2021 National Medicare Part D Plan Statistics*
and Averages per Region
Statistic 2021 Change 21-20 2020 Change 20-19 2019
Total Number of Part D Drug Plans 996 48 948 47 901
Average Nbr of Part D Plans per Region 29 1 28 2 26
Nbr of Enhanced (EA) Plans 618 52 566 13 553
Avg. Enhanced Plans per Region 18 1 17 1 16
Nbr of Basic (BA, DS, AE) Plans 378 -4 382 34 348
Avg. Nbr of Basic Plans per Region 11 0 11 1 10
Nbr of $0 Deductible Plans 139 6 133 -130 263
Avgerage Nbr of $0 Deductible Plans per Region 4 0 4 -4 8
$0 Deductible Plans (percentage) 14% 0% 14% -15% 29%
Number of Plans with a Premium under $25 319 6 313 131 182
Avg Nbr of Plans - Premium < $25 9 0 9 4 5
Percentage of Plans with a Premium under $25 32% -1% 33% 13% 20%
Lowest Cost PDP (Premium) $5.70 $-7.10 $12.80 $2.40 $10.40
Highest Cost PDP (Premium) $205.30 $13.90 $191.40 $35.40 $156.00
Average PDP Premium (Cost) $41.38 $0.48 $40.90 $-6.31 $47.21
% Change in Avg. PDP Costs -- 1% -- -13% --
Avg. Weighted PDP Premium** $40.70 $2.98 $37.72 $-1.41 $39.13
% Change Weighted Avg. PDP Costs** -- 8% -- -4% --
Number of PDPs with Any Gap Coverage in the Gap (Donut Hole) 134 -43 177 -14 191
Percentage of PDPs with Any Gap Coverage 13% -5% 19% -3% 21%
Lowest Cost PDP with Any Gap Coverage
View coverage type / premium details
$19.00 $0.10 $18.90 $6.70 $12.20
Number of LIS PDPs
View List of LIS Qualified Plans
259 15 244 29 215
Nbr of Unique LIS Qualified Plans
View List of LIS Qualified Plans
15 -1 16 2 14
Number of PDPs with Premium Decrease 301 -96 397 147 250
Number of PDPs with No Premium Change 0 0 0 0 0
Number of PDPs with Premium Increase 594 93 501 48 453
Percentage of People with a Premium Increase 67.3% 11.4% 56% -11.64% 68%
Weighted Average Increase for People with a Premium Increase $5.33 $-3.30 $8.63 $4.59 $4.04


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.

Links above will take you to examples for California (or select your state once in PDP-Finder or PDP-Compare)



Details for the Min. and Max. Premium Plans in 2021
H/LStatePlan NamePrem.Ded.Gap CoverageBenefit Type
LowHISilverScript SmartRx (PDP)$5.70$445.00No Gap CoverageEnhanced
HighSCBlueCross Rx Plus (PDP)$205.30$0.00YesEnhanced
   
    The chart above shows the details of the least expensive and most
    expensive plans available for 2021.

Min. and Max. Premium Plans in 2020 and how the plan changes in 2021
H/LYearStatePlan NamePrem.Ded.Gap CoverageBenefit Type
Low2020CAClear Spring Health Premier Rx (PDP)$12.80$435.00No Gap CoverageEnhanced
  2021CAClear Spring Health Premier Rx (PDP)$13.30$445.00No Gap CoverageEnhanced
High2020SCBlueCross Rx Plus (PDP)$191.40$0.00YesEnhanced
  2021SCBlueCross Rx Plus (PDP)$205.30$0.00YesEnhanced
   
    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.

Gap Coverage Types and Minimum Premium for 2021 Part D Plans
2021 Gap Coverage Details
Gap Coverage TypeNumber
of Plans
Minimum
Premium
No Gap Coverage862$5.70
Yes134$19.00
2020 Gap Coverage Details
Gap Coverage TypeNumber
of Plans
Minimum
Premium
No Gap Coverage771$12.80
Yes177$18.90
    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 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.

$0 Premium LIS Qualified Part D Plans
2021 LIS Qualifying Plans
Plan NamePlan ID
AARP MedicareRx Saver Plus (PDP)S5921
Blue MedicareRx Value (PDP)S6506
Cigna Secure Rx (PDP)S5617
Clear Spring Health Value Rx (PDP)S6946
CommunityCare Prescription Drug Plan (PDP)S1894
Elixir RxSecure (PDP)S7694
Exemplar Health Basic (PDP)S9325
Express Scripts Medicare - Value (PDP)S5660
Express Scripts Medicare - Value (PDP)S5983
Humana Basic Rx Plan (PDP)S5552
Humana Basic Rx Plan (PDP)S5884
Indy Health SaverRx (PDP)S3535
SilverScript Choice (PDP)S5601
WellCare Classic (PDP)S4802
WellCare Medicare Rx Saver (PDP)S5810
2020 LIS Qualifying Plans
Plan NamePlan 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)S5660
Express Scripts Medicare - Value (PDP)S5983
Humana Basic Rx Plan (PDP)S5552
Humana Basic Rx Plan (PDP)S5884
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
    Note: Click heading above to see plan details in California or choose your state.
               Please note, not all plans are available in every state.