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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 |
$-55 to $-51 | * -- total: 1 plan |
$-50 to $-46 | 0 plans |
$-45 to $-41 | 0 plans |
$-40 to $-36 | 0 plans |
$-35 to $-31 | 0 plans |
$-30 to $-26 | 0 plans |
$-25 to $-21 | * -- total: 1 plan |
$-20 to $-16 | * -- total: 1 plan |
$-15 to $-11 | 0 plans |
$-10 to $-6 | 0 plans |
$-5 to $-1 | * -- total: 1 plan |
$0 to $4 | * * -- total: 2 plans |
$5 to $9 | * * * * * * * * * * -- total: 10 plans |
$10 to $14 | * * * -- total: 3 plans |
$15 to $19 | * * * -- total: 3 plans |
$20 to $24 | * -- total: 1 plan |
$25 to $29 | * -- total: 1 plan |
$30 to $34 | 0 plans |
$35 to $39 | * -- total: 1 plan |
$40 to $44 | 0 plans |
$45 to $49 | * -- total: 1 plan |
$50 to $54 | 0 plans |
$55 to $59 | 0 plans |
$60 to $64 | 0 plans |
$65 to $69 | 0 plans |
$70 to $74 | 0 plans |
$75 to $79 | 0 plans |
$80 to $84 | 0 plans |
$85 to $89 | 0 plans | |
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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 | TX | Humana Walmart Rx Plan (PDP) | $18.40 | $360.00 | No Gap Coverage | Enhanced |
High | TX | Blue Cross MedicareRx Plus (PDP) | $163.00 | $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 | TX | Humana Walmart Rx Plan (PDP) | $15.60 | $320.00 | No Gap Coverage | Enhanced |
| 2016 | TX | Humana Walmart Rx Plan (PDP) | $18.40 | $360.00 | No Gap Coverage | Enhanced |
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High | 2015 | TX | Cigna-HealthSpring Rx Secure-Max (PDP) | $152.10 | $0.00 | Yes | Enhanced |
| 2016 | TX | Members will be assigned to Cigna-HealthSpring Rx Secure-Extra (PDP) S5617-267 | $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 | 22 | $18.40 |
Yes | 6 | $36.50 |
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2015 Gap Coverage Details |
Gap Coverage Type | Number of Plans | Minimum Premium |
No Gap Coverage | 24 | $15.60 |
Yes | 8 | $54.20 |
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Notes: Click the Gap Coverage Type above to see plan details for 2016 Texas 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 Texas $0 Premium LIS Qualified Part D Plans |
2016 LIS Qualifying Plans |
Plan Name | Plan ID |
Aetna Medicare Rx Saver (PDP) | S5810-056 |
Blue Cross MedicareRx Basic (PDP) | S5715-014 |
Cigna-HealthSpring Rx Secure (PDP) | S5617-108 |
Humana Preferred Rx Plan (PDP) | S5884-143 |
SilverScript Choice (PDP) | S5601-044 |
Symphonix Value Rx (PDP) | S0522-039 |
WellCare Classic (PDP) | S5967-159 |
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2015 LIS Qualifying Plans |
Plan Name | Plan ID |
AARP MedicareRx Saver Plus (PDP) | S5921-367 |
Aetna Medicare Rx Saver (PDP) | S5810-056 |
Blue Cross MedicareRx Basic (PDP) | S5715-014 |
Cigna-HealthSpring Rx Secure (PDP) | S5617-108 |
EnvisionRxPlus Silver (PDP) | S7694-022 |
Humana Preferred Rx Plan (PDP) | S5884-143 |
SilverScript Choice (PDP) | S5601-044 |
SmartD Rx Saver (PDP) | S0064-022 |
Symphonix Value Rx (PDP) | S0522-039 |
WellCare Classic (PDP) | S5967-159 |
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Note: Click heading above to see details of LIS qualifying plans in Texas.
Please note, not all plans are available in every state.
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List of National PDP Providers with Plans available in Texas |
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 |
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2015 National PDP Providers |
Aetna Medicare |
Cigna-HealthSpring Rx |
Express Scripts Medicare |
First Health Part D |
Humana Insurance Company |
United American Insurance Company |
UnitedHealthcare |
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Note: Click heading above to see PDP plans and details for Texas.
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