDP Plan (Premium) $8.80 $-1.50 $10.30 $0.50 $9.80 Highest Cost PDP Plan (Premium) $120.20 $-16.60 $136.80 $29.30 $107.50 Average PDP Plan Premium (Cost) $46.58 $1.12 $45.46 $5.44 $40.02 % Change in Avg. PDP Plan Costs -- 2% -- 14% -- Avg. Weighted PDP Plan Premium** $38.54 $3.93 $34.61 $4.59 $30.02 % Change Weighted Avg. PDP Costs** -- 11% -- 15% -- Number of PDP Plans with Any Gap Coverage in the Gap (Donut Hole) 308 -108 416 -113 529 Percent of PDP Plans with Any Gap Coverage 20% -5% 25% -4% 29% Lowest Cost Plan with Any Gap Coverage View coverage type / premium details $40.40 $8.50 $31.90 $3.20 $28.70 Number of LIS PDP Plans View List of LIS Qualified Plans 288 -20 308 -187 495 Nbr of Unique LIS Qualified Plans View List of LIS Qualified Plans 30 1 29 -18 47 Premium Changes for Persons Staying in their Current Plan View premium detail chart Nbr of Plans with Premium Decrease 441 190 251 -219 470 Nbr of Plans with No Premium Change 58 -34 92 -23 115 Nbr of Plans with Premium Increase 1110 -201 1311 274 1037 % of People with a Premium Increase 81% -7% 88% 16% 72% Weighted Average Increase for People with a Premium Increase $5.47 $-2.76 $8.23 $0.23 $8.00

Note: *Stand-alone Medicare Prescription Drug Plans (PDP)s only. Data for MA-PD plans not included. The data for the sanctioned WellCare plans is included on this page, however the data for the sanctioned Citrus plans was not available. The data is calculated per region. For example. A plan which is avalilable in CMS Region 6 which includes PA and WV is counted once, not twice. **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.

Links above will take you to examples for California (or select your state once in PDP-Finder or PDP-Compare) » Details of the 2010 CMS Standard Plan including cost sharing, LIS benchmarks, etc.

Details for the Min. and Max. Premium Plans in 2010

H/L State Plan Name Prem. Ded. Gap Coverage Benefit Type Low OR WA First Health Part D-Secure (PDP) $8.80 $175.00 No Gap Coverage Enhanced High DC DE MD Blue Rx Enhanced (PDP) $120.20 $0.00 All Generics Enhanced

» Click to see 2010 Part D Plan details for California or choose your state.

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

plans available for 2010.

Min. and Max. Premium Plans in 2009 and their change in 2010

H/L Year State Plan Name Prem. Ded. Gap Coverage Benefit Type Low 2009 NM First Health Part D-Secure $10.30 $175.00 No Gap Coverage Enhanced Low 2010 NM First Health Part D-Secure (PDP) $15.90 $175.00 No Gap Coverage Enhanced High 2009 NY Aetna Medicare Rx Premier $136.80 $0.00 Many Generics Enhanced High 2010 NY Aetna Medicare Rx Premier (PDP) $117.50 $0.00 Many Generics Enhanced

» Click to see change details for all plans in California or choose your state.

The chart above details the least (and most) expensive plan in 2009 and

plan features and costs should you stay in the same plan in 2010.

Gap Coverage Types and Minimum Premium for 2010 Part D Plans

2010 Gap Coverage Details Gap Coverage Type Nbr. Plans Min. Prem. No Gap Coverage 1268 $8.80 Some Generics 7 $40.40 Many Generics 230 $54.20 Many Generics and Few Brand 35 $56.00 All Generics 35 $56.60 Few Generics 1 $61.10 2009 Gap Coverage Details Gap Coverage Type Nbr. Plans Min. Prem. No Gap Coverage 1272 $10.30 Some Generics 76 $31.90 Many Generics 229 $39.00 All Generics 108 $46.40 All Generics and Few Brands 1 $64.00 Many Generics and Few Brands 2 $79.90

Note: Click the Gap Coverage Type above to see plan details in California                or choose your state.

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).

$0 Premium LIS Qualified 2010 Part D Plans

2010 LIS Qualifying Plans Plan Name Plan ID AARP MedicareRx Saver (PDP) S5921 Advantage Star Plan by RxAmerica (PDP) S5644 AdvantraRx Premier (PDP) S5674 Aetna Medicare Rx Essentials (PDP) S5810 AmeriHealth Advantage (PDP) S2770 AR Blue Cross - Medi-Pak Rx Basic (PDP) S5795 Blue MedicareRx - Value (PDP) S5715 Blue MedicareRx Standard (PDP) S5596 Blue MedicareRx Value (PDP) S5726 BlueRx Option I (PDP) S1030 BravoRx (PDP) S5998 CIGNA Medicare Rx Plan One (PDP) S5617 Community CCRx Basic (PDP) S5803 EnvisionRxPlus Silver (PDP) S7694 First Health Part D-Premier (PDP) S5768 Fox Value Plan (PDP) S5557 GHI Medicare Prescription Drug Plan (PDP) S5966 Health Net Orange Option 1 (PDP) S5678 HealthSpring Prescription Drug Plan -Reg 2 (PDP) S5932 HIP Part D New York (PDP) S5741 Humana Basic S5884-122 (PDP) S5884 Medco Medicare Prescription Plan - Value (PDP) S5983 Medco Medicare Prescription Plan - Value (PDP) S5660 MedicareRx Rewards Standard (PDP) S5960 PrescribaRx Bronze (PDP) S5597 PrescribaRx Bronze (PDP) S5825 SilverScript Value (PDP) S5601 UA Medicare Part D Rx Covg - Silver Plan (PDP) S5755 UnitedHealthcare MedicareRx (PDP) S5917 Windsor Rx (PDP) S2505 2009 LIS Qualifying Plans Plan Name Plan ID AARP MedicareRx Saver S5921 Advantage Star Plan by RxAmerica S5644 Aetna Medicare Rx Essentials S5810 AmeriHealth Advantage Rx Option I S2770 AR Blue Cross - Medi-Pak Rx Basic S5795 Blue Medicare Rx - Value S5715 Blue MedicareRx Value S5596 BravoRx S5998 CIGNA Medicare Rx Plan One S5617 Citrus Part D FL. S8465 Community CCRx Basic S5803 EnvisionRxPlus Silver S7694 First Health Part D-Premier S5768 Fox Value Plan S5557 GHI Medicare Prescription Drug Plan S5966 Health Net Orange Option 1 S5678 HealthSpring Prescription Drug Plan -Reg 1 S5932 HIP Part D New York S5741 Medco Medicare Prescription Plan - Value S5660 Medco Medicare Prescription Plan - Value S5983 MedicareBlue Rx Option 1 S5743 MedicareRx Rewards Standard S5960 Prescriba Rx Bronze S5825 Prescriba Rx Bronze S5597 SierraRx S5917 SilverScript Value S5601 UA Medicare Part D Rx Covg - Silver Plan S5755 WellCare Classic S5967 Windsor Rx S2505

Note: Click heading above to see plan details in California or choose your state.                Please note, not all plans are available in every state.

» Charts & Figures     » Print Version

(Chart Source: Centers for Medicare and Medicaid files: 2010LandscapeSourceData_PDP_09_17_09.xls, 2009LandscapeSourceData_PDP_09_18_08.xls, 2008LandscapeSourceData_PDP_09_25_07.xls, and provider websites)





Last updated on: 09/29/2009

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