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

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Only show plans discontinued in 2019
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2018
2019
2018: $  max: $198
2019: $  max: $156
2018: $  max: $405
2019: $  max: $415
2018:
2019:
2018:
2019:
There are 32 West Virginia Stand-Alone Medicare Part D plans meeting your criteria.
2018 / 2019 Medicare Part D Plan Information
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Plan Name Monthly
Premium
Deduct-
ible
(Donut Hole)
Additional
Gap
Coverage
$0
Prem.
with
Full
LIS?
Plan
ID
Cost-Sharing Total Formulary Drugs
Cust.
Service
Rating
Member
Plan
Exper.
RxCost
Info
Rating
Tier
1
Tier
2
Tier
3
Tier
4
2018 EnvisionRxPlus (PDP)
$12.60 $300 No additional gap coverage, only the Donut Hole Discount Yes S7694
-006
$1.00$6.00$29.0036%
2984
2018 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2019 EnvisionRxPlus (PDP)
$14.50 $325 No additional gap coverage, only the Donut Hole Discount Yes$1.00$6.00$35.0035%2963
2019 Formulary

-- This plan not offered in 2018 --

S4802
-141
     
 
2019 WellCare Value Script (PDP)
$15.50 $415 No additional gap coverage, only the Donut Hole Discount No$0.00$5.00$40.0046%3327
2019 Formulary
2018 Aetna Medicare Rx Select (PDP)
$17.70 $405 Yes, some additional gap coverage. No S5810
-280
$0.00$3.00$47.0039%
5218
2018 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2019 Aetna Medicare Rx Select (PDP)
$17.20 $380 Yes, some additional gap coverage. No$0.00$2.00$47.0040%3737
2019 Formulary

-- This plan not offered in 2018 --

S6986
-010
     
 
2019 Basic Blue Rx Value (PDP)
$21.80 $415 No additional gap coverage, only the Donut Hole Discount No$0.00$1.0015%35%3006
2019 Formulary

-- This plan not offered in 2018 --

S5617
-285
     
 
2019 Cigna-HealthSpring Rx Secure-Essential (PDP)
$21.90 $415 No additional gap coverage, only the Donut Hole Discount No$1.00$3.0020%49%3154
2019 Formulary
Plan Name Monthly
Premium
Deduct-
ible
Additional
Gap
Coverage
$0 Prem.
Full LIS?
Plan
ID
Cost-Sharing Total Drugs
Service Exper. Cost Info Tier 1 Tier 2 Tier 3 Tier 4
2018 Express Scripts Medicare - Saver (PDP)
$24.00 $405 No additional gap coverage, only the Donut Hole Discount No S5660
-222
$1.00$4.0018%43%
2956
2018 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2019 Express Scripts Medicare - Saver (PDP)
$25.40 $415 No additional gap coverage, only the Donut Hole Discount No$1.00$4.0018%33%2806
2019 Formulary

