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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.
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2020 Premium Changes for Persons Staying in their 2019 Plan |
Premium Change Range | Total number of Plans in this Change Range |
$-3.10 to $0.9 | * * * * * * -- total: 6 plans |
$1.9 to $5.9 | * * * * * * -- total: 6 plans |
$6.9 to $10.9 | * * * -- total: 3 plans |
$11.9 to $15.9 | 0 plans |
$16.9 to $20.9 | * * * -- total: 3 plans |
$21.9 to $25.9 | * -- total: 1 plan |
$26.9 to $30.9 | 0 plans |
$31.9 to $35.9 | * -- total: 1 plan | |
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Details for the Min. and Max. Premium Plans in 2020 |
H/L | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
Low | NY | Humana Walmart Value Rx Plan (PDP) | $13.20 | $435.00 | No Gap Coverage | Enhanced |
High | NY | SilverScript Plus (PDP) | $91.20 | $0.00 | Yes | Enhanced | |
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The chart above shows the details of the least expensive and most |
expensive plans available for 2020.
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Min. and Max. Premium Plans in 2019 and how the plan changes in 2020 |
H/L | Year | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
Low | 2019 | NY | WellCare Value Script (PDP) | $15.50 | $415.00 | No Gap Coverage | Enhanced |
| 2020 | NY | WellCare Value Script (PDP) | $17.20 | $435.00 | No Gap Coverage | Enhanced |
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High | 2019 | NY | Express Scripts Medicare - Choice (PDP) | $92.90 | $350.00 | Yes | Enhanced |
| 2020 | NY | Express Scripts Medicare - Choice (PDP) | $91.20 | $250.00 | Yes | Enhanced | |
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The chart above details the least (and most) expensive plan in 2019 and |
plan features and costs should you stay in the same plan in 2020.
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Gap Coverage Types and Minimum Premium for 2020 Part D Plans |
2020 Gap Coverage Details |
Gap Coverage Type | Number of Plans | Minimum Premium |
No Gap Coverage | 24 | $13.20 |
Yes | 3 | $62.50 |
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2019 Gap Coverage Details |
Gap Coverage Type | Number of Plans | Minimum Premium |
No Gap Coverage | 18 | $15.50 |
Yes | 5 | $17.10 |
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Notes: Click the Gap Coverage Type above to see plan details for 2020 New York plans. |
Gap coverage applies to formulary drugs only. The Healthcare Reform provides that for Plan Year 2020, ALL formulary generics will have at least a 75% 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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2020 New York $0 Premium LIS Qualified Part D Plans |
2020 LIS Qualifying Plans |
Plan Name | Plan ID |
Cigna-HealthSpring Rx Secure (PDP) | S5617-013 |
EnvisionRxSecure (PDP) | S7694-003 |
Express Scripts Medicare - Value (PDP) | S5983-004 |
Humana Basic Rx Plan (PDP) | S5552-004 |
Journey Rx Standard (PDP) | S6986-014 |
Magellan Rx Medicare Basic (PDP) | S4607-002 |
SilverScript Choice (PDP) | S5601-006 |
WellCare Classic (PDP) | S4802-077 |
WellCare Medicare Rx Saver (PDP) | S5810-037 |
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2019 LIS Qualifying Plans |
Plan Name | Plan ID |
Aetna Medicare Rx Saver (PDP) | S5810-037 |
Cigna-HealthSpring Rx Secure (PDP) | S5617-013 |
EnvisionRxPlus (PDP) | S7694-003 |
Express Scripts Medicare - Value (PDP) | S5983-004 |
Humana Preferred Rx Plan (PDP) | S5552-004 |
Magellan Rx Medicare Basic (PDP) | S4607-002 |
SilverScript Choice (PDP) | S5601-006 |
WellCare Classic (PDP) | S4802-077 |
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Note: Click heading above to see details of LIS qualifying plans in New York.
Please note, not all plans are available in every state.
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List of National PDP Providers with Plans available in New York |
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2019 National PDP Providers |
Aetna Medicare |
Cigna-HealthSpring Rx |
EnvisionRx Plus |
Express Scripts Medicare |
Humana |
SilverScript |
UnitedHealthcare |
WellCare |
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Note: Click heading above to see PDP plans and details for New York.
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