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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 |
|---|
| $-6.90 to $-2.9 | * * -- total: 2 plans |
| $-1.9 to $2.1 | * * * * -- total: 4 plans |
| $3.1 to $7.1 | * * * * * * * * * * * * * -- total: 13 plans |
| $8.1 to $12.1 | * * * -- total: 3 plans |
| $13.1 to $17.1 | 0 plans |
| $18.1 to $22.1 | 0 plans |
| $23.1 to $27.1 | 0 plans |
| $28.1 to $32.1 | 0 plans |
| $33.1 to $37.1 | * -- 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 | NM | WellCare Wellness Rx (PDP) | $13.20 | $435.00 | No Gap Coverage | Enhanced |
| High | NM | Blue Cross MedicareRx Plus (PDP) | $123.10 | $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 | NM | WellCare Value Script (PDP) | $14.50 | $415.00 | No Gap Coverage | Enhanced |
| | 2020 | NM | WellCare Value Script (PDP) | $16.10 | $435.00 | No Gap Coverage | Enhanced |
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| High | 2019 | NM | Blue Cross MedicareRx Plus (PDP) | $126.20 | $0.00 | No Gap Coverage | Enhanced |
| | 2020 | NM | Blue Cross MedicareRx Plus (PDP) | $123.10 | $0.00 | 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 | 20 | $13.20 |
| Yes | 6 | $25.80 |
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| 2019 Gap Coverage Details |
|---|
| Gap Coverage Type | Number
of Plans | Minimum
Premium |
|---|
| No Gap Coverage | 22 | $14.50 |
| Yes | 5 | $17.40 |
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| Notes: Click the Gap Coverage Type above to see plan details for 2020 New Mexico 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 Mexico $0 Premium LIS Qualified Part D Plans |
| 2020 LIS Qualifying Plans |
|---|
| Plan Name | Plan ID |
|---|
| AARP MedicareRx Saver Plus (PDP) | S5921-371 |
| Cigna-HealthSpring Rx Secure (PDP) | S5617-128 |
| EnvisionRxPlus (PDP) | S7694-026 |
| Humana Basic Rx Plan (PDP) | S5884-110 |
| SilverScript Choice (PDP) | S5601-052 |
| WellCare Classic (PDP) | S4802-090 |
| WellCare Medicare Rx Saver (PDP) | S5810-060 |
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| 2019 LIS Qualifying Plans |
|---|
| Plan Name | Plan ID |
|---|
| AARP MedicareRx Saver Plus (PDP) | S5921-371 |
| Aetna Medicare Rx Saver (PDP) | S5810-060 |
| Cigna-HealthSpring Rx Secure (PDP) | S5617-128 |
| EnvisionRxPlus (PDP) | S7694-026 |
| Humana Preferred Rx Plan (PDP) | S5884-110 |
| SilverScript Choice (PDP) | S5601-052 |
| WellCare Classic (PDP) | S4802-090 |
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Note: Click heading above to see details of LIS qualifying plans in New Mexico.
Please note, not all plans are available in every state.
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| List of National PDP Providers with Plans available in New Mexico |
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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 Mexico.
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