-- This plan not offered in 2018 --

S7126
-038
     
 
2019 Mutual of Omaha Rx Value (PDP)
$26.40 $415 No additional gap coverage, only the Donut Hole Discount No$1.00$4.0015%36%2806
2019 Formulary
2018 Basic Blue Rx (PDP)
$27.20 $405 No additional gap coverage, only the Donut Hole Discount Yes S6986
-003
$4.00$9.0015%30%
2957
2018 Formulary
new new new  
2019 Basic Blue Rx Standard (PDP)
$27.40 $415 No additional gap coverage, only the Donut Hole Discount Yes$2.00$6.0015%32%2918
2019 Formulary
2018 AARP MedicareRx Walgreens (PDP)
$26.80 $405 No additional gap coverage, only the Donut Hole Discount No S5921
-388
$0.00$6.00$31.0032%
3037
2018 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 2 Stars (Below Average)  
2019 AARP MedicareRx Walgreens (PDP)
$28.00 $415 No additional gap coverage, only the Donut Hole Discount No$0.00$5.00$30.0032%2884
2019 Formulary
2018 Humana Walmart Rx Plan (PDP)
$20.40 $405 No additional gap coverage, only the Donut Hole Discount No S5884
-152
$1.00$4.0023%35%
3155
2018 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2019 Humana Walmart Rx Plan (PDP)
$28.50 $415 No additional gap coverage, only the Donut Hole Discount No$1.00$4.0020%35%3055
2019 Formulary
2018 SilverScript Choice (PDP)
$27.80 $0 No additional gap coverage, only the Donut Hole Discount Yes S5601
-012
$3.00$14.00$42.0045%
3052
2018 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2019 SilverScript Choice (PDP)
$32.50 $0 No additional gap coverage, only the Donut Hole Discount Yes$3.00$14.00$43.0043%2995
2019 Formulary
Plan Name Monthly
Premium
Deduct-
ible
Additional
Gap
Coverage
$0 Prem.
Full LIS?
Plan
ID
Cost-Sharing Total Drugs
Service Exper. Cost Info Tier 1 Tier 2 Tier 3 Tier 4
2018 Aetna Medicare Rx Saver (PDP)
$37.50 $320 No additional gap coverage, only the Donut Hole Discount Yes S5810
-040
$1.00$2.00$30.0035%
3416
2018 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2019 Aetna Medicare Rx Saver (PDP)
$34.40 $290 No additional gap coverage, only the Donut Hole Discount Yes$1.00$2.00$30.0035%3283
2019 Formulary
2018 Cigna-HealthSpring Rx Secure (PDP)
$37.70 $405 No additional gap coverage, only the Donut Hole Discount Yes S5617
-215
$1.00$5.00$35.0039%
3449
2018 Formulary
 Medicare Part D Plan Rating - 1 Stars (Poor)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 2 Stars (Below Average)  
2019 Cigna-HealthSpring Rx Secure (PDP)
$34.40 $415 No additional gap coverage, only the Donut Hole Discount Yes$1.00$3.00$30.0036%3191
2019 Formulary
2018 WellCare Classic (PDP)
$37.80 $405 No additional gap coverage, only the Donut Hole Discount Yes S4802
-080
$0.00$1.00$37.0048%
2990
2018 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 2 Stars (Below Average)  
2019 WellCare Classic (PDP)
$34.80 $415 No additional gap coverage, only the Donut Hole Discount Yes$0.00$2.00$37.0042%2989
2019 Formulary
2018 Humana Preferred Rx Plan (PDP)
$36.20 $405 No additional gap coverage, only the Donut Hole Discount Yes S5884
-104
$0.00$1.0020%35%
3065
2018 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2019 Humana Preferred Rx Plan (PDP)
$35.50 $415 No additional gap coverage, only the Donut Hole Discount Yes$0.00$1.0025%38%2968
2019 Formulary
2018 AARP MedicareRx Saver Plus (PDP)
$48.20 $405 No additional gap coverage, only the Donut Hole Discount No S5921
-351
$1.00$8.00$32.0041%
3122
2018 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 2 Stars (Below Average)  
2019 AARP MedicareRx Saver Plus (PDP)
$35.80 $415 No additional gap coverage, only the Donut Hole Discount Yes$1.00$5.00$25.0033%2954
2019 Formulary
2018 Express Scripts Medicare - Value (PDP)
$35.00 $405 No additional gap coverage, only the Donut Hole Discount Yes S5660
-108
$1.00$3.00$18.0041%
3085
2018 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2019 Express Scripts Medicare - Value (PDP)
$36.20 $415 No additional gap coverage, only the Donut Hole Discount Yes$1.00$3.00$26.0035%2931
2019 Formulary
Plan Name Monthly
Premium
Deduct-
ible
Additional
Gap
Coverage
$0 Prem.
Full LIS?
Plan
ID
Cost-Sharing Total Drugs
Service Exper. Cost Info Tier 1 Tier 2 Tier 3 Tier 4

