|
|
|
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.
|
|
| 2017 Premium Changes for Persons Staying in their 2016 Plan |
| Premium Change Range | Total number of Plans in this Change Range |
|---|
| $-27 to $-23 | * -- total: 1 plan |
| $-22 to $-18 | 0 plans |
| $-17 to $-13 | * * -- total: 2 plans |
| $-12 to $-8 | 0 plans |
| $-7 to $-3 | * -- total: 1 plan |
| $-2 to $2 | * * * * -- total: 4 plans |
| $3 to $7 | * * * -- total: 3 plans |
| $8 to $12 | * * * * -- total: 4 plans |
| $13 to $17 | * -- total: 1 plan |
| $18 to $22 | * * -- total: 2 plans |
| $23 to $27 | 0 plans |
| $28 to $32 | 0 plans |
| $33 to $37 | * -- total: 1 plan | |
|
| Details for the Min. and Max. Premium Plans in 2017 |
| H/L | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
|---|
| Low | NJ | Humana Walmart Rx Plan (PDP) | $17.00 | $400.00 | No Gap Coverage | Enhanced |
| High | NJ | Horizon Medicare Blue Rx Enhanced (PDP) | $121.00 | $0.00 | Yes | Enhanced | |
| |
| The chart above shows the details of the least expensive and most |
expensive plans available for 2017.
|
| 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 | NJ | Humana Walmart Rx Plan (PDP) | $18.40 | $360.00 | No Gap Coverage | Enhanced |
| | 2017 | NJ | Humana Walmart Rx Plan (PDP) | $17.00 | $400.00 | No | Enhanced |
|
| High | 2016 | NJ | Horizon Medicare Blue Rx Enhanced (PDP) | $104.70 | $0.00 | Yes | Enhanced |
| | 2017 | NJ | Horizon Medicare Blue Rx Enhanced (PDP) | $121.00 | $0.00 | Yes | Enhanced | |
| |
| 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.
|
| 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 | 14 | $17.00 |
| Yes | 6 | $34.30 |
| No | 1 | $34.90 |
|
| 2016 Gap Coverage Details |
|---|
| Gap Coverage Type | Number
of Plans | Minimum
Premium |
|---|
| No Gap Coverage | 19 | $18.40 |
| Yes | 6 | $30.20 |
|
|
| Notes: Click the Gap Coverage Type above to see plan details for 2017 New Jersey 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.
|
| 2017 New Jersey $0 Premium LIS Qualified Part D Plans |
| 2017 LIS Qualifying Plans |
|---|
| Plan Name | Plan ID |
|---|
| AARP MedicareRx Saver Plus (PDP) | S5921-349 |
| Aetna Medicare Rx Saver (PDP) | S5810-038 |
| Cigna-HealthSpring Rx Secure (PDP) | S5617-018 |
| 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) | S4802-078 |
|
| 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 |
|
|
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 |
| 2017 National PDP Providers |
|---|
| Aetna Medicare |
| Cigna-HealthSpring Rx |
| EnvisionRx Plus |
| Express Scripts Medicare |
| First Health Part D |
| Humana Insurance Company |
| SilverScript |
| UnitedHealthcare |
| WellCare |
|
| 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 |
|
|
Note: Click heading above to see PDP plans and details for New Jersey.
|
|
|
|