Q1GROUP LLC | Q1Medicare.com - a non-government resource for the Medicare community
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

» Charts & Figures   » Summarized in Plain Text   » Print Version
2013 Kentucky Medicare Part D Plan Statistics*
CMS Region 15 includes (IN KY)
Statistic 2013 Change 13-12 2012 Change 12-11 2011
Total Number of Part D Drug Plans
View list of National Providers
32 1 31 -1 32
Nbr of Enhanced (EA) Plans 17 1 16 1 15
Nbr of Basic (BA, DS, AE) Plans 15 0 15 -2 17

Nbr of $0 Deductible Plans 15 0 15 1 14
Lowest Premium for a $0 Ded. Plan $29.10 $3.2 $25.90 $-8.6 $34.50
Percent $0 Deductible Plans 47% -1% 48% 4% 44%

Nbr of Plans with a Premium < $25 2 1 1 0 1
Percent Plans with a Premium < $25 6% 3% 3% 0% 3%

Lowest Cost PDP Plan (Premium)
View details of Lowest Cost Plan(s)
$15.00 $-0.10 $15.10 $0.30 $14.80
Highest Cost PDP Plan (Premium)
View details of Highest Cost Plan(s)
$113.80 $-3.30 $117.10 $7.10 $110.00
Average PDP Plan Premium (Cost) $55.43 $-0.36 $55.79 $-0.53 $56.32
% Change in Avg. PDP Plan Costs -- -1% -- -1% --
Avg. Weighted PDP Plan Premium** $41.86 $1.44 $40.42 $-0.88 $41.30
% Change Weighted Avg. PDP Costs** -- 4% -- -2% --

Number of PDP Plans with Any Gap Coverage in the Gap (Donut Hole) 12 3 9 -3 12
Percent of PDP Plans with Any Gap Coverage 38% 9% 29% -9% 38%
Lowest Cost Plan with Any Gap Coverage
View coverage type / premium details
$44.00 $-23.40 $67.40 $18.80 $48.60

Total Beneficiaries with LIS 199,760 199,760
LIS Benchmark Premium $37.22 $1.30 $35.92
Total Nbr of LIS Qualified Plans 11 -2 13 0 13

Premium Changes for Persons Staying in their Current Plan View premium detail chart
Nbr of Plans with Premium Decrease 10 -1 11 3 8
Nbr of Plans with No Premium Change -4 4 4
Nbr of Plans with Premium Increase 21 8 13 -10 23
% of People with a Premium Increase 82% 23% 59% -13% 72%
Weighted Average Increase for People with a Premium Increase $3.71 $-3.04 $6.75 $-0.75 $7.50
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 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 2013 CMS Standard Plan including cost sharing, LIS benchmarks, etc.

2013 Premium Changes for Persons Staying in their 2012 Plan
Premium Change Range Total number of Plans in this Change Range
$-80 to $-76 * -- total: 1 plan
$-75 to $-71 * -- total: 1 plan
$-70 to $-66 0 plans
$-65 to $-61 * -- total: 1 plan
$-60 to $-56 0 plans
$-55 to $-51 0 plans
$-50 to $-46 0 plans
$-45 to $-41 0 plans
$-40 to $-36 0 plans
$-35 to $-31 * * -- total: 2 plans
$-30 to $-26 * -- total: 1 plan
$-25 to $-21 0 plans
$-20 to $-16 0 plans
$-15 to $-11 0 plans
$-10 to $-6 * -- total: 1 plan
$-5 to $-1 * -- total: 1 plan
$0 to $4 * * -- total: 2 plans
$5 to $9 * * * * * * * * * * * * -- total: 12 plans
$10 to $14 * * * * * * * -- total: 7 plans
$15 to $19 0 plans
$20 to $24 * -- total: 1 plan
            » Click to see change details on a per plan basis

Details for the Min. and Max. Premium Plans in 2013
H/LStatePlan NamePrem.Ded.Gap CoverageBenefit Type
LowIN KYAARP MedicareRx Saver Plus (PDP)$15.00$325.00No Gap CoverageBasic
HighIN KYHumana Complete (PDP)$113.80$0.00Some Generics and Some BrandsEnhanced
            » Click to see 2013 Part D Plan details for Kentucky.
            The chart above shows the details of the least expensive and most expensive
            plans available for 2013.