-- This plan not offered in 2018 --

S7126
-005
     
 
2019 Mutual of Omaha Rx Plus (PDP)
$42.30 $415 No additional gap coverage, only the Donut Hole Discount No$3.00$6.00$33.0048%3187
2019 Formulary
2018 Cigna-HealthSpring Rx Secure-Extra (PDP)
$55.10 $0 Yes, some additional gap coverage. No S5617
-251
$4.00$10.00$42.0050%
3493
2018 Formulary
 Medicare Part D Plan Rating - 1 Stars (Poor)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 2 Stars (Below Average)  
2019 Cigna-HealthSpring Rx Secure-Extra (PDP)
$55.40 $100 Yes, some additional gap coverage. No$4.00$10.00$42.0050%3317
2019 Formulary
2018 First Health Part D Value Plus (PDP)
$56.20 $0 Yes, some additional gap coverage. No S5768
-129
$1.00$2.00$47.0050%
5257
2018 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2019 Aetna Medicare Rx Value Plus (PDP)
$58.70 $0 Yes, some additional gap coverage. No$1.00$2.00$47.0050%3737
2019 Formulary
2018 SilverScript Plus (PDP)
$72.00 $0 Yes, some additional gap coverage. No S5601
-013
$1.00$5.00$35.0040%
3087
2018 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2019 SilverScript Plus (PDP)
$59.10 $0 Yes, some additional gap coverage. No$1.00$5.00$35.0040%3011
2019 Formulary
2018 WellCare Extra (PDP)
$70.90 $0 No additional gap coverage, only the Donut Hole Discount No S4802
-103
$0.00$0.00$36.0035%
2933
2018 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 2 Stars (Below Average)  
2019 WellCare Extra (PDP)
$72.60 $0 No additional gap coverage, only the Donut Hole Discount No$0.00$5.00$40.0046%3327
2019 Formulary
2018 Humana Enhanced (PDP)
$73.10 $0 Yes, some additional gap coverage. No S5884
-005
$3.00$7.00$42.0044%
3400
2018 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2019 Humana Enhanced (PDP)
$73.70 $0 No additional gap coverage, only the Donut Hole Discount No$5.00$10.00$47.0050%3174
2019 Formulary
Plan Name Monthly
Premium
Deduct-
ible
Additional
Gap
Coverage
$0 Prem.
Full LIS?
Plan
ID
Cost-Sharing Total Drugs
Service Exper. Cost Info Tier 1 Tier 2 Tier 3 Tier 4
2018 AARP MedicareRx Preferred (PDP)
$83.90 $0 Yes, some additional gap coverage. No S5820
-005
$7.00$10.00$37.0040%
3549
2018 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2019 AARP MedicareRx Preferred (PDP)
$75.70 $0 No additional gap coverage, only the Donut Hole Discount No$5.00$10.00$40.0040%3367
2019 Formulary

-- This plan not offered in 2018 --

S5601
-148
     
 
2019 SilverScript Allure (PDP)
$80.00 $0 No additional gap coverage, only the Donut Hole Discount No$1.00$5.0020%40%3011
2019 Formulary
2018 Blue Rx PDP Plus (PDP)
$84.90 $405 No additional gap coverage, only the Donut Hole Discount No S5593
-002
$0.00$5.0020%40%
4357
2018 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2019 Blue Rx PDP Plus (PDP)
$84.70 $415 No additional gap coverage, only the Donut Hole Discount No$0.00$7.0020%40%4160
2019 Formulary
2018 SecureRx - Option 3 (PDP)
$68.10 $0 No additional gap coverage, only the Donut Hole Discount No S8067
-001
$5.00$15.00$38.0050%
3114
2018 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2019 SecureRx - Option 3 (PDP)
$86.00 $15 No additional gap coverage, only the Donut Hole Discount No$10.00$15.00$42.0050%3078
2019 Formulary
2018 Express Scripts Medicare - Choice (PDP)
$95.50 $350 Yes, some additional gap coverage. No S5660
-176
$2.00$7.00$42.0048%
3509
2018 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2019 Express Scripts Medicare - Choice (PDP)
$100.00 $350 Yes, some additional gap coverage. No$2.00$7.00$42.0048%3268
2019 Formulary
2018 SecureRx - Option 1 (PDP)
$133.70 $0 No additional gap coverage, only the Donut Hole Discount No S8067
-003
$4.00$15.00$38.00$89.00
4198
2018 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2019 SecureRx - Option 1 (PDP)
$108.00 $0 No additional gap coverage, only the Donut Hole Discount No$4.00$15.00$38.00$89.004086
2019 Formulary
Plan Name Monthly
Premium
Deduct-
ible
Additional
Gap
Coverage
$0 Prem.
Full LIS?
Plan
ID
Cost-Sharing Total Drugs
Service Exper. Cost Info Tier 1 Tier 2 Tier 3 Tier 4
2018 Blue Rx PDP Complete (PDP)
$157.80 $0 Yes, some additional gap coverage. No S5593
-003
$0.00$5.00$40.0035%
4357
2018 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2019 Blue Rx PDP Complete (PDP)
$156.00 $0 Yes, some additional gap coverage. No$0.00$5.00$40.0035%4160
2019 Formulary
2018 Symphonix Value Rx (PDP)
$33.00 $405 No additional gap coverage, only the Donut Hole Discount Yes S0522
-078
$1.00$3.00$33.0027%
3122
2018 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 2 Stars (Below Average)  

