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2022 National Medicare Part D Plan Statistics*
and Averages per Region
| Statistic |
2022 |
Change 22-21 |
2021 |
Change 21-20 |
2020 |
| Total Number of Part D Drug Plans | 766 |
-230 |
996 |
48 |
948 |
| Average Nbr of Part D Plans per Region |
23 |
-6 |
29 |
1 |
28 |
| Nbr of Enhanced (EA) Plans |
464 |
-154 |
618 |
52 |
566 |
| Avg. Enhanced Plans per Region |
14 |
-4 |
18 |
1 |
17 |
| Nbr of Basic (BA, DS, AE) Plans |
302 |
-76 |
378 |
-4 |
382 |
| Avg. Nbr of Basic Plans per Region |
9 |
-2 |
11 |
0 |
11 |
|
| Nbr of $0 Deductible Plans |
136 |
-3 |
139 |
6 |
133 |
| Avgerage Nbr of $0 Deductible Plans per Region |
4 |
0 |
4 |
0 |
4 |
| $0 Deductible Plans (percentage) |
18% |
4% |
14% |
0% |
14% |
|
| Number of Plans with a Premium under $25 |
142 |
-177 |
319 |
6 |
313 |
| Avg Nbr of Plans - Premium < $25 |
4 |
-5 |
9 |
0 |
9 |
| Percentage of Plans with a Premium under $25 |
19% |
-13% |
32% |
-1% |
33% |
|
| Lowest Cost PDP (Premium) | $5.50 |
$-0.20 |
$5.70 |
$-7.10 |
$12.80 |
| Highest Cost PDP (Premium) | $207.20 |
$1.90 |
$205.30 |
$13.90 |
$191.40 |
| Average PDP Premium (Cost) |
$47.55 |
$6.17 |
$41.38 |
$0.48 |
$40.90 |
| % Change in Avg. PDP Costs |
-- |
15% |
-- |
1% |
-- |
| Avg. Weighted PDP Premium** |
$43.19 |
$5.65 |
$37.54 |
$-0.18 |
$37.72 |
| % Change Weighted Avg. PDP Costs** |
-- |
15% |
-- |
0% |
-- |
|
| Number of PDPs with Any Gap Coverage in the Gap (Donut Hole) |
85 |
-49 |
134 |
-43 |
177 |
| Percentage of PDPs with Any Gap Coverage |
11% |
-2% |
13% |
-5% |
19% |
Lowest Cost PDP with Any Gap Coverage
View coverage type / premium details |
$45.00 |
$26.00 |
$19.00 |
$0.10 |
$18.90 |
|
Number of LIS PDPs
View List of LIS Qualified Plans | 198 |
-61 |
259 |
15 |
244 |
Nbr of Unique LIS Qualified Plans
View List of LIS Qualified Plans |
11 |
-4 |
15 |
-1 |
16 |
|
| Number of PDPs with Premium Decrease |
148 |
-188 |
336 |
43 |
293 |
| Number of PDPs with No Premium Change |
0 |
0 |
0 |
0 |
0 |
| Number of PDPs with Premium Increase |
574 |
-20 |
594 |
93 |
501 |
| Percentage of People with a Premium Increase |
84.4% |
17.75% |
67% |
8.7% |
58% |
| Weighted Average Increase for People with a Premium Increase |
$6.26 |
$0.93 |
$5.33 |
$-3.30 |
$8.63 |
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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 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.
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Links above will take you to examples for California (or select your state once in PDP-Finder or PDP-Compare)
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| Details for the Min. and Max. Premium Plans in 2022 |
| H/L | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
|---|
| Low | CO | Wellcare Value Script (PDP) | $5.50 | $480.00 | No Gap Coverage | Enhanced |
| High | SC | BlueCross Rx Plus (PDP) | $207.20 | $0.00 | Yes | Enhanced | |
| |
| The chart above shows the details of the least expensive and most |
expensive plans available for 2022.
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| Min. and Max. Premium Plans in 2021 and how the plan changes in 2022 |
| H/L | Year | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
|---|
| Low | 2021 | HI | SilverScript SmartRx (PDP) | $5.70 | $445.00 | No Gap Coverage | Enhanced |
| | 2022 | HI | SilverScript SmartRx (PDP) | $7.80 | $480.00 | No Gap Coverage | Enhanced |
|
| High | 2021 | SC | BlueCross Rx Plus (PDP) | $205.30 | $0.00 | Yes | Enhanced |
| | 2022 | SC | BlueCross Rx Plus (PDP) | $207.20 | $0.00 | Yes | Enhanced | |
| |
| 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.
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| Gap Coverage Types and Minimum Premium for 2022 Part D Plans |
| 2022 Gap Coverage Details |
|---|
| Gap Coverage Type | Number
of Plans | Minimum
Premium |
|---|
| No Gap Coverage | 681 | $5.50 |
| Yes | 85 | $45.00 |
|
| 2021 Gap Coverage Details |
|---|
| Gap Coverage Type | Number
of Plans | Minimum
Premium |
|---|
| No Gap Coverage | 862 | $5.70 |
| Yes | 134 | $19.00 |
|
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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 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.
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| $0 Premium LIS Qualified Part D Plans |
| 2022 LIS Qualifying Plans |
|---|
| Plan Name | Plan ID |
|---|
| AARP MedicareRx Saver Plus (PDP) | S5921 |
| Banner Medicare Simple Rx (PDP) | S3147 |
| Blue Cross MedicareRx Basic (PDP) | S5715 |
| Blue MedicareRx Value (PDP) | S6506 |
| Cigna Secure Rx (PDP) | S5617 |
| Clear Spring Health Value Rx (PDP) | S6946 |
| Elixir RxSecure (PDP) | S7694 |
| Humana Basic Rx Plan (PDP) | S5552 |
| Humana Basic Rx Plan (PDP) | S5884 |
| SilverScript Choice (PDP) | S5601 |
| Wellcare Classic (PDP) | S4802 |
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| 2021 LIS Qualifying Plans |
|---|
| Plan Name | Plan 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) | S5884 |
| Humana Basic Rx Plan (PDP) | S5552 |
| Indy Health SaverRx (PDP) | S3535 |
| SilverScript Choice (PDP) | S5601 |
| WellCare Classic (PDP) | S4802 |
| WellCare Medicare Rx Saver (PDP) | S5810 |
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Note: Click heading above to see plan details in California or choose your state.
Please note, not all plans are available in every state.
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