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2021 Puerto Rico Medicare Part D Plan (PDP) Statistics*
CMS Region 38 includes (PR)
Statistic |
2021 |
Change 21-20 |
2020 |
Change 20-19 |
2019 |
Total Number of Part D Drug Plans
View list of National Providers | 6 |
0 |
6 |
0 |
6 |
Nbr of Enhanced (EA) Plans |
2 |
0 |
2 |
0 |
2 |
Nbr of Basic (BA, DS, AE) Plans |
4 |
0 |
4 |
0 |
4 |
|
Nbr of $0 Deductible Plans |
|
0 |
|
-1 |
1 |
Lowest Premium for a $0 Deductible Plan |
$ |
$0.00 |
$ |
$-45.60 |
$45.60 |
$0 Deductible Plans (percentage) |
0% |
0% |
0% |
-17% |
17% |
|
Number of Plans with a Premium under $25 |
1 |
0 |
1 |
-1 |
2 |
Percentage of Plans with a Premium under $25 |
17% |
0% |
17% |
-17% |
33% |
|
Lowest Cost PDP (Premium)
View details of Lowest Cost Plan(s) | $23.20 |
$3.00 |
$20.20 |
$-2.80 |
$23.00 |
Highest Cost PDP (Premium)
View details of Highest Cost Plan(s) | $69.70 |
$7.90 |
$61.80 |
$15.30 |
$46.50 |
Average PDP Premium (Cost) |
$45.45 |
$3.32 |
$42.13 |
$4.56 |
$37.57 |
% Change in Avg. PDP Costs |
-- |
8% |
-- |
12% |
-- |
Avg. Weighted PDP Premium** |
$58.74 |
$8.09 |
$50.65 |
$8.65 |
$42.00 |
% Change Weighted Avg. PDP Costs** |
-- |
16% |
-- |
21% |
-- |
|
Number of PDPs with Any Gap Coverage in the Gap (Donut Hole) |
0 |
0 |
0 |
0 |
0 |
Percentage of PDPs with Any Gap Coverage |
0% |
0% |
0% |
0% |
0% |
Lowest Cost PDP with Any Gap Coverage
View coverage type / premium details |
$300 |
$0.00 |
$300 |
$0.00 |
$300 |
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Total Beneficiaries with LIS |
8,800 |
0 |
10,928 |
0 |
7,277 |
LIS Benchmark Premium |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
0.00 |
Total Nbr of LIS Qualified Plans | 0 |
0 |
0 |
0 |
0 |
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Premium Changes for Persons Staying in their Current Plan View premium detail chart |
Number of PDPs with Premium Decrease |
1 |
0 |
1 |
-2 |
3 |
Number of PDPs with No Premium Change |
0 |
0 |
0 |
-1 |
1 |
Number of PDPs with Premium Increase |
5 |
0 |
5 |
3 |
2 |
Percentage of People with a Premium Increase |
99% |
-0.28% |
99% |
82.39% |
17% |
Weighted Average Increase for People with a Premium Increase |
$8.29 |
$-1.24 |
$9.53 |
$-2.15 |
$11.68 |
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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 |
$-11.40 to $-7.4 | * -- total: 1 plan |
$-6.4 to $-2.4 | 0 plans |
$-1.4 to $2.6 | 0 plans |
$3.6 to $7.6 | * * -- total: 2 plans |
$8.6 to $12.6 | * * -- 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 | PR | Express Scripts Medicare - Saver (PDP) | $23.20 | $285.00 | No Gap Coverage | Enhanced |
High | PR | Humana Premier Rx Plan (PDP) | $69.70 | $305.00 | 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 | PR | Express Scripts Medicare - Saver (PDP) | $20.20 | $435.00 | No Gap Coverage | Enhanced |
| 2021 | PR | Express Scripts Medicare - Saver (PDP) | $23.20 | $285.00 | No Gap Coverage | Enhanced |
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High | 2020 | PR | Humana Premier Rx Plan (PDP) | $61.80 | $190.00 | No Gap Coverage | Enhanced |
| 2021 | PR | Humana Premier Rx Plan (PDP) | $69.70 | $305.00 | 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 | 6 | $23.20 |
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2020 Gap Coverage Details |
Gap Coverage Type | Number of Plans | Minimum Premium |
No Gap Coverage | 6 | $20.20 |
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Notes: Click the Gap Coverage Type above to see plan details for 2021 Puerto Rico 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 Puerto Rico $0 Premium LIS Qualified Part D Plans |
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Note: Click heading above to see details of LIS qualifying plans in Puerto Rico.
Please note, not all plans are available in every state.
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List of National PDP Providers with Plans available in Puerto Rico |
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Note: Click heading above to see PDP plans and details for Puerto Rico.
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