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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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| 2017 Premium Changes for Persons Staying in their 2016 Plan |
| Premium Change Range | Total number of Plans in this Change Range |
|---|
| $-21 to $-17 | * -- total: 1 plan |
| $-16 to $-12 | * * -- total: 2 plans |
| $-11 to $-7 | * -- total: 1 plan |
| $-6 to $-2 | * -- total: 1 plan |
| $-1 to $3 | * * * * -- total: 4 plans |
| $4 to $8 | * * * -- total: 3 plans |
| $9 to $13 | * * * * * * -- total: 6 plans |
| $14 to $18 | * -- total: 1 plan | |
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| Details for the Min. and Max. Premium Plans in 2017 |
| H/L | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
|---|
| Low | NC | EnvisionRxPlus (PDP) | $14.60 | $260.00 | No Gap Coverage | Basic |
| High | NC | Blue Medicare Rx Enhanced (PDP) | $124.00 | $0.00 | Yes | Enhanced | |
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| The chart above shows the details of the least expensive and most |
expensive plans available for 2017.
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| Min. and Max. Premium Plans in 2016 and how the plan changes in 2017 |
| H/L | Year | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
|---|
| Low | 2016 | NC | Humana Walmart Rx Plan (PDP) | $18.40 | $360.00 | No Gap Coverage | Enhanced |
| | 2017 | NC | Humana Walmart Rx Plan (PDP) | $17.00 | $400.00 | No | Enhanced |
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| High | 2016 | NC | Transamerica MedicareRx Classic (PDP) | $120.50 | $360.00 | No Gap Coverage | Basic |
| | 2017 | NC | -- | $0.00 | $0.00 | -- | -- | |
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| The chart above details the least (and most) expensive plan in 2016 and |
plan features and costs should you stay in the same plan in 2017.
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| Gap Coverage Types and Minimum Premium for 2017 Part D Plans |
| 2017 Gap Coverage Details |
|---|
| Gap Coverage Type | Number
of Plans | Minimum
Premium |
|---|
| No Gap Coverage | 15 | $14.60 |
| No | 1 | $25.40 |
| Yes | 6 | $34.40 |
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| 2016 Gap Coverage Details |
|---|
| Gap Coverage Type | Number
of Plans | Minimum
Premium |
|---|
| No Gap Coverage | 20 | $18.40 |
| Yes | 6 | $33.50 |
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| Notes: Click the Gap Coverage Type above to see plan details for 2017 North Carolina plans. |
Gap coverage applies to formulary drugs only. The Healthcare Reform provides that for Plan Year 2017, ALL formulary generics will have at least a 49% discount and ALL brand drugs will have at least a 60% 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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| 2017 North Carolina $0 Premium LIS Qualified Part D Plans |
| 2017 LIS Qualifying Plans |
|---|
| Plan Name | Plan ID |
|---|
| Aetna Medicare Rx Saver (PDP) | S5810-042 |
| Cigna-HealthSpring Rx Secure (PDP) | S5617-217 |
| EnvisionRxPlus (PDP) | S7694-008 |
| Humana Preferred Rx Plan (PDP) | S5884-133 |
| SilverScript Choice (PDP) | S5601-016 |
| Symphonix Value Rx (PDP) | S0522-010 |
| WellCare Classic (PDP) | S4802-081 |
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| 2016 LIS Qualifying Plans |
|---|
| Plan Name | Plan ID |
|---|
| Aetna Medicare Rx Saver (PDP) | S5810-042 |
| Humana Preferred Rx Plan (PDP) | S5884-133 |
| SilverScript Choice (PDP) | S5601-016 |
| Symphonix Value Rx (PDP) | S0522-010 |
| WellCare Classic (PDP) | S5967-145 |
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Note: Click heading above to see details of LIS qualifying plans in North Carolina.
Please note, not all plans are available in every state.
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| List of National PDP Providers with Plans available in North Carolina |
| 2017 National PDP Providers |
|---|
| Aetna Medicare |
| Cigna-HealthSpring Rx |
| EnvisionRx Plus |
| Express Scripts Medicare |
| First Health Part D |
| Humana Insurance Company |
| SilverScript |
| UnitedHealthcare |
| WellCare |
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| 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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Note: Click heading above to see PDP plans and details for North Carolina.
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