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2019 National Medicare Part D Plan Statistics*
and Averages per Region
| Statistic |
2019 |
Change 19-18 |
2018 |
Change 18-17 |
2017 |
| Total Number of Part D Drug Plans | 901 |
119 |
782 |
36 |
746 |
| Average Nbr of Part D Plans per Region |
26 |
3 |
23 |
1 |
22 |
| Nbr of Enhanced (EA) Plans |
553 |
132 |
421 |
34 |
387 |
| Avg. Enhanced Plans per Region |
16 |
4 |
12 |
1 |
11 |
| Nbr of Basic (BA, DS, AE) Plans |
348 |
-13 |
361 |
2 |
359 |
| Avg. Nbr of Basic Plans per Region |
10 |
-1 |
11 |
0 |
11 |
|
| Nbr of $0 Deductible Plans |
263 |
-28 |
291 |
11 |
280 |
| Avgerage Nbr of $0 Deductible Plans per Region |
8 |
-1 |
9 |
1 |
8 |
| $0 Deductible Plans (percentage) |
29% |
-8% |
37% |
0% |
38% |
|
| Number of Plans with a Premium under $25 |
182 |
35 |
147 |
27 |
120 |
| Avg Nbr of Plans - Premium < $25 |
5 |
1 |
4 |
0 |
4 |
| Percentage of Plans with a Premium under $25 |
20% |
1% |
19% |
3% |
16% |
|
| Lowest Cost PDP (Premium) | $10.40 |
$-2.20 |
$12.60 |
$-2.00 |
$14.60 |
| Highest Cost PDP (Premium) | $156.00 |
$-41.10 |
$197.10 |
$18.10 |
$179.00 |
| Average PDP Premium (Cost) |
$47.21 |
$-5.48 |
$52.69 |
$0.73 |
$51.96 |
| % Change in Avg. PDP Costs |
-- |
-10% |
-- |
1% |
-- |
| Avg. Weighted PDP Premium** |
$41.29 |
$0.69 |
$40.60 |
$0.70 |
$39.90 |
| % Change Weighted Avg. PDP Costs** |
-- |
2% |
-- |
2% |
-- |
|
| Number of PDPs with Any Gap Coverage in the Gap (Donut Hole) |
191 |
-83 |
274 |
66 |
208 |
| Percentage of PDPs with Any Gap Coverage |
21% |
-14% |
35% |
7% |
28% |
Lowest Cost PDP with Any Gap Coverage
View coverage type / premium details |
$12.20 |
$-0.50 |
$12.70 |
$-14.60 |
$27.30 |
|
Number of LIS PDPs
View List of LIS Qualified Plans | 215 |
-1 |
216 |
-15 |
231 |
Nbr of Unique LIS Qualified Plans
View List of LIS Qualified Plans |
14 |
-1 |
15 |
-1 |
16 |
|
| Number of PDPs with Premium Decrease |
221 |
-60 |
281 |
-92 |
373 |
| Number of PDPs with No Premium Change |
65 |
41 |
24 |
-4 |
28 |
| Number of PDPs with Premium Increase |
417 |
-21 |
438 |
24 |
414 |
| Percentage of People with a Premium Increase |
60.9% |
1.45% |
59% |
-18.9% |
78% |
| Weighted Average Increase for People with a Premium Increase |
$4.41 |
$-3.71 |
$8.12 |
$-2.18 |
$10.30 |
|
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 data is calculated per region. For example. A plan which is avalilable in CMS Region 6 which includes PA and WV is counted once, not twice.
**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.
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Links above will take you to examples for California (or select your state once in PDP-Finder or PDP-Compare)
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| Details for the Min. and Max. Premium Plans in 2019 |
| H/L | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
|---|
| Low | TX | WellCare Value Script (PDP) | $10.40 | $415.00 | No Gap Coverage | Enhanced |
| High | PA WV | Blue Rx PDP Complete (PDP) | $156.00 | $0.00 | Yes | Enhanced | |
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| The chart above shows the details of the least expensive and most |
expensive plans available for 2019.
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| 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 | SC | EnvisionRxPlus (PDP) | $12.60 | $300.00 | No Gap Coverage | Basic |
| | 2019 | SC | EnvisionRxPlus (PDP) | $14.90 | $325.00 | No Gap Coverage | Basic |
|
| High | 2018 | TX | Blue Cross MedicareRx Plus (PDP) | $197.10 | $0.00 | Yes | Enhanced |
| | 2019 | TX | Blue Cross MedicareRx Plus (PDP) | $140.10 | $0.00 | No Gap Coverage | Enhanced | |
| |
| 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.
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| 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 | 710 | $10.40 |
| Yes | 191 | $12.20 |
|
| 2018 Gap Coverage Details |
|---|
| Gap Coverage Type | Number
of Plans | Minimum
Premium |
|---|
| No Gap Coverage | 508 | $12.60 |
| Yes | 274 | $12.70 |
|
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Notes: Click the Gap Coverage Type above to see plan details in California
or choose your state. |
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.
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| $0 Premium LIS Qualified Part D Plans |
| 2019 LIS Qualifying Plans |
|---|
| Plan Name | Plan ID |
|---|
| AARP MedicareRx Saver Plus (PDP) | S5921 |
| Aetna Medicare Rx Saver (PDP) | S5810 |
| Blue MedicareRx Value (PDP) | S6506 |
| Cigna-HealthSpring Rx Secure (PDP) | S5617 |
| CommunityCare Prescription Drug Plan (PDP) | S1894 |
| EnvisionRxPlus (PDP) | S7694 |
| Express Scripts Medicare - Value (PDP) | S5983 |
| Express Scripts Medicare - Value (PDP) | S5660 |
| Humana Preferred Rx Plan (PDP) | S5884 |
| Humana Preferred Rx Plan (PDP) | S5552 |
| Journey Rx Standard (PDP) | S6986 |
| Magellan Rx Medicare Basic (PDP) | S4607 |
| SilverScript Choice (PDP) | S5601 |
| WellCare Classic (PDP) | S4802 |
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| 2018 LIS Qualifying Plans |
|---|
| Plan Name | Plan ID |
|---|
| AARP MedicareRx Saver Plus (PDP) | S5921 |
| Aetna Medicare Rx Saver (PDP) | S5810 |
| Basic Blue Rx (PDP) | S6986 |
| Blue Cross MedicareRx Basic (PDP) | S5715 |
| Blue MedicareRx Value (PDP) | S6506 |
| Cigna-HealthSpring Rx Secure (PDP) | S5617 |
| EnvisionRxPlus (PDP) | S7694 |
| Express Scripts Medicare - Value (PDP) | S5983 |
| Express Scripts Medicare - Value (PDP) | S5660 |
| Humana Preferred Rx Plan (PDP) | S5552 |
| Humana Preferred Rx Plan (PDP) | S5884 |
| Magellan Rx Medicare Basic (PDP) | S4607 |
| SilverScript Choice (PDP) | S5601 |
| Symphonix Value Rx (PDP) | S0522 |
| WellCare Classic (PDP) | S4802 |
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Note: Click heading above to see plan details in California or choose your state.
Please note, not all plans are available in every state.
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