Min. and Max. Premium Plans in 2012 and how the plan changes in 2013
H/LYearStatePlan NamePrem.Ded.Gap CoverageBenefit Type
Low2012IN KYHumana Walmart-Preferred Rx Plan (PDP)$15.10$320.00No Gap CoverageBasic
  2013IN KYHumana Walmart-Preferred Rx Plan (PDP)$18.50$325.00No Gap CoverageBasic

High2012IN KYBlue MedicareRx Premier (PDP)$117.10$0.00Many Generics and Some BrandsEnhanced
  2013IN KYBlue MedicareRx Premier (PDP)$110.70$0.00Many Generics and Some BrandsEnhanced

            » Click to see change details for all plans in Kentucky.
            The chart above details the least (and most) expensive plan in 2012 and
            plan features and costs should you stay in the same plan in 2013.

Gap Coverage Types and Minimum Premium for 2013 Part D Plans
2013 Gap Coverage Details
Gap Coverage TypeNbr.
Plans
Min.
Prem.
No Gap Coverage20$15.00
Many Generics2$44.00
Some Generics2$54.50
Few Generics2$75.80
Some Generics and Some Brands3$88.20
Many Generics and Some Brands3$101.60
2012 Gap Coverage Details
Gap Coverage TypeNbr.
Plans
Min.
Prem.
No Gap Coverage22$15.10
Few Generics1$67.40
Some Generics3$68.10
Many Generics2$70.90
Some Generics and Some Brands1$101.90
Many Generics and Some Brands2$110.10
               Notes: Click the Gap Coverage Type above to see plan details for 2013 Kentucky plans.


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).


2013 Kentucky $0 Premium LIS Qualified Part D Plans
2013 LIS Qualifying Plans
Plan NamePlan ID
AARP MedicareRx Saver Plus (PDP)S5921-360
Aetna CVS/pharmacy Prescription Drug Plan (PDP)S5810-049
Cigna Medicare Rx Plan One (PDP)S5617-222
EnvisionRxPlus Silver (PDP)S7694-015
Express Scripts Medicare - Value (PDP)S5660-117
First Health Part D Premier (PDP)S5768-018
Humana Walmart-Preferred Rx Plan (PDP)S5884-138
Reader's Digest Value Rx (PDP)S0128-016
SilverScript Basic (PDP)S5601-030
SmartD Rx Saver (PDP)S0064-015
United American - Select (PDP)S5755-086
2012 LIS Qualifying Plans
Plan NamePlan ID
Aetna CVS/pharmacy Prescription Drug Plan (PDP)S5810-049
BravoRx (PDP)S5998-021
CIGNA Medicare Rx Plan One (PDP)S5617-222
Community CCRx Basic (PDP)S5803-084
CVS Caremark Value (PDP)S5601-030
EnvisionRxPlus Silver (PDP)S7694-015
First Health Part D Premier (PDP)S5768-018
Health Net Orange Option 1 (PDP)S5678-036
HealthSpring Prescription Drug Plan-Reg 15 (PDP)S5932-014
Humana Walmart-Preferred Rx Plan (PDP)S5884-138
Medco Medicare Prescription Plan - Value (PDP)S5660-117
United American - Select (PDP)S5755-086
WellCare Classic (PDP)S5967-152
               Note: Click heading above to see details of LIS qualifying plans in Kentucky.
               Please note, not all plans are available in every state.

List of National PDP Providers with Plans available in Kentucky
2013 National PDP Providers
Aetna Medicare
Cigna Medicare Rx
EnvisionRx Plus
Express Scripts Medicare
First Health Part D
HealthMarkets Medicare
HealthSpring Prescription Drug Plan
Humana Insurance Company
SilverScript
SmartD Rx
United American Insurance Company
UnitedHealthcare
2012 National PDP Providers
Aetna Medicare
CIGNA Medicare Rx
Community CCRx PDP
EnvisionRx Plus
First Health Part D
HealthSpring Prescription Drug Plan
Humana Insurance Company
Medco Medicare Prescription Plan
SilverScript Insurance Company
United American Insurance Company
UnitedHealthcare
               Note: Click heading above to see PDP plans and details for Kentucky.


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