|
|
|
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.
|
|
| 2015 Premium Changes for Persons Staying in their 2014 Plan |
| Premium Change Range | Total number of Plans in this Change Range |
|---|
| $-44 to $-40 | * -- total: 1 plan |
| $-39 to $-35 | * -- total: 1 plan |
| $-34 to $-30 | 0 plans |
| $-29 to $-25 | 0 plans |
| $-24 to $-20 | 0 plans |
| $-19 to $-15 | 0 plans |
| $-14 to $-10 | 0 plans |
| $-9 to $-5 | * * * * * -- total: 5 plans |
| $-4 to $0 | * * * * * -- total: 5 plans |
| $1 to $5 | * * * * * * -- total: 6 plans |
| $6 to $10 | * * * * * -- total: 5 plans |
| $11 to $15 | * -- total: 1 plan |
| $16 to $20 | * -- total: 1 plan |
| $21 to $25 | * -- total: 1 plan | |
|
| Details for the Min. and Max. Premium Plans in 2015 |
| H/L | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
|---|
| Low | IA MN MT NE ND SD WY | Humana Walmart Rx Plan (PDP) | $15.70 | $320.00 | No Gap Coverage | Enhanced |
| High | IA MN MT NE ND SD WY | Aetna Medicare Rx Premier (PDP) | $139.20 | $0.00 | Yes | Enhanced | |
| |
| The chart above shows the details of the least expensive and most |
expensive plans available for 2015.
|
| Min. and Max. Premium Plans in 2014 and how the plan changes in 2015 |
| H/L | Year | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
|---|
| Low | 2014 | IA MN MT NE ND SD WY | Humana Walmart Rx Plan (PDP) | $12.60 | $310.00 | No Gap Coverage | Enhanced |
| | 2015 | IA MN MT NE ND SD WY | Humana Walmart Rx Plan (PDP) | $15.70 | $320.00 | No Gap Coverage | Enhanced |
|
| High | 2014 | IA MN MT NE ND SD WY | Aetna Medicare Rx Premier (PDP) | $140.60 | $0.00 | Few Generics | Enhanced |
| | 2015 | IA MN MT NE ND SD WY | Aetna Medicare Rx Premier (PDP) | $139.20 | $0.00 | Yes | Enhanced | |
| |
| The chart above details the least (and most) expensive plan in 2014 and |
plan features and costs should you stay in the same plan in 2015.
|
| Gap Coverage Types and Minimum Premium for 2015 Part D Plans |
| 2015 Gap Coverage Details |
|---|
| Gap Coverage Type | Number
of Plans | Minimum
Premium |
|---|
| No Gap Coverage | 22 | $15.70 |
| Yes | 8 | $49.30 |
|
|
|
| Notes: Click the Gap Coverage Type above to see plan details for 2015 Montana 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).
|
| 2015 Montana $0 Premium LIS Qualified Part D Plans |
| 2015 LIS Qualifying Plans |
|---|
| Plan Name | Plan ID |
|---|
| AARP MedicareRx Saver Plus (PDP) | S5921-370 |
| Aetna Medicare Rx Saver (PDP) | S5810-059 |
| Humana Preferred Rx Plan (PDP) | S5884-145 |
| SilverScript Choice (PDP) | S5601-050 |
| Symphonix Value Rx (PDP) | S0522-042 |
|
| 2014 LIS Qualifying Plans |
|---|
| Plan Name | Plan ID |
|---|
| AARP MedicareRx Saver Plus (PDP) | S5921-370 |
| Aetna CVS/pharmacy Prescription Drug Plan (PDP) | S5810-059 |
| Cigna Medicare Rx Secure (PDP) | S5617-123 |
| EnvisionRxPlus Silver (PDP) | S7694-025 |
| HealthMarkets Value Rx (PDP) | S0128-026 |
| Humana Preferred Rx Plan (PDP) | S5884-145 |
| SilverScript Basic (PDP) | S5601-50 |
| SmartD Rx Saver (PDP) | S0064-25 |
| Symphonix Value Rx (PDP) | S0522-042 |
| WellCare Classic (PDP) | S5967-162 |
|
|
Note: Click heading above to see details of LIS qualifying plans in Montana.
Please note, not all plans are available in every state.
|
| List of National PDP Providers with Plans available in Montana |
| 2015 National PDP Providers |
|---|
| Aetna Medicare |
| Cigna-HealthSpring Rx |
| Express Scripts Medicare |
| First Health Part D |
| Humana Insurance Company |
| United American Insurance Company |
| UnitedHealthcare |
|
| 2014 National PDP Providers |
|---|
| Aetna Medicare |
| Cigna Medicare Rx |
| Cigna-HealthSpring |
| EnvisionRx Plus |
| Express Scripts Medicare |
| First Health Part D |
| HealthMarkets Medicare |
| Humana Insurance Company |
| MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT OF NE |
| SILVERSCRIPT INSURANCE COMPANY |
| UniCare |
| United American Insurance Company |
| UnitedHealthcare |
|
|
Note: Click heading above to see PDP plans and details for Montana.
|
|
|
|