PDP-Facts: 2012 Medicare Part D Plan Facts-
    Region (State) and National

Select a state to review the 2012 Medicare Prescription Drug Plan Statistics per State.
AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
National Statistics:
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: : Charts & Figures     : : Print Version

2012 National Medicare Part D Plan Statistics* and Averages per Region Statistic 2012 Change 12-11 2011 Change 11-10 2010 Total Number of Part D Drug Plans 1041 -68 1109 -467 1576 Average Nbr of Part D Plans per Region 31 -2 33 -13 46 Nbr of Enhanced (EA) Plans 500 -2 502 -293 795 Avg. Enhanced Plans per Region 15 0 15 -8 23 Nbr of Basic (BA, DS, AE) Plans 541 -66 607 -174 781 Avg. Nbr of Basic Plans per Region 16 -2 18 -5 23 Nbr of $0 Deductible Plans 488 24 464 -165 629 Avg. Nbr of $0 Ded. Plans per Region 14 0 14 -5 19 Percent $0 Deductible Plans 47% 5% 42% 2% 40% Nbr of Plans with a Premium < $25 60 11 49 -42 91 Avg Nbr of Plans - Premium < $25 2 1 1 -2 3 Percent Plans with a Premium < $25 6% 2% 4% -2% 6% Lowest Cost PDP Plan (Premium) $15.10 $0.30 $14.80 $6.00 $8.80 Highest Cost PDP Plan (Premium) $131.80 $-1.60 $133.40 $13.20 $120.20 Average PDP Plan Premium (Cost) $53.99 $-1.37 $55.36 $8.78 $46.58 % Change in Avg. PDP Plan Costs -- -2% -- 19% -- Avg. Weighted PDP Plan Premium** $39.62 $1.40 $38.22 $1.32 $36.90 % Change Weighted Avg. PDP Costs** -- 4% -- 4% -- Number of PDP Plans with Any Gap Coverage in the Gap (Donut Hole) 270 -129 399 91 308 Percent of PDP Plans with Any Gap Coverage 26% -10% 36% 16% 20% Lowest Cost Plan with Any Gap Coverage View coverage type / premium details $54.50 $21.60 $32.90 $-7.50 $40.40 Number of LIS PDP Plans View List of LIS Qualified Plans 327 12 315 27 288 Nbr of Unique LIS Qualified Plans View List of LIS Qualified Plans 23 -1 24 -6 30 Premium Changes for Persons Staying in their Current Plan View premium detail chart Nbr of Plans with Premium Decrease 369 132 237 -206 443 Nbr of Plans with No Premium Change 138 94 44 -14 58 Nbr of Plans with Premium Increase 420 -377 797 -313 1110 % of People with a Premium Increase 55% -10% 65% -16% 81% Weighted Average Increase for People with a Premium Increase $4.99 $-2.31 $7.30 $1.82 $5.48

Note: *Stand-alone Medicare Prescription Drug Plans (PDP)s only. Data for MA-PD plans not included. The data for the sanctioned Aetna plans is NOT included on this page 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 2012 CMS Standard Plan including cost sharing, LIS benchmarks, etc.

Details for the Min. and Max. Premium Plans in 2012

H/L State Plan Name Prem. Ded. Gap Coverage Benefit Type Low WI Humana Walmart-Preferred Rx Plan (PDP) $15.10 $320.00 No Gap Coverage Basic High DC DE MD BlueRx Enhanced (PDP) $131.80 $0.00 Many Generics Enhanced

: : Click to see 2012 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 2012.

Min. and Max. Premium Plans in 2011 and their change in 2012

H/L Year State Plan Name Prem. Ded. Gap Coverage Benefit Type Low 2011 WI Humana Walmart-Preferred Rx Plan (PDP) $14.80 $310.00 No Gap Coverage Basic Low 2012 WI Humana Walmart-Preferred Rx Plan (PDP) $15.10 $320.00 No Gap Coverage Basic High 2011 DC DE MD BlueRx Enhanced (PDP) $133.40 $0.00 All Generics Enhanced High 2012 DC DE MD BlueRx Enhanced (PDP) $131.80 $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 2011 and

plan features and costs should you stay in the same plan in 2012.

