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2020 National Medicare Part D Plan Statistics*
and Averages per Region
| Statistic |
2020 |
Change 20-19 |
2019 |
Change 19-18 |
2018 |
| Total Number of Part D Drug Plans | 948 |
47 |
901 |
119 |
782 |
| Average Nbr of Part D Plans per Region |
28 |
2 |
26 |
3 |
23 |
| Nbr of Enhanced (EA) Plans |
566 |
13 |
553 |
132 |
421 |
| Avg. Enhanced Plans per Region |
17 |
1 |
16 |
4 |
12 |
| Nbr of Basic (BA, DS, AE) Plans |
382 |
34 |
348 |
-13 |
361 |
| Avg. Nbr of Basic Plans per Region |
11 |
1 |
10 |
-1 |
11 |
|
| Nbr of $0 Deductible Plans |
133 |
-130 |
263 |
-28 |
291 |
| Avgerage Nbr of $0 Deductible Plans per Region |
4 |
-4 |
8 |
-1 |
9 |
| $0 Deductible Plans (percentage) |
14% |
-15% |
29% |
-8% |
37% |
|
| Number of Plans with a Premium under $25 |
313 |
131 |
182 |
35 |
147 |
| Avg Nbr of Plans - Premium < $25 |
9 |
4 |
5 |
1 |
4 |
| Percentage of Plans with a Premium under $25 |
33% |
13% |
20% |
1% |
19% |
|
| Lowest Cost PDP (Premium) | $12.80 |
$2.40 |
$10.40 |
$-2.20 |
$12.60 |
| Highest Cost PDP (Premium) | $191.40 |
$35.40 |
$156.00 |
$-41.10 |
$197.10 |
| Average PDP Premium (Cost) |
$40.90 |
$-6.31 |
$47.21 |
$-5.48 |
$52.69 |
| % Change in Avg. PDP Costs |
-- |
-13% |
-- |
-10% |
-- |
| Avg. Weighted PDP Premium** |
$41.40 |
$2.27 |
$39.13 |
$-1.47 |
$40.60 |
| % Change Weighted Avg. PDP Costs** |
-- |
6% |
-- |
-4% |
-- |
|
| Number of PDPs with Any Gap Coverage in the Gap (Donut Hole) |
177 |
-14 |
191 |
-83 |
274 |
| Percentage of PDPs with Any Gap Coverage |
19% |
-3% |
21% |
-14% |
35% |
Lowest Cost PDP with Any Gap Coverage
View coverage type / premium details |
$18.90 |
$6.70 |
$12.20 |
$-0.50 |
$12.70 |
|
Number of LIS PDPs
View List of LIS Qualified Plans | 244 |
29 |
215 |
-1 |
216 |
Nbr of Unique LIS Qualified Plans
View List of LIS Qualified Plans |
16 |
2 |
14 |
-1 |
15 |
|
| Number of PDPs with Premium Decrease |
293 |
49 |
244 |
55 |
189 |
| Number of PDPs with No Premium Change |
0 |
0 |
0 |
0 |
0 |
| Number of PDPs with Premium Increase |
501 |
106 |
395 |
37 |
358 |
| Percentage of People with a Premium Increase |
58% |
-8.47% |
66% |
4.47% |
62% |
| Weighted Average Increase for People with a Premium Increase |
$8.63 |
$4.38 |
$4.25 |
$-3.28 |
$7.53 |
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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 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 2020 |
| H/L | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
|---|
| Low | CA | Clear Spring Health Premier Rx (PDP) | $12.80 | $435.00 | No Gap Coverage | Enhanced |
| High | SC | BlueCross Rx Plus (PDP) | $191.40 | $0.00 | Yes | Enhanced | |
| |
| 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 | TX | WellCare Value Script (PDP) | $10.40 | $415.00 | No Gap Coverage | Enhanced |
| | 2020 | TX | WellCare Value Script (PDP) | $14.70 | $435.00 | No Gap Coverage | Enhanced |
|
| High | 2019 | PA WV | Blue Rx PDP Complete (PDP) | $156.00 | $0.00 | Yes | Enhanced |
| | 2020 | PA WV | Blue Rx PDP Complete (PDP) | $168.40 | $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 | 771 | $12.80 |
| Yes | 177 | $18.90 |
|
| 2019 Gap Coverage Details |
|---|
| Gap Coverage Type | Number
of Plans | Minimum
Premium |
|---|
| No Gap Coverage | 710 | $10.40 |
| Yes | 191 | $12.20 |
|
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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 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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| $0 Premium LIS Qualified Part D Plans |
| 2020 LIS Qualifying Plans |
|---|
| Plan Name | Plan ID |
|---|
| AARP MedicareRx Saver Plus (PDP) | S5921 |
| Amerivantage Rx Basic (PDP) | S8182 |
| Blue MedicareRx Value (PDP) | S6506 |
| Cigna-HealthSpring Rx Secure (PDP) | S5617 |
| Clear Spring Health Value Rx (PDP) | S6946 |
| CommunityCare Prescription Drug Plan (PDP) | S1894 |
| EnvisionRxPlus (PDP) | S7694 |
| Express Scripts Medicare - Value (PDP) | S5983 |
| Express Scripts Medicare - Value (PDP) | S5660 |
| Humana Basic Rx Plan (PDP) | S5884 |
| Humana Basic Rx Plan (PDP) | S5552 |
| Journey Rx Standard (PDP) | S6986 |
| Magellan Rx Medicare Basic (PDP) | S4607 |
| SilverScript Choice (PDP) | S5601 |
| WellCare Classic (PDP) | S4802 |
| WellCare Medicare Rx Saver (PDP) | S5810 |
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| 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) | S5660 |
| Express Scripts Medicare - Value (PDP) | S5983 |
| Humana Preferred Rx Plan (PDP) | S5552 |
| Humana Preferred Rx Plan (PDP) | S5884 |
| Journey Rx Standard (PDP) | S6986 |
| Magellan Rx Medicare Basic (PDP) | S4607 |
| SilverScript Choice (PDP) | S5601 |
| 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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