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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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2021 Premium Changes for Persons Staying in their 2020 Plan |
Premium Change Range | Total number of Plans in this Change Range |
$-17.60 to $-13.6 | * * -- total: 2 plans |
$-12.6 to $-8.6 | * -- total: 1 plan |
$-7.6 to $-3.6 | 0 plans |
$-2.6 to $1.4 | * * * * * * * * * -- total: 9 plans |
$2.4 to $6.4 | * * * * * * * * * * -- total: 10 plans |
$7.4 to $11.4 | * * -- total: 2 plans |
$12.4 to $16.4 | 0 plans |
$17.4 to $21.4 | * * -- total: 2 plans |
$22.4 to $26.4 | 0 plans |
$27.4 to $31.4 | 0 plans |
$32.4 to $36.4 | 0 plans |
$37.4 to $41.4 | 0 plans | |
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Details for the Min. and Max. Premium Plans in 2021 |
H/L | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
Low | NJ | SilverScript SmartRx (PDP) | $7.30 | $445.00 | No Gap Coverage | Enhanced |
High | NJ | Mutual of Omaha Rx Plus (PDP) | $97.70 | $445.00 | No Gap Coverage | Basic | |
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The chart above shows the details of the least expensive and most |
expensive plans available for 2021.
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Min. and Max. Premium Plans in 2020 and how the plan changes in 2021 |
H/L | Year | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
Low | 2020 | NJ | Humana Walmart Value Rx Plan (PDP) | $13.20 | $435.00 | No Gap Coverage | Enhanced |
| 2021 | NJ | Humana Walmart Value Rx Plan (PDP) | $17.20 | $445.00 | No Gap Coverage | Enhanced |
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High | 2020 | NJ | Horizon Medicare Blue Rx Enhanced (PDP) | $115.70 | $0.00 | Yes | Enhanced |
| 2021 | NJ | Horizon Medicare Blue Rx Enhanced (PDP) | $97.40 | $0.00 | Yes | Enhanced | |
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The chart above details the least (and most) expensive plan in 2020 and |
plan features and costs should you stay in the same plan in 2021.
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Gap Coverage Types and Minimum Premium for 2021 Part D Plans |
2021 Gap Coverage Details |
Gap Coverage Type | Number of Plans | Minimum Premium |
No Gap Coverage | 26 | $7.30 |
Yes | 4 | $55.50 |
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2020 Gap Coverage Details |
Gap Coverage Type | Number of Plans | Minimum Premium |
No Gap Coverage | 23 | $13.20 |
Yes | 5 | $24.90 |
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Notes: Click the Gap Coverage Type above to see plan details for 2021 New Jersey plans. |
Gap coverage applies to formulary drugs only. The Healthcare Reform provides that for Plan Year 2021, 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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2021 New Jersey $0 Premium LIS Qualified Part D Plans |
2021 LIS Qualifying Plans |
Plan Name | Plan ID |
AARP MedicareRx Saver Plus (PDP) | S5921-349 |
Clear Spring Health Value Rx (PDP) | S6946-001 |
Express Scripts Medicare - Value (PDP) | S5660-106 |
Humana Basic Rx Plan (PDP) | S5884-131 |
SilverScript Choice (PDP) | S5601-008 |
WellCare Classic (PDP) | S4802-078 |
WellCare Medicare Rx Saver (PDP) | S5810-038 |
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2020 LIS Qualifying Plans |
Plan Name | Plan ID |
AARP MedicareRx Saver Plus (PDP) | S5921-349 |
Clear Spring Health Value Rx (PDP) | S6946-001 |
EnvisionRxPlus (PDP) | S7694-004 |
Express Scripts Medicare - Value (PDP) | S5660-106 |
Humana Basic Rx Plan (PDP) | S5884-131 |
SilverScript Choice (PDP) | S5601-008 |
WellCare Classic (PDP) | S4802-078 |
WellCare Medicare Rx Saver (PDP) | S5810-038 |
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Note: Click heading above to see details of LIS qualifying plans in New Jersey.
Please note, not all plans are available in every state.
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List of National PDP Providers with Plans available in New Jersey |
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Note: Click heading above to see PDP plans and details for New Jersey.
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