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PDP-Facts: 2018 Medicare Part D Plan Facts-
    Region (State) and National

Select a state to review the 2018 Medicare Prescription Drug Plan Statistics per State.
AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME
MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC
SD TN TX UT VA VT WA WI WV WY

National Statistics:
  2018 | 2017 | 2016 | 2015 | 2014 | 2013 | 2012 | 2011 | 2010 | 2009 | 2008

2018 Ohio Medicare Part D Plan (PDP) Statistics*
CMS Region 14 includes (OH)
Statistic 2018 Change 18-17 2017 Change 17-16 2016
Total Number of Part D Drug Plans
View list of National Providers
23 1 22 -5 27
Nbr of Enhanced (EA) Plans 13 1 12 -2 14
Nbr of Basic (BA, DS, AE) Plans 10 0 10 -3 13
Nbr of $0 Deductible Plans 9 0 9 0 9
Lowest Premium for a $0 Deductible Plan $24.00 $-3.40 $27.40 $7.80 $19.60
$0 Deductible Plans (percentage) 39% -2% 41% 8% 33%
Number of Plans with a Premium under $25 5 2 3 1 2
Percentage of Plans with a Premium under $25 22% 8% 14% 7% 7%
Lowest Cost PDP (Premium)
View details of Lowest Cost Plan(s)
$12.60 $-2.00 $14.60 $-3.80 $18.40
Highest Cost PDP (Premium)
View details of Highest Cost Plan(s)
$162.70 $5.30 $157.40 $29.40 $128.00
Average PDP Premium (Cost) $52.00 $-0.92 $52.92 $-2.01 $54.93
% Change in Avg. PDP Costs -- -2% -- -4% --
Avg. Weighted PDP Premium** $41.62 $4.23 $37.39 $2.10 $35.29
% Change Weighted Avg. PDP Costs** -- 11% -- 6% --
Number of PDPs with Any Gap Coverage in the Gap (Donut Hole) 9 2 7 0 7
Percentage of PDPs with Any Gap Coverage 39% 7% 32% 6% 26%
Lowest Cost PDP with Any Gap Coverage
View coverage type / premium details
$16.80 $-18.10 $34.90 $1.00 $33.90
Total Beneficiaries with LIS 390,210 390,210 390,210
LIS Benchmark Premium $31.95 $-0.35 $32.30 $2.78 29.52
Total Nbr of LIS Qualified Plans 6 0 6 1 5
Premium Changes for Persons Staying in their Current Plan View premium detail chart
Number of PDPs with Premium Decrease 4 -9 13 2 11
Number of PDPs with No Premium Change 3 3 -1 1
Number of PDPs with Premium Increase 13 1 12 -7 19
Percentage of People with a Premium Increase 59.3% -8.7% 68% 3% 65%
Weighted Average Increase for People with a Premium Increase $9.36 $1.55 $7.81 $-0.68 $8.49


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.



2018 Premium Changes for Persons Staying in their 2017 Plan
Premium Change Range Total number of Plans in this Change Range
$-25 to $-21 * -- total: 1 plan
$-20 to $-16 0 plans
$-15 to $-11 0 plans
$-10 to $-6 0 plans
$-5 to $-1 * -- total: 1 plan
$0 to $4 * * * * * -- total: 5 plans
$5 to $9 * * * * * -- total: 5 plans
$10 to $14 * * -- total: 2 plans
$15 to $19 * * * -- total: 3 plans
   

Details for the Min. and Max. Premium Plans in 2018
H/LStatePlan NamePrem.Ded.Gap CoverageBenefit Type
LowOHEnvisionRxPlus (PDP)$12.60$300.00No Gap CoverageBasic
HighOHAnthem Blue MedicareRx Premier (PDP)$162.70$0.00YesEnhanced
   
    The chart above shows the details of the least expensive and most
    expensive plans available for 2018.

Min. and Max. Premium Plans in 2017 and how the plan changes in 2018
H/LYearStatePlan NamePrem.Ded.Gap CoverageBenefit Type
Low2017OHEnvisionRxPlus (PDP)$14.60$280.00No Gap CoverageBasic
  2018OHEnvisionRxPlus (PDP)$12.60$300.00No Gap CoverageBasic
High2017OHAnthem Blue MedicareRx Premier (PDP)$157.40$0.00YesEnhanced
  2018OHAnthem Blue MedicareRx Premier (PDP)$162.70$0.00YesEnhanced
   
    The chart above details the least (and most) expensive plan in 2017 and
    plan features and costs should you stay in the same plan in 2018.

Gap Coverage Types and Minimum Premium for 2018 Part D Plans
2018 Gap Coverage Details
Gap Coverage TypeNumber
of Plans
Minimum
Premium
No Gap Coverage14$12.60
Yes9$16.80
2017 Gap Coverage Details
Gap Coverage TypeNumber
of Plans
Minimum
Premium
No Gap Coverage15$14.60
Yes7$34.90
    Notes: Click the Gap Coverage Type above to see plan details for 2018 Ohio plans.
Gap coverage applies to formulary drugs only. The Healthcare Reform provides that for Plan Year 2018, ALL formulary generics will have at least a 56% discount and ALL brand drugs will have at least a 65% discount in the coverage gap. The Gap Coverage discussed in this section is in addition to the Healthcare Reform mandated discounts.

2018 Ohio $0 Premium LIS Qualified Part D Plans
2018 LIS Qualifying Plans
Plan NamePlan ID
Aetna Medicare Rx Saver (PDP)S5810-048
EnvisionRxPlus (PDP)S7694-014
Humana Preferred Rx Plan (PDP)S5884-137
SilverScript Choice (PDP)S5601-028
Symphonix Value Rx (PDP)S0522-020
WellCare Classic (PDP)S4802-085
2017 LIS Qualifying Plans
Plan NamePlan ID
Aetna Medicare Rx Saver (PDP)S5810-048
EnvisionRxPlus (PDP)S7694-014
Humana Preferred Rx Plan (PDP)S5884-137
SilverScript Choice (PDP)S5601-028
Symphonix Value Rx (PDP)S0522-020
WellCare Classic (PDP)S4802-085
    Note: Click heading above to see details of LIS qualifying plans in Ohio.
               Please note, not all plans are available in every state.

List of National PDP Providers with Plans available in Ohio
2018 National PDP Providers
Aetna Medicare
Cigna-HealthSpring Rx
EnvisionRx Plus
Express Scripts Medicare
First Health Part D
Humana Insurance Company
SilverScript
UnitedHealthcare
WellCare
2017 National PDP Providers
Aetna Medicare
Cigna-HealthSpring Rx
EnvisionRx Plus
Express Scripts Medicare
First Health Part D
Humana Insurance Company
SilverScript
UnitedHealthcare
WellCare
    Note: Click heading above to see PDP plans and details for Ohio.



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Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.