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PDP-Facts: 2022 Medicare Part D Plan Facts-
    Region (State) and National
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.
Select a state to review the 2022 Medicare Prescription Drug Plan Statistics per State.
AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME
MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC
SD TN TX UT VA VT WA WI WV WY

National Statistics:
2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 | 2013 | 2012 | 2011 | 2010 | 2009 | 2008

2022 North Carolina Medicare Part D Plan (PDP) Statistics*
CMS Region 8 includes (NC)
Statistic 2022 Change 22-21 2021 Change 21-20 2020
Total Number of Part D Drug Plans
View list of National Providers		 23 -8 31 3 28
Nbr of Enhanced (EA) Plans 14 -5 19 3 16
Nbr of Basic (BA, DS, AE) Plans 9 -3 12 0 12
Nbr of $0 Deductible Plans 4 0 4 0 4
Lowest Premium for a $0 Deductible Plan $57.70 $-3.90 $61.60 $-10.20 $71.80
$0 Deductible Plans (percentage) 17% 4% 13% -1% 14%
Number of Plans with a Premium under $25 4 -6 10 0 10
Percentage of Plans with a Premium under $25 17% -15% 32% -3% 36%
Lowest Cost PDP (Premium)
View details of Lowest Cost Plan(s)		 $7.00 $-0.20 $7.20 $-6.00 $13.20
Highest Cost PDP (Premium)
View details of Highest Cost Plan(s)		 $120.40 $7.70 $112.70 $-8.70 $121.40
Average PDP Premium (Cost) $46.67 $5.40 $41.27 $0.33 $40.94
% Change in Avg. PDP Costs -- 13% -- 1% --
Avg. Weighted PDP Premium** $45.17 $7.53 $37.64 $-0.43 $38.07
% Change Weighted Avg. PDP Costs** -- 20% -- -1% --
Number of PDPs with Any Gap Coverage in the Gap (Donut Hole) 3 -1 4 -1 5
Percentage of PDPs with Any Gap Coverage 13% 0% 13% -5% 18%
Lowest Cost PDP with Any Gap Coverage
View coverage type / premium details		 $57.70 $-2.30 $60.00 $36.00 $24.00
Total Beneficiaries with LIS 404,549 0 407,733 0 407,843
LIS Benchmark Premium $35.82 $5.48 $30.34 $3.98 26.36
Total Nbr of LIS Qualified Plans 6 -3 9 0 9
Premium Changes for Persons Staying in their Current Plan View premium detail chart
Number of PDPs with Premium Decrease 6 -4 10 0 10
Number of PDPs with No Premium Change 0 0 0 0 0
Number of PDPs with Premium Increase 16 -1 17 3 14
Percentage of People with a Premium Increase 85.1% 4.01% 81% 31.43% 50%
Weighted Average Increase for People with a Premium Increase $8.38 $4.73 $3.65 $-7.31 $10.96


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.



2022 Premium Changes for Persons Staying in their 2021 Plan
Premium Change Range Total number of Plans in this Change Range
$-9.30 to $-5.3 * -- total: 1 plan
$-4.3 to $-0.3 * * * * * -- total: 5 plans
$0.7 to $4.7 * * -- total: 2 plans
$5.7 to $9.7 * * * * * * * * -- total: 8 plans
$10.7 to $14.7 * * * * -- total: 4 plans
   

Details for the Min. and Max. Premium Plans in 2022
H/LStatePlan NamePrem.Ded.Gap CoverageBenefit Type
LowNCSilverScript SmartRx (PDP)$7.00$480.00No Gap CoverageEnhanced
HighNCBlue Medicare Rx Enhanced (PDP)$120.40$0.00YesEnhanced
   
    The chart above shows the details of the least expensive and most
    expensive plans available for 2022.

Min. and Max. Premium Plans in 2021 and how the plan changes in 2022
H/LYearStatePlan NamePrem.Ded.Gap CoverageBenefit Type
Low2021NCSilverScript SmartRx (PDP)$7.20$445.00No Gap CoverageEnhanced
  2022NCSilverScript SmartRx (PDP)$7.00$480.00No Gap CoverageEnhanced
High2021NCBlue Medicare Rx Enhanced (PDP)$112.70$0.00YesEnhanced
  2022NCBlue Medicare Rx Enhanced (PDP)$120.40$0.00YesEnhanced
   
    The chart above details the least (and most) expensive plan in 2021 and
    plan features and costs should you stay in the same plan in 2022.

Gap Coverage Types and Minimum Premium for 2022 Part D Plans
2022 Gap Coverage Details
Gap Coverage TypeNumber
of Plans		Minimum
Premium
No Gap Coverage20$7.00
Yes3$57.70
2021 Gap Coverage Details
Gap Coverage TypeNumber
of Plans		Minimum
Premium
No Gap Coverage27$7.20
Yes4$60.00
    Notes: Click the Gap Coverage Type above to see plan details for 2022 North Carolina plans.
Gap coverage applies to formulary drugs only. The Healthcare Reform provides that for Plan Year 2022, 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.

2022 North Carolina $0 Premium LIS Qualified Part D Plans
2022 LIS Qualifying Plans
Plan NamePlan ID
Cigna Secure Rx (PDP)S5617-217
Clear Spring Health Value Rx (PDP)S6946-005
Elixir RxSecure (PDP)S7694-008
Humana Basic Rx Plan (PDP)S5884-133
SilverScript Choice (PDP)S5601-016
Wellcare Classic (PDP)S4802-081
2021 LIS Qualifying Plans
Plan NamePlan ID
AARP MedicareRx Saver Plus (PDP)S5921-353
Cigna Secure Rx (PDP)S5617-217
Clear Spring Health Value Rx (PDP)S6946-005
Elixir RxSecure (PDP)S7694-008
Exemplar Health Basic (PDP)S9325-002
Humana Basic Rx Plan (PDP)S5884-133
SilverScript Choice (PDP)S5601-016
WellCare Classic (PDP)S4802-081
WellCare Medicare Rx Saver (PDP)S5810-042
    Note: Click heading above to see details of LIS qualifying plans in North Carolina.
               Please note, not all plans are available in every state.

List of National PDP Providers with Plans available in North Carolina
2022 National PDP Providers
Aetna Medicare
Cigna
Elixir Insurance
Humana
UnitedHealthcare
Wellcare
2021 National PDP Providers
Aetna Medicare
Cigna
Elixir Insurance
Express Scripts Medicare
Humana
UnitedHealthcare
WellCare
    Note: Click heading above to see PDP plans and details for North Carolina.



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    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
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  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
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  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
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  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.
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