-- Members will be assigned to AARP MedicareRx Saver Plus (PDP) S5921-351 --

     
2018 Magellan Rx Medicare Basic (PDP)
$70.60 $405 No additional gap coverage, only the Donut Hole Discount No S4607
-008
$1.00$5.0015%50%
3471
2018 Formulary
 Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 2 Stars (Below Average)  

-- This plan not offered in 2019 --

     



Chart Legend:

What does all this mean? Below are a few notes to help you understand the 2019 Medicare Part D Plan information above.

  • Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS). The same plan name generally has a different plan id in each state. (Search Tip: If you would like to reduce the plans shown to just plans for one or two specific carriers, you can select the carrier name in the "Plan Family" fields 1 and 2. Select the empty (blank) option at the top of the list to remove the criteria. You can also click the "National Plans" checkbox to limit your search to just national plans.)

  • CMS Plan Ratings: these are found under the Plan Name at the left side of the chart.
    This is a 1 to 5 star rating system with five (5) stars as excellent, four (4) stars as very good, three (3) stars as good, two (2) stars as fair and one (1) star as poor.

    • Cust. Service Rating - Drug Plan Customer Service - Medicare and members rate the drug plan and how well a drug plan provides customer service.

      This category includes measures of how drug plans rate on the following areas:
      • Time on Hold When Customer and Pharmacist Calls Drug Plan.
      • Calls Disconnected When Customer and Pharmacist Calls Drug Plan.
      • Drug Plan’s Timeliness in Giving a Decision for Members Who Make an Appeal.
      • Fairness of Drug Plan’s Denials to a Member’s Appeal, Based on an Independent Reviewer.

    • Member Plan Exper. - Member Experience with Drug Plan - This category shows how well drug plans make prescription drugs available to their members.

      This category includes measures of how drug plans rate on the following areas:
      • Drug Plan Provides Information or Help When Members Need It.
      • Members’ Overall Rating of Drug Plan.
      • Members’ Ability to Get Prescriptions Filled Easily When Using the Drug Plan.

    • RxCost Info Rating - This category shows how well drug plans are doing with pricing prescriptions and providing information on the Medicare website.

      This category includes measures of how drug plans rate on the following areas:
      • Completeness of the Drug Plan’s Information on Members Who Need Extra Help.
      • Drug Plan Provides Current Information on Costs and Coverage for Medicare’s Website (the same data is used on this Q1Medicare.com).
      • Drug Plan’s Prices that Did Not Increase More Than Expected During the Year.
      • Drug Plan’s Prices on Medicare’s Website (and this website) Are Similar to the Prices Members Pay at the Pharmacy.
      • Drug Plan’s Members 65 and Older Who Received Prescriptions for Certain Drugs with a High Risk of Side Effects, when There May Be Safer Drug Choices.

  • Monthly Premium: This is the amount you must pay each month to use the plan. This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase. (Search Tip: If you would like to reduce the plans shown to just plans under a certain premium, enter this value in the "Maximum Premium" field.)

    (Search Tip: If you have selected an amount in the "LIS Subsidy Amount" filed, the premium shown is the premium based on your Low-Income Subsidy selection.

  • Deductible: The standard CMS plan deductible is $415. Many Medicare plans do not have a deductible, however their plan premium may be higher. (Search Tip: If you would like to reduce the plans shown to just plans with a deductible under a certain value, enter this value in the "Maximum Deductible" field.) Some plans that have an annual deductible exempt certain drug tiers from the deductible. For example, "Tier 1 exempt" may be shown. This would mean that Tier 1 drugs purchased during the Deductible phase, would not fall into the deductible and would be charged the Initial Coverage phase tier 1 cost-sharing.