Gap Coverage Types and Minimum Premium for 2012 Part D Plans

2012 Gap Coverage Details Gap Coverage Type Nbr. Plans Min. Prem. No Gap Coverage 771 $15.10 Some Generics 102 $54.50 Many Generics 72 $55.60 Few Generics 16 $61.00 All Generics 7 $66.60 Some Generics and Some Brands 34 $79.30 Many Generics and Some Brands 39 $101.20 2011 Gap Coverage Details Gap Coverage Type Nbr. Plans Min. Prem. No Gap Coverage 710 $14.80 Few Generics 102 $32.90 Some Generics 67 $34.70 Many Generics 117 $39.90 All Generics 7 $72.80 Some Generics and Some Brands 68 $79.10 Many Generics and Some Brands 38 $91.20

Notes: 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 Healthcare Reform provides that for Plan Year 2012, ALL formulary generics will have at least a 14% discount and ALL brand drugs will have at least a 50% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. 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". A label of "All Formulary Drugs" is applied for plans that cover 100% of "generic" and 100% of "brand" products (either by covering all formulary drug products in the gap or by having no initial coverage limit), "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 2012 Part D Plans

2012 LIS Qualifying Plans Plan Name Plan ID AARP MedicareRx Preferred (PDP) S5805 AARP MedicareRx Preferred (PDP) S5820 Aetna CVS/pharmacy Prescription Drug Plan (PDP) S5810 Blue MedicareRx Standard (PDP) S5596 BravoRx (PDP) S5998 CIGNA Medicare Rx Plan One (PDP) S5617 Community CCRx Basic (PDP) S5825 Community CCRx Basic (PDP) S5803 CVS Caremark Value (PDP) S5601 EnvisionRxPlus Silver (PDP) S7694 First Health Part D Premier (PDP) S5768 First United American - Select (PDP) S5580 Health Net Orange Option 1 (PDP) S5678 HealthSpring Prescription Drug Plan -Reg12 (PDP) S5932 Humana Walmart-Preferred Rx Plan (PDP) S5884 Humana Walmart-Preferred Rx Plan (PDP) S5552 Medco Medicare Prescription Plan - Value (PDP) S5660 Medco Medicare Prescription Plan - Value (PDP) S5983 MedicareRx Rewards Standard (PDP) S5960 United American - Select (PDP) S5755 WellCare Classic (PDP) S5967 Windsor Rx (PDP) S2505 Windsor Rx (PDP) S4802 2011 LIS Qualifying Plans Plan Name Plan ID AARP MedicareRx Preferred (PDP) S5820 AARP MedicareRx Preferred (PDP) S5805 Advantage Star Plan by RxAmerica (PDP) S5644 AR Blue Cross - Medi-Pak Rx Basic (PDP) S5795 Blue MedicareRx Standard (PDP) S5596 BravoRx (PDP) S5998 CIGNA Medicare Rx Plan One (PDP) S5617 Community CCRx Basic (PDP) S5803 Community CCRx Basic (PDP) S5825 CVS Caremark Value (PDP) S5601 EnvisionRxPlus Silver (PDP) S7694 First Health Part D Premier (PDP) S5768 Health Net Orange Option 1 (PDP) S5678 HealthSpring Prescription Drug Plan -Reg12 (PDP) S5932 Humana Walmart-Preferred Rx Plan (PDP) S5552 Humana Walmart-Preferred Rx Plan (PDP) S5884 Medco Medicare Prescription Plan - Value (PDP) S5660 Medco Medicare Prescription Plan - Value (PDP) S5983 MedicareBlue Rx Standard (PDP) S5743 MedicareRx Rewards Standard (PDP) S5960 Sterling Rx (PDP) S4802 UA Medicare Part D Prescription Drug Cov (PDP) S5755 WellCare Classic (PDP) S5967 Windsor Rx (PDP) 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