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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 |
|---|
| $-44.10 to $-40.1 | * -- total: 1 plan |
| $-39.1 to $-35.1 | 0 plans |
| $-34.1 to $-30.1 | 0 plans |
| $-29.1 to $-25.1 | 0 plans |
| $-24.1 to $-20.1 | 0 plans |
| $-19.1 to $-15.1 | * -- total: 1 plan |
| $-14.1 to $-10.1 | * -- total: 1 plan |
| $-9.1 to $-5.1 | * -- total: 1 plan |
| $-4.1 to $-0.1 | * * * * * * -- total: 6 plans |
| $0.9 to $4.9 | * * * * * * * * -- total: 8 plans |
| $5.9 to $9.9 | * * * * * * * -- total: 7 plans |
| $10.9 to $14.9 | * -- total: 1 plan |
| $15.9 to $19.9 | * * -- total: 2 plans |
| $20.9 to $24.9 | 0 plans |
| $25.9 to $29.9 | 0 plans |
| $30.9 to $34.9 | 0 plans |
| $35.9 to $39.9 | 0 plans |
| $40.9 to $44.9 | 0 plans |
| $45.9 to $49.9 | * -- total: 1 plan | |
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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 | CA | SilverScript SmartRx (PDP) | $7.20 | $445.00 | No Gap Coverage | Enhanced |
| High | CA | Blue Shield Rx Enhanced (PDP) | $130.40 | $0.00 | No Gap Coverage | 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 | CA | Clear Spring Health Premier Rx (PDP) | $12.80 | $435.00 | No Gap Coverage | Enhanced |
| | 2021 | CA | Clear Spring Health Premier Rx (PDP) | $13.30 | $445.00 | No Gap Coverage | Enhanced |
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| High | 2020 | CA | Blue Shield Rx Enhanced (PDP) | $118.40 | $0.00 | No Gap Coverage | Enhanced |
| | 2021 | CA | Blue Shield Rx Enhanced (PDP) | $130.40 | $0.00 | No Gap Coverage | 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 | 28 | $7.20 |
| Yes | 4 | $26.10 |
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| 2020 Gap Coverage Details |
|---|
| Gap Coverage Type | Number
of Plans | Minimum
Premium |
|---|
| No Gap Coverage | 26 | $12.80 |
| Yes | 6 | $20.60 |
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| Notes: Click the Gap Coverage Type above to see plan details for 2021 California 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 California $0 Premium LIS Qualified Part D Plans |
| 2021 LIS Qualifying Plans |
|---|
| Plan Name | Plan ID |
|---|
| AARP MedicareRx Saver Plus (PDP) | S5921-376 |
| Cigna Secure Rx (PDP) | S5617-158 |
| Clear Spring Health Value Rx (PDP) | S6946-027 |
| Elixir RxSecure (PDP) | S7694-032 |
| Humana Basic Rx Plan (PDP) | S5884-114 |
| SilverScript Choice (PDP) | S5601-064 |
| WellCare Classic (PDP) | S4802-094 |
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| 2020 LIS Qualifying Plans |
|---|
| Plan Name | Plan ID |
|---|
| AARP MedicareRx Saver Plus (PDP) | S5921-376 |
| Cigna-HealthSpring Rx Secure (PDP) | S5617-158 |
| Clear Spring Health Value Rx (PDP) | S6946-027 |
| EnvisionRxPlus (PDP) | S7694-032 |
| Humana Basic Rx Plan (PDP) | S5884-114 |
| Journey Rx Standard (PDP) | S6986-006 |
| SilverScript Choice (PDP) | S5601-064 |
| WellCare Classic (PDP) | S4802-094 |
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Note: Click heading above to see details of LIS qualifying plans in California.
Please note, not all plans are available in every state.
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| List of National PDP Providers with Plans available in California |
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Note: Click heading above to see PDP plans and details for California.
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