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This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

2018 North Carolina Medicare Part D Plan (PDP) Statistics*
CMS Region 8 includes (NC)
Statistic 2018 Change 18-17 2017 Change 17-16 2016
Total Number of Part D Drug Plans
View list of National Providers
24 2 22 -4 26
Nbr of Enhanced (EA) Plans 12 1 11 -2 13
Nbr of Basic (BA, DS, AE) Plans 12 1 11 -2 13
Nbr of $0 Deductible Plans 8 0 8 0 8
Lowest Premium for a $0 Deductible Plan $26.40 $-2.90 $29.30 $7.30 $22.00
$0 Deductible Plans (percentage) 33% -3% 36% 5% 31%
Number of Plans with a Premium under $25 5 2 3 1 2
Percentage of Plans with a Premium under $25 21% 7% 14% 6% 8%
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)
$115.70 $-8.30 $124.00 $3.50 $120.50
Average PDP Premium (Cost) $48.35 $0.00 $48.35 $-4.25 $52.60
% Change in Avg. PDP Costs -- 0% -- -8% --
Avg. Weighted PDP Premium** $44.56 $3.29 $41.27 $1.79 $39.48
% Change Weighted Avg. PDP Costs** -- 8% -- 5% --
Number of PDPs with Any Gap Coverage in the Gap (Donut Hole) 8 2 6 0 6
Percentage of PDPs with Any Gap Coverage 33% 6% 27% 4% 23%
Lowest Cost PDP with Any Gap Coverage
View coverage type / premium details
$17.70 $-16.70 $34.40 $0.90 $33.50
Total Beneficiaries with LIS 378,284 378,284 378,284
LIS Benchmark Premium $30.16 $-1.21 $31.37 $0.30 31.07
Total Nbr of LIS Qualified Plans 7 0 7 2 5
Premium Changes for Persons Staying in their Current Plan View premium detail chart
Number of PDPs with Premium Decrease 8 -6 14 1 13
Number of PDPs with No Premium Change 0 -1 1
Number of PDPs with Premium Increase 12 1 11 -4 15
Percentage of People with a Premium Increase 50.7% -15.3% 66% 0% 66%
Weighted Average Increase for People with a Premium Increase $9.74 $1.94 $7.80 $-0.62 $8.42


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
$-8 to $-4 * * * -- total: 3 plans
$-3 to $1 * * * * * -- total: 5 plans
$2 to $6 * * * -- total: 3 plans
$7 to $11 * * * -- total: 3 plans
$12 to $16 * * -- total: 2 plans
$17 to $21 * * -- total: 2 plans
$22 to $26 * -- total: 1 plan
$27 to $31 0 plans
   

Details for the Min. and Max. Premium Plans in 2018
H/LStatePlan NamePrem.Ded.Gap CoverageBenefit Type
LowNCEnvisionRxPlus (PDP)$12.60$300.00No Gap CoverageBasic
HighNCBlue Medicare Rx Enhanced (PDP)$115.70$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
Low2017NCEnvisionRxPlus (PDP)$14.60$260.00No Gap CoverageBasic
  2018NCEnvisionRxPlus (PDP)$12.60$300.00No Gap CoverageBasic
High2017NCBlue Medicare Rx Enhanced (PDP)$124.00$0.00YesEnhanced
  2018NCBlue Medicare Rx Enhanced (PDP)$115.70$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 Coverage16$12.60
Yes8$17.70
2017 Gap Coverage Details
Gap Coverage TypeNumber
of Plans
Minimum
Premium
No Gap Coverage16$14.60
Yes6$34.40
    Notes: Click the Gap Coverage Type above to see plan details for 2018 North Carolina 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 North Carolina $0 Premium LIS Qualified Part D Plans
2018 LIS Qualifying Plans
Plan NamePlan ID
Aetna Medicare Rx Saver (PDP)S5810-042
Basic Blue Rx (PDP)S6986-002
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
2017 LIS Qualifying Plans
Plan NamePlan 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
    Note: Click heading above to see details of LIS qualifying plans in North Carolina.
               Please note, not all plans are available in every state.

List of National PDP Providers with Plans available in North Carolina
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 North Carolina.