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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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2023 Premium Changes for Persons Staying in their 2022 Plan |
Premium Change Range | Total number of Plans in this Change Range |
$-17.70 to $-13.7 | * -- total: 1 plan |
$-12.7 to $-8.7 | * -- total: 1 plan |
$-7.7 to $-3.7 | 0 plans |
$-2.7 to $1.3 | * * * * * * * * -- total: 8 plans |
$2.3 to $6.3 | * * -- total: 2 plans |
$7.3 to $11.3 | * * * * * -- total: 5 plans |
$12.3 to $16.3 | * -- total: 1 plan |
$17.3 to $21.3 | * * * -- total: 3 plans |
$22.3 to $26.3 | 0 plans |
$27.3 to $31.3 | * -- total: 1 plan |
$32.3 to $36.3 | * -- total: 1 plan |
$37.3 to $41.3 | 0 plans |
$42.3 to $46.3 | 0 plans | |
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Details for the Min. and Max. Premium Plans in 2023 |
H/L | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
Low | CA | SilverScript SmartSaver (PDP) | $4.50 | $505.00 | No Gap Coverage | Enhanced |
High | CA | Blue Shield Rx Enhanced (PDP) | $172.50 | $0.00 | No Gap Coverage | Enhanced | |
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The chart above shows the details of the least expensive and most |
expensive plans available for 2023.
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Min. and Max. Premium Plans in 2022 and how the plan changes in 2023 |
H/L | Year | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
Low | 2022 | CA | SilverScript SmartRx (PDP) | $7.50 | $480.00 | No Gap Coverage | Enhanced |
| 2023 | CA | SilverScript SmartSaver (PDP) | $4.50 | $505.00 | No Gap Coverage | Enhanced |
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High | 2022 | CA | Blue Shield Rx Enhanced (PDP) | $160.20 | $0.00 | No Gap Coverage | Enhanced |
| 2023 | CA | Blue Shield Rx Enhanced (PDP) | $172.50 | $0.00 | No Gap Coverage | Enhanced | |
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The chart above details the least (and most) expensive plan in 2022 and |
plan features and costs should you stay in the same plan in 2023.
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Gap Coverage Types and Minimum Premium for 2023 Part D Plans |
2023 Gap Coverage Details |
Gap Coverage Type | Number of Plans | Minimum Premium |
No Gap Coverage | 22 | $4.50 |
Yes | 4 | $67.70 |
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2022 Gap Coverage Details |
Gap Coverage Type | Number of Plans | Minimum Premium |
No Gap Coverage | 23 | $7.50 |
Yes | 2 | $71.60 |
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Notes: Click the Gap Coverage Type above to see plan details for 2023 California plans. |
Gap coverage applies to formulary drugs only. The Healthcare Reform provides that for Plan Year 2023, 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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2023 California $0 Premium LIS Qualified Part D Plans |
2023 LIS Qualifying Plans |
Plan Name | Plan ID |
Cigna Secure Rx (PDP) | S5617-158 |
Clear Spring Health Value Rx (PDP) | S6946-027 |
SilverScript Choice (PDP) | S5601-064 |
Wellcare Classic (PDP) | S4802-094 |
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2022 LIS Qualifying Plans |
Plan Name | Plan ID |
Clear Spring Health Value Rx (PDP) | S6946-027 |
Elixir RxSecure (PDP) | S7694-032 |
Humana Basic Rx Plan (PDP) | S5884-114 |
SilverScript Choice (PDP) | S5601-064 |
Wellcare Classic (PDP) | S4802-094 |
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Note: Click heading above to see details of LIS qualifying plans in California.
Please note, not all plans are available in every state.
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List of National PDP Providers with Plans available in California |
2023 National PDP Providers |
Aetna Medicare |
Cigna |
Clear Spring Health |
Elixir Insurance |
Humana |
Mutual of Omaha Rx |
UnitedHealthcare |
Wellcare |
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Note: Click heading above to see PDP plans and details for California.
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