  • Gap Coverage (the Donut Hole): In the CMS Standard Plan, the beneficiary, or others on their behalf (e.g. the brand-name drug manufacturer discount), pay(s) up to $3,834 in drug costs, depending on your mix of generics and brand-name drugs. The Healthcare Reform provides that for plan year 2019, ALL formulary generics will have at least a 63% discount and ALL brand-name drugs will have at least a 75% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
    • No Gap Coverage: you pay up to $3,834 depending on your mix of generics and brand-name drugs. Read more...
    • Yes: This plan offers some level of gap coverage. See plan details for a description of the gap coverage. It will read similar to: Under this plan you may pay even less for the brand and generic drugs on the formulary. Your cost varies by tier. You will need to use your formulary to locate your drug's tier. See the chart that follows to find out how much it will cost you.

  • $0 Premium with Full LIS - Does the plan Qualify for $0 Premium with Full Low-Income Subsidy?: If Yes is in the field, then you would pay a $0 premium if you have a Full Low-Income Subsidy (LIS). If No is in the field, then you would be responsible for the difference between what the state provides as the Full Low-Income Subsidy and the actual cost of the plan even if you have a Full Low-Income Subsidy. (Search Tip: If you would like to reduce the plans shown to just plans that qualify for the $0 premium (Benchmark plans), select "Yes..." in the "Full Low-Income Subsidy?" field.)

  • Plan ID: This is the unique id for this particular plan.

  • Copay / Coinsurance - Cost Sharing - These figures apply to the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on the drug’s tier. Plans can form their own tiers, so you should contact the plan or reference their summary of benefits to find out what copays and limitations are associated with each tier. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. (Search Tip: If you would like to reduce the plans shown to just plans that have a tier 1 (Generics) co-pay of up to a certain value (ex: $0 co-pay), enter the value (ex: 0) in the "Max. Co-pay Tier 1 (Generics)" field.)


Additional Information Fields:
You can select one of the following additional pieces of plan information to display (Search Tip: to change the type of information shown in the last column of the chart, select the data to be shown in the "Additional Info" field.)
  • Total Formulary Drugs (default) - This is the total number of medications on the plans formulary or drug list. This total drug count does not include "Bonus Drugs". These are non-Medicare Part D drugs which are covered by the plan, however they do not count toward your plan deductible, retail drug cost, or TrOOP.

  • Plan’s Summary Star Rating - This is the overall star rating for the Medicare Part D plan. To learn more about the star ratings, please see our Plan Quality Star Ratings.

  • Offers Mail Order - "Yes" is displayed if this plan offers mail order on any medications. It does NOT mean that ALL medications are available through mail order.

  • Members in This State (updated: September 2019 figures) - This is the total number of members in this plan for this PDP CMS Region. For regions that contain more than one state, this is the total for all of those states combined. If the CMS Region contains more than one state, the actual state enrollment is shown, along with the CMS region and national enrollment figures on the plan details page. you can access the plan details by clicking the plan name, orange enroll options button, or the plan details icon.

  • Members Nation Wide (updated: September 2019 figures) - This is the total number of member for this plan in all CMS Regions (States) combined.

  • Initial Coverage Limit (ICL) - The initial coverage limit phase of a Medicare Part D plan is the phase AFTER the initial deductible is met (if the plan has an initial deductible) and BEFORE the coverage gap (or donut hole) begins. The ICL is the phase of the prescription drug plan during which you and your plan share your prescription costs. During this phase you will pay either a co-payment (a flat fee per prescription) or co-insurance (a percentage of the drug cost). The details of the cost-sharing for the plan are shown in the Cost-Sharing column directly to the left of this column. The CMS standard Initial Coverage Limit for 2019 is $3,820 and increases each year.

  • National or Regional Plans - This column simply displays the word "National" if the plan is sponsored by a national carrier or "Regional" if the plan sponsor is a regional carrier.



(Chart Source: various files provided by the Centers for Medicare and Medicaid Services along with data from the Medicare.gov website plan finder.)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information.