Q1GROUP LLC | Q1Medicare.com - a non-government resource for the Medicare community
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

2017 Texas Medicare Part D Plan (PDP) Statistics*
CMS Region 22 includes (TX)
Statistic 2017 Change 17-16 2016 Change 16-15 2015
Total Number of Part D Drug Plans
View list of National Providers
23 -5 28 -4 32
Nbr of Enhanced (EA) Plans 12 -2 14 -4 18
Nbr of Basic (BA, DS, AE) Plans 11 -3 14 0 14
Nbr of $0 Deductible Plans 8 0 8 -5 13
Lowest Premium for a $0 Deductible Plan $27.50 $4.6 $22.90 $1.9 $21.00
$0 Deductible Plans (percentage) 35% 6% 29% -12% 41%
Number of Plans with a Premium under $25 4 1 3 -2 5
Percentage of Plans with a Premium under $25 17% 6% 11% -5% 16%
Lowest Cost PDP (Premium)
View details of Lowest Cost Plan(s)
$17.00 $-1.40 $18.40 $2.80 $15.60
Highest Cost PDP (Premium)
View details of Highest Cost Plan(s)
$170.50 $7.50 $163.00 $10.90 $152.10
Average PDP Premium (Cost) $51.78 $-2.24 $54.02 $1.40 $52.62
% Change in Avg. PDP Costs -- -4% -- 3% --
Avg. Weighted PDP Premium** $42.69 $2.98 $39.71 $3.16 $36.55
% Change Weighted Avg. PDP Costs** -- 8% -- 9% --
Number of PDPs with Any Gap Coverage in the Gap (Donut Hole) 7 1 6 -2 8
Percentage of PDPs with Any Gap Coverage 30% 9% 21% -4% 25%
Lowest Cost PDP with Any Gap Coverage
View coverage type / premium details
$22.80 $-13.70 $36.50 $-17.70 $54.20
Total Beneficiaries with LIS 813,545 813,545 813,545
LIS Benchmark Premium $27.34 $-0.71 $28.05 $0.74 27.31
Total Nbr of LIS Qualified Plans 6 -1 7 -3 10
Premium Changes for Persons Staying in their Current Plan View premium detail chart
Number of PDPs with Premium Decrease 10 0 10 -7 17
Number of PDPs with No Premium Change -1 1 0 1
Number of PDPs with Premium Increase 12 -9 21 5 16
Percentage of People with a Premium Increase 59.8% -34.2% 94% 32% 62%
Weighted Average Increase for People with a Premium Increase $7.16 $-0.07 $7.23 $0.24 $6.99


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
$-26 to $-22 * -- total: 1 plan
$-21 to $-17 * -- total: 1 plan
$-16 to $-12 * -- total: 1 plan
$-11 to $-7 * -- total: 1 plan
$-6 to $-2 * * -- total: 2 plans
$-1 to $3 * * * * -- total: 4 plans
$4 to $8 * * * * -- total: 4 plans
$9 to $13 * * * -- total: 3 plans
$14 to $18 * * -- total: 2 plans
$19 to $23 * * -- total: 2 plans
   

Details for the Min. and Max. Premium Plans in 2017
H/LStatePlan NamePrem.Ded.Gap CoverageBenefit Type
LowTXHumana Walmart Rx Plan (PDP)$17.00$400.00No Gap CoverageEnhanced
HighTXBlue Cross MedicareRx Plus (PDP)$170.50$0.00YesEnhanced
   
    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/LYearStatePlan NamePrem.Ded.Gap CoverageBenefit Type
Low2016TXHumana Walmart Rx Plan (PDP)$18.40$360.00No Gap CoverageEnhanced
  2017TXHumana Walmart Rx Plan (PDP)$17.00$400.00NoEnhanced
High2016TXBlue Cross MedicareRx Plus (PDP)$163.00$0.00YesEnhanced
  2017TXBlue Cross MedicareRx Plus (PDP)$170.50$0.00YesEnhanced
   
    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 TypeNumber
of Plans
Minimum
Premium
No Gap Coverage16$17.00
No1$22.80
Yes6$36.50
2016 Gap Coverage Details
Gap Coverage TypeNumber
of Plans
Minimum
Premium
No Gap Coverage22$18.40
Yes6$36.50
    Notes: Click the Gap Coverage Type above to see plan details for 2017 Texas 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 Texas $0 Premium LIS Qualified Part D Plans
2017 LIS Qualifying Plans
Plan NamePlan 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
WellCare Classic (PDP)S4802-013
2016 LIS Qualifying Plans
Plan NamePlan 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
    Note: Click heading above to see details of LIS qualifying plans in Texas.
               Please note, not all plans are available in every state.

List of National PDP Providers with Plans available in Texas
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 Texas.