PDP-Facts: 2016 Medicare Part D Plan Facts-
    Region (State) and National

Select a state to review the 2016 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 PR RI SC
SD TN TX UT VA VT WA WI WV WY

National Statistics:
2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 | 2013 | 2012 | 2011 | 2010 | 2009 | 2008

Charts & Figures Summarized in Plain Text Print Version

2016 New Jersey Medicare Part D Plan Statistics* CMS Region 4 includes (NJ) Statistic 2016 Change 16-15 2015 Change 15-14 2014 Total Number of Part D Drug Plans View list of National Providers 25 -4 29 -5 34 Nbr of Enhanced (EA) Plans 13 -3 16 -1 17 Nbr of Basic (BA, DS, AE) Plans 12 -1 13 -4 17 Nbr of $0 Deductible Plans 8 -4 12 -4 16 Lowest Premium for a $0 Ded. Plan $30.20 $-0.2 $30.40 $5.4 $25.00 Percent $0 Deductible Plans 32% -9% 41% -6% 47% Nbr of Plans with a Premium < $25 1 0 1 -1 2 Percent Plans with a Premium under $25 4% 1% 3% -3% 6% Lowest Cost PDP Plan (Premium) View details of Lowest Cost Plan(s) $18.40 $2.70 $15.70 $3.10 $12.60 Highest Cost PDP Plan (Premium) View details of Highest Cost Plan(s) $104.70 $-32.40 $137.10 $-2.40 $139.50 Average PDP Plan Premium (Cost) $56.93 $1.45 $55.48 $0.43 $55.05 % Change in Avg. PDP Plan Costs -- 3% -- 1% -- Avg. Weighted PDP Plan Premium** $46.50 $3.94 $42.56 $0.40 $42.16 % Change Weighted Avg. PDP Costs** -- 9% -- 1% -- Number of PDP Plans with Any Gap Coverage in the Gap (Donut Hole) 6 -2 8 0 8 Percent of PDP Plans with Any Gap Coverage 24% -4% 28% 4% 24% Lowest Cost Plan with Any Gap Coverage View coverage type / premium details $30.20 $-23.20 $53.40 $6.20 $47.20 Total Beneficiaries with LIS 256,497 256,497 227,777 LIS Benchmark Premium $39.98 $2.34 $37.64 $0.54 37.10 Total Nbr of LIS Qualified Plans 8 -2 10 -2 12 Premium Changes for Persons Staying in their Current Plan View premium detail chart Nbr of Plans with Premium Decrease 4 -9 13 6 7 Nbr of Plans with No Premium Change 2 2 -2 2 Nbr of Plans with Premium Increase 19 6 13 -2 15 % of People with a Premium Increase 86% 7% 79% -1% 80% Weighted Average Increase for People with a Premium Increase $8.83 $1.35 $7.48 $0.58 $6.90

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.

Details of the 2016 CMS Standard Plan including cost sharing, LIS benchmarks, etc.

2016 Premium Changes for Persons Staying in their 2015 Plan

Premium Change Range Total number of Plans in this Change Range $-58 to $-54 * -- total: 1 plan $-53 to $-49 0 plans $-48 to $-44 0 plans $-43 to $-39 0 plans $-38 to $-34 0 plans $-33 to $-29 0 plans $-28 to $-24 0 plans $-23 to $-19 0 plans $-18 to $-14 * * -- total: 2 plans $-13 to $-9 0 plans $-8 to $-4 0 plans $-3 to $1 * * * -- total: 3 plans $2 to $6 * * * * * * * -- total: 7 plans $7 to $11 * * * -- total: 3 plans $12 to $16 * * * -- total: 3 plans $17 to $21 * * * -- total: 3 plans $22 to $26 0 plans $27 to $31 * * -- total: 2 plans $32 to $36 0 plans $37 to $41 0 plans $42 to $46 0 plans $47 to $51 0 plans

Click to see change details on a per plan basis

Details for the Min. and Max. Premium Plans in 2016

H/L State Plan Name Prem. Ded. Gap Coverage Benefit Type Low NJ Humana Walmart Rx Plan (PDP) $18.40 $360.00 No Gap Coverage Enhanced High NJ Horizon Medicare Blue Rx Enhanced (PDP) $104.70 $0.00 Yes Enhanced

Click to see 2016 Part D Plan details for New Jersey.

