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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 |
$-11.70 to $-7.7 | * * * -- total: 3 plans |
$-6.7 to $-2.7 | 0 plans |
$-1.7 to $2.3 | * * * * * * * -- total: 7 plans |
$3.3 to $7.3 | * * * * * * * * * * * * * -- total: 13 plans |
$8.3 to $12.3 | * * -- total: 2 plans |
$13.3 to $17.3 | 0 plans |
$18.3 to $22.3 | * * -- total: 2 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 | PA WV | SilverScript SmartRx (PDP) | $7.30 | $445.00 | No Gap Coverage | Enhanced |
High | PA WV | Blue Rx PDP Complete (PDP) | $164.40 | $0.00 | Yes | Enhanced | |
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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 | PA WV | Humana Walmart Value Rx Plan (PDP) | $13.20 | $435.00 | No Gap Coverage | Enhanced |
| 2021 | PA WV | Humana Walmart Value Rx Plan (PDP) | $17.20 | $445.00 | No Gap Coverage | Enhanced |
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High | 2020 | PA WV | Blue Rx PDP Complete (PDP) | $168.40 | $0.00 | Yes | Enhanced |
| 2021 | PA WV | Blue Rx PDP Complete (PDP) | $164.40 | $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 | 29 | $7.30 |
Yes | 4 | $45.60 |
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2020 Gap Coverage Details |
Gap Coverage Type | Number of Plans | Minimum Premium |
No Gap Coverage | 26 | $13.20 |
Yes | 5 | $25.40 |
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Notes: Click the Gap Coverage Type above to see plan details for 2021 West Virginia 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 West Virginia $0 Premium LIS Qualified Part D Plans |
2021 LIS Qualifying Plans |
Plan Name | Plan ID |
AARP MedicareRx Saver Plus (PDP) | S5921-351 |
Cigna Secure Rx (PDP) | S5617-215 |
Clear Spring Health Value Rx (PDP) | S6946-003 |
Elixir RxSecure (PDP) | S7694-006 |
Express Scripts Medicare - Value (PDP) | S5660-108 |
Humana Basic Rx Plan (PDP) | S5884-104 |
Indy Health SaverRx (PDP) | S3535-009 |
SilverScript Choice (PDP) | S5601-012 |
WellCare Classic (PDP) | S4802-080 |
WellCare Medicare Rx Saver (PDP) | S5810-040 |
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2020 LIS Qualifying Plans |
Plan Name | Plan ID |
AARP MedicareRx Saver Plus (PDP) | S5921-351 |
Basic Blue Rx Standard (PDP) | S6986-003 |
Cigna-HealthSpring Rx Secure (PDP) | S5617-215 |
Clear Spring Health Value Rx (PDP) | S6946-003 |
EnvisionRxPlus (PDP) | S7694-006 |
Express Scripts Medicare - Value (PDP) | S5660-108 |
Humana Basic Rx Plan (PDP) | S5884-104 |
SilverScript Choice (PDP) | S5601-012 |
WellCare Classic (PDP) | S4802-080 |
WellCare Medicare Rx Saver (PDP) | S5810-040 |
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Note: Click heading above to see details of LIS qualifying plans in West Virginia.
Please note, not all plans are available in every state.
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List of National PDP Providers with Plans available in West Virginia |
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Note: Click heading above to see PDP plans and details for West Virginia.
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