|
|
|
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 |
|---|
| $-20 to $-16 | * -- total: 1 plan |
| $-15 to $-11 | 0 plans |
| $-10 to $-6 | * -- total: 1 plan |
| $-5 to $-1 | 0 plans |
| $0 to $4 | * * * * * * -- total: 6 plans |
| $5 to $9 | * * * -- total: 3 plans |
| $10 to $14 | * * * * * -- total: 5 plans |
| $15 to $19 | * * -- total: 2 plans |
| $20 to $24 | * -- total: 1 plan |
| $25 to $29 | 0 plans |
| $30 to $34 | * -- total: 1 plan | |
|
| Details for the Min. and Max. Premium Plans in 2018 |
| H/L | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
|---|
| Low | TX | Aetna Medicare Rx Select (PDP) | $16.70 | $405.00 | Yes | Enhanced |
| High | TX | Blue Cross MedicareRx Plus (PDP) | $197.10 | $0.00 | Yes | Enhanced | |
| |
| 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/L | Year | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
|---|
| Low | 2017 | TX | Humana Walmart Rx Plan (PDP) | $17.00 | $400.00 | No Gap Coverage | Enhanced |
| | 2018 | TX | Humana Walmart Rx Plan (PDP) | $20.40 | $405.00 | No Gap Coverage | Enhanced |
|
| High | 2017 | TX | Blue Cross MedicareRx Plus (PDP) | $170.50 | $0.00 | Yes | Enhanced |
| | 2018 | TX | Blue Cross MedicareRx Plus (PDP) | $197.10 | $0.00 | Yes | Enhanced | |
| |
| 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 Type | Number
of Plans | Minimum
Premium |
|---|
| Yes | 8 | $16.70 |
| No Gap Coverage | 16 | $20.40 |
|
| 2017 Gap Coverage Details |
|---|
| Gap Coverage Type | Number
of Plans | Minimum
Premium |
|---|
| No Gap Coverage | 17 | $17.00 |
| Yes | 6 | $36.50 |
|
|
| Notes: Click the Gap Coverage Type above to see plan details for 2018 Texas 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 Texas $0 Premium LIS Qualified Part D Plans |
| 2018 LIS Qualifying Plans |
|---|
| Plan Name | Plan 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) | S4802-013 |
|
| 2017 LIS Qualifying Plans |
|---|
| Plan Name | Plan 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 |
|
|
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 |
| 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 Texas.
|
|
|
|