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

expensive plans available for 2016.

Min. and Max. Premium Plans in 2015 and how the plan changes in 2016

H/L Year State Plan Name Prem. Ded. Gap Coverage Benefit Type Low 2015 NJ Humana Walmart Rx Plan (PDP) $15.70 $320.00 No Gap Coverage Enhanced   2016 NJ Humana Walmart Rx Plan (PDP) $18.40 $360.00 No Gap Coverage Enhanced High 2015 NJ Aetna Medicare Rx Premier (PDP) $137.10 $0.00 Yes Enhanced   2016 NJ Members will be assigned to First Health Part D Premier Plus (PDP) S5768-187 $0.00 $0.00 -- --

Click to see change details for all plans in New Jersey.

The chart above details the least (and most) expensive plan in 2015 and

plan features and costs should you stay in the same plan in 2016.

Gap Coverage Types and Minimum Premium for 2016 Part D Plans

2016 Gap Coverage Details Gap Coverage Type Number of Plans Minimum Premium No Gap Coverage 19 $18.40 Yes 6 $30.20 2015 Gap Coverage Details Gap Coverage Type Number of Plans Minimum Premium No Gap Coverage 21 $15.70 Yes 8 $53.40

Notes: Click the Gap Coverage Type above to see plan details for 2016 New Jersey plans.

Gap coverage applies to formulary drugs only. The Healthcare Reform provides that for Plan Year 2016, ALL formulary generics will have at least a 42% discount and ALL brand drugs will have at least a 55% discount in the coverage gap. The Gap Coverage discussed in this section is in addition to the Healthcare Reform mandated discounts.

2016 New Jersey $0 Premium LIS Qualified Part D Plans

2016 LIS Qualifying Plans Plan Name Plan ID AARP MedicareRx Saver Plus (PDP) S5921-349 Aetna Medicare Rx Saver (PDP) S5810-038 EnvisionRxPlus Silver (PDP) S7694-004 Express Scripts Medicare - Value (PDP) S5660-106 Humana Preferred Rx Plan (PDP) S5884-131 SilverScript Choice (PDP) S5601-008 Symphonix Value Rx (PDP) S0522-004 WellCare Classic (PDP) S5967-141 2015 LIS Qualifying Plans Plan Name Plan ID AARP MedicareRx Saver Plus (PDP) S5921-349 Aetna Medicare Rx Saver (PDP) S5810-038 EnvisionRxPlus Silver (PDP) S7694-004 Express Scripts Medicare - Value (PDP) S5660-106 Humana Preferred Rx Plan (PDP) S5884-131 SilverScript Choice (PDP) S5601-008 SmartD Rx Saver (PDP) S0064-004 Symphonix Rite Aid Value Rx (PDP) S0522-004 Transamerica MedicareRx Classic (PDP) S9579-003 WellCare Classic (PDP) S5967-141

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

List of National PDP Providers with Plans available in New Jersey

2016 National PDP Providers Aetna Medicare Cigna-HealthSpring Rx EnvisionRx Plus Express Scripts Medicare First Health Part D Humana Insurance Company SilverScript United American Insurance Company UnitedHealthcare WellCare 2015 National PDP Providers Aetna Medicare Cigna-HealthSpring Rx Express Scripts Medicare First Health Part D Humana Insurance Company United American Insurance Company UnitedHealthcare

Note: Click heading above to see PDP plans and details for New Jersey.

Charts & Figures Summarized in Plain Text Print Version