Q1GROUP LLC | Q1Medicare.com - a non-government resource for the Medicare community
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

2019 New Jersey Medicare Part D Plan (PDP) Statistics*
CMS Region 4 includes (NJ)
Statistic 2019 Change 19-18 2018 Change 18-17 2017
Total Number of Part D Drug Plans
View list of National Providers
26 4 22 1 21
Nbr of Enhanced (EA) Plans 16 4 12 1 11
Nbr of Basic (BA, DS, AE) Plans 10 0 10 0 10
Nbr of $0 Deductible Plans 8 0 8 0 8
Lowest Premium for a $0 Deductible Plan $35.20 $0.90 $34.30 $-1.60 $35.90
$0 Deductible Plans (percentage) 31% -6% 36% -2% 38%
Number of Plans with a Premium under $25 5 2 3 1 2
Percentage of Plans with a Premium under $25 19% 6% 14% 4% 10%
Lowest Cost PDP (Premium)
View details of Lowest Cost Plan(s)
$11.90 $-7.80 $19.70 $2.70 $17.00
Highest Cost PDP (Premium)
View details of Highest Cost Plan(s)
$102.00 $2.40 $99.60 $-21.40 $121.00
Average PDP Premium (Cost) $49.82 $-1.66 $51.48 $-3.65 $55.13
% Change in Avg. PDP Costs -- -3% -- -7% --
Avg. Weighted PDP Premium** $45.96 $-0.79 $46.75 $-1.82 $48.57
% Change Weighted Avg. PDP Costs** -- -2% -- -4% --
Number of PDPs with Any Gap Coverage in the Gap (Donut Hole) 6 -2 8 2 6
Percentage of PDPs with Any Gap Coverage 23% -13% 36% 8% 29%
Lowest Cost PDP with Any Gap Coverage
View coverage type / premium details
$19.20 $-0.50 $19.70 $-14.60 $34.30
Total Beneficiaries with LIS 256,497 0 256,497 0 256,497
LIS Benchmark Premium $37.16 $1.19 $35.97 $-4.84 40.81
Total Nbr of LIS Qualified Plans 6 -1 7 -1 8
Premium Changes for Persons Staying in their Current Plan View premium detail chart
Number of PDPs with Premium Decrease 5 -5 10 0 10
Number of PDPs with No Premium Change 1 1 0 -2 2
Number of PDPs with Premium Increase 15 4 11 -1 12
Percentage of People with a Premium Increase 65.6% 13.36% 52% -26.01% 78%
Weighted Average Increase for People with a Premium Increase $1.96 $-5.44 $7.40 $-6.29 $13.69


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
$-12 to $-8 * -- total: 1 plan
$-7 to $-3 0 plans
$-2 to $2 * * * * * -- total: 5 plans
$3 to $7 * * * * * * * * * * * * * * * -- total: 15 plans
   

Details for the Min. and Max. Premium Plans in 2019
H/LStatePlan NamePrem.Ded.Gap CoverageBenefit Type
LowNJWellCare Value Script (PDP)$11.90$415.00No Gap CoverageEnhanced
HighNJHorizon Medicare Blue Rx Enhanced (PDP)$102.00$0.00YesEnhanced
   
    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/LYearStatePlan NamePrem.Ded.Gap CoverageBenefit Type
Low2018NJAetna Medicare Rx Select (PDP)$19.70$405.00YesEnhanced
  2019NJAetna Medicare Rx Select (PDP)$19.20$385.00YesEnhanced
High2018NJHorizon Medicare Blue Rx Enhanced (PDP)$99.60$0.00YesEnhanced
  2019NJHorizon Medicare Blue Rx Enhanced (PDP)$102.00$0.00YesEnhanced
   
    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 TypeNumber
of Plans
Minimum
Premium
No Gap Coverage20$11.90
Yes6$19.20
2018 Gap Coverage Details
Gap Coverage TypeNumber
of Plans
Minimum
Premium
Yes8$19.70
No Gap Coverage14$20.40
    Notes: Click the Gap Coverage Type above to see plan details for 2019 New Jersey 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 New Jersey $0 Premium LIS Qualified Part D Plans
2019 LIS Qualifying Plans
Plan NamePlan ID
AARP MedicareRx Saver Plus (PDP)S5921-349
Aetna Medicare Rx Saver (PDP)S5810-038
Express Scripts Medicare - Value (PDP)S5660-106
Humana Preferred Rx Plan (PDP)S5884-131
SilverScript Choice (PDP)S5601-008
WellCare Classic (PDP)S4802-078
2018 LIS Qualifying Plans
Plan NamePlan ID
AARP MedicareRx Saver Plus (PDP)S5921-349
Aetna Medicare Rx Saver (PDP)S5810-038
Express Scripts Medicare - Value (PDP)S5660-106
Humana Preferred Rx Plan (PDP)S5884-131
SilverScript Choice (PDP)S5601-008
Symphonix Value Rx (PDP)S0522-004
WellCare Classic (PDP)S4802-078
    Note: Click heading above to see details of LIS qualifying plans in New Jersey.
               Please note, not all plans are available in every state.

List of National PDP Providers with Plans available in New Jersey
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 New Jersey.