|
|
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.
|
|
2019 Premium Changes for Persons Staying in their 2018 Plan |
Premium Change Range | Total number of Plans in this Change Range |
$-37 to $-33 | * -- total: 1 plan |
$-32 to $-28 | 0 plans |
$-27 to $-23 | 0 plans |
$-22 to $-18 | 0 plans |
$-17 to $-13 | 0 plans |
$-12 to $-8 | * * -- total: 2 plans |
$-7 to $-3 | * -- total: 1 plan |
$-2 to $2 | * * * * * * -- total: 6 plans |
$3 to $7 | * * * * * * * * -- total: 8 plans |
$8 to $12 | * * * * -- total: 4 plans |
$13 to $17 | 0 plans |
$18 to $22 | 0 plans |
$23 to $27 | 0 plans |
$28 to $32 | 0 plans |
$33 to $37 | * -- total: 1 plan | |
|
Details for the Min. and Max. Premium Plans in 2019 |
H/L | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
Low | CA | EnvisionRxPlus (PDP) | $12.90 | $315.00 | No Gap Coverage | Basic |
High | CA | Blue Shield Rx Enhanced (PDP) | $117.80 | $0.00 | No Gap Coverage | Enhanced | |
|
The chart above shows the details of the least expensive and most |
expensive plans available for 2019.
|
Min. and Max. Premium Plans in 2018 and how the plan changes in 2019 |
H/L | Year | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
Low | 2018 | CA | Aetna Medicare Rx Select (PDP) | $19.70 | $405.00 | Yes | Enhanced |
| 2019 | CA | Aetna Medicare Rx Select (PDP) | $19.10 | $365.00 | Yes | Enhanced |
|
High | 2018 | CA | Anthem Blue Cross MedicareRx Gold (PDP) | $169.80 | $0.00 | Yes | Enhanced |
| 2019 | CA | -- | $0.00 | $0.00 | -- | -- | |
|
The chart above details the least (and most) expensive plan in 2018 and |
plan features and costs should you stay in the same plan in 2019.
|
Gap Coverage Types and Minimum Premium for 2019 Part D Plans |
2019 Gap Coverage Details |
Gap Coverage Type | Number of Plans | Minimum Premium |
No Gap Coverage | 24 | $12.90 |
Yes | 6 | $19.10 |
|
2018 Gap Coverage Details |
Gap Coverage Type | Number of Plans | Minimum Premium |
Yes | 9 | $19.70 |
No Gap Coverage | 16 | $20.40 |
|
|
Notes: Click the Gap Coverage Type above to see plan details for 2019 California plans. |
Gap coverage applies to formulary drugs only. The Healthcare Reform provides that for Plan Year 2019, ALL formulary generics will have at least a 63% discount and ALL brand drugs will have at least a 75% discount in the coverage gap. The Gap Coverage discussed in this section is in addition to the Healthcare Reform mandated discounts.
|
2019 California $0 Premium LIS Qualified Part D Plans |
2019 LIS Qualifying Plans |
Plan Name | Plan ID |
AARP MedicareRx Saver Plus (PDP) | S5921-376 |
Aetna Medicare Rx Saver (PDP) | S5810-066 |
EnvisionRxPlus (PDP) | S7694-032 |
Humana Preferred Rx Plan (PDP) | S5884-114 |
Journey Rx Standard (PDP) | S6986-006 |
SilverScript Choice (PDP) | S5601-064 |
WellCare Classic (PDP) | S4802-094 |
|
2018 LIS Qualifying Plans |
Plan Name | Plan ID |
Aetna Medicare Rx Saver (PDP) | S5810-066 |
Humana Preferred Rx Plan (PDP) | S5884-114 |
SilverScript Choice (PDP) | S5601-064 |
Symphonix Value Rx (PDP) | S0522-034 |
WellCare Classic (PDP) | S4802-094 |
|
|
Note: Click heading above to see details of LIS qualifying plans in California.
Please note, not all plans are available in every state.
|
List of National PDP Providers with Plans available in California |
2019 National PDP Providers |
Aetna Medicare |
Cigna-HealthSpring Rx |
EnvisionRx Plus |
Express Scripts Medicare |
Humana |
SilverScript |
UnitedHealthcare |
WellCare |
|
2018 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 California.
|
|
|
|