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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 |
|---|
| $-28.80 to $-24.8 | * -- total: 1 plan |
| $-23.8 to $-19.8 | 0 plans |
| $-18.8 to $-14.8 | 0 plans |
| $-13.8 to $-9.8 | 0 plans |
| $-8.8 to $-4.8 | * * -- total: 2 plans |
| $-3.8 to $0.2 | * * * * * * * * -- total: 8 plans |
| $1.2 to $5.2 | * * * * * * * * -- total: 8 plans |
| $6.2 to $10.2 | * * * * * * * -- total: 7 plans |
| $11.2 to $15.2 | * * -- total: 2 plans |
| $16.2 to $20.2 | 0 plans |
| $21.2 to $25.2 | 0 plans |
| $26.2 to $30.2 | 0 plans |
| $31.2 to $35.2 | * -- 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 | TX | SilverScript SmartRx (PDP) | $7.30 | $445.00 | No Gap Coverage | Enhanced |
| High | TX | Blue Cross MedicareRx Plus (PDP) | $154.70 | $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 | TX | Humana Walmart Value Rx Plan (PDP) | $13.20 | $435.00 | No Gap Coverage | Enhanced |
| | 2021 | TX | Humana Walmart Value Rx Plan (PDP) | $17.20 | $445.00 | No Gap Coverage | Enhanced |
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| High | 2020 | TX | Blue Cross MedicareRx Plus (PDP) | $147.20 | $0.00 | Yes | Enhanced |
| | 2021 | TX | Blue Cross MedicareRx Plus (PDP) | $154.70 | $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 | 6 | $29.00 |
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| 2020 Gap Coverage Details |
|---|
| Gap Coverage Type | Number
of Plans | Minimum
Premium |
|---|
| No Gap Coverage | 23 | $13.20 |
| Yes | 7 | $22.70 |
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| Notes: Click the Gap Coverage Type above to see plan details for 2021 Texas 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 Texas $0 Premium LIS Qualified Part D Plans |
| 2021 LIS Qualifying Plans |
|---|
| Plan Name | Plan ID |
|---|
| Cigna Secure Rx (PDP) | S5617-108 |
| Clear Spring Health Value Rx (PDP) | S6946-019 |
| Elixir RxSecure (PDP) | S7694-022 |
| Exemplar Health Basic (PDP) | S9325-004 |
| Express Scripts Medicare - Value (PDP) | S5660-124 |
| Humana Basic Rx Plan (PDP) | S5884-143 |
| SilverScript Choice (PDP) | S5601-044 |
| WellCare Classic (PDP) | S4802-013 |
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| 2020 LIS Qualifying Plans |
|---|
| Plan Name | Plan ID |
|---|
| Cigna-HealthSpring Rx Secure (PDP) | S5617-108 |
| EnvisionRxPlus (PDP) | S7694-022 |
| Humana Basic Rx Plan (PDP) | S5884-143 |
| SilverScript Choice (PDP) | S5601-044 |
| WellCare Classic (PDP) | S4802-013 |
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Note: Click heading above to see details of LIS qualifying plans in Texas.
Please note, not all plans are available in every state.
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| List of National PDP Providers with Plans available in Texas |
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Note: Click heading above to see PDP plans and details for Texas.
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