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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.
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2016 Premium Changes for Persons Staying in their 2015 Plan |
Premium Change Range | Total number of Plans in this Change Range |
$-4 to $0 | * * * -- total: 3 plans |
$1 to $5 | * * * * * * * -- total: 7 plans |
$6 to $10 | * * * -- total: 3 plans |
$11 to $15 | * * * * * -- total: 5 plans |
$16 to $20 | * -- total: 1 plan | |
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Details for the Min. and Max. Premium Plans in 2016 |
H/L | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
Low | NY | Humana Walmart Rx Plan (PDP) | $18.40 | $360.00 | No Gap Coverage | Enhanced |
High | NY | First Health Part D Premier Plus (PDP) | $93.40 | $0.00 | Yes | Enhanced | |
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The chart above shows the details of the least expensive and most |
expensive plans available for 2016.
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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 | NY | Humana Walmart Rx Plan (PDP) | $15.70 | $320.00 | No Gap Coverage | Enhanced |
| 2016 | NY | Humana Walmart Rx Plan (PDP) | $18.40 | $360.00 | No Gap Coverage | Enhanced |
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High | 2015 | NY | Aetna Medicare Rx Premier (PDP) | $143.00 | $0.00 | Yes | Enhanced |
| 2016 | NY | Members will be assigned to First Health Part D Premier Plus (PDP) S5768-199 | $0.00 | $0.00 | -- | -- | |
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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.
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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 | 17 | $18.40 |
Yes | 5 | $38.00 |
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2015 Gap Coverage Details |
Gap Coverage Type | Number of Plans | Minimum Premium |
No Gap Coverage | 19 | $15.70 |
Yes | 6 | $56.20 |
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Notes: Click the Gap Coverage Type above to see plan details for 2016 New York 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.
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2016 New York $0 Premium LIS Qualified Part D Plans |
2016 LIS Qualifying Plans |
Plan Name | Plan ID |
Aetna Medicare Rx Saver (PDP) | S5810-037 |
Cigna-HealthSpring Rx Secure (PDP) | S5617-013 |
Express Scripts Medicare - Value (PDP) | S5983-004 |
Humana Preferred Rx Plan (PDP) | S5552-004 |
Magellan Rx Medicare Basic (PDP) | S4607-002 |
SilverScript Choice (PDP) | S5601-006 |
WellCare Classic (PDP) | S5967-140 |
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2015 LIS Qualifying Plans |
Plan Name | Plan ID |
AARP MedicareRx Saver Plus (PDP) | S5921-379 |
Aetna Medicare Rx Saver (PDP) | S5810-037 |
Cigna-HealthSpring Rx Secure (PDP) | S5617-013 |
Express Scripts Medicare - Value (PDP) | S5983-004 |
Humana Preferred Rx Plan (PDP) | S5552-004 |
SilverScript Choice (PDP) | S5601-006 |
SmartD Rx Saver (PDP) | S0064-003 |
WellCare Classic (PDP) | S5967-140 |
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Note: Click heading above to see details of LIS qualifying plans in New York.
Please note, not all plans are available in every state.
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List of National PDP Providers with Plans available in New York |
2016 National PDP Providers |
Aetna Medicare |
Cigna-HealthSpring Rx |
EnvisionRx Plus |
Express Scripts Medicare |
First Health Part D |
First United American Life Insurance Company |
Humana Insurance Company of New York |
SilverScript |
UnitedHealthcare |
WellCare |
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2015 National PDP Providers |
Aetna Medicare |
Cigna-HealthSpring Rx |
Express Scripts Medicare |
First Health Part D |
First United American Life Insurance Company |
Humana Insurance Company of New York |
UnitedHealthcare |
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Note: Click heading above to see PDP plans and details for New York.
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