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PDP-Facts: 2023 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 2023 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:
2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 | 2013 | 2012 | 2011 | 2010 | 2009 | 2008

2023 North Carolina Medicare Part D Plan (PDP) Statistics*
CMS Region 8 includes (NC)
Statistic 2023 Change 23-22 2022 Change 22-21 2021
Total Number of Part D Drug Plans
View list of National Providers		 24 1 23 -8 31
Nbr of Enhanced (EA) Plans 15 1 14 -5 19
Nbr of Basic (BA, DS, AE) Plans 9 0 9 -3 12
Nbr of $0 Deductible Plans 4 0 4 0 4
Lowest Premium for a $0 Deductible Plan $71.40 $13.70 $57.70 $-3.90 $61.60
$0 Deductible Plans (percentage) 17% -1% 17% 4% 13%
Number of Plans with a Premium under $25 5 1 4 -6 10
Percentage of Plans with a Premium under $25 21% 3% 17% -15% 32%
Lowest Cost PDP (Premium)
View details of Lowest Cost Plan(s)		 $4.20 $-2.80 $7.00 $-0.20 $7.20
Highest Cost PDP (Premium)
View details of Highest Cost Plan(s)		 $132.50 $12.10 $120.40 $7.70 $112.70
Average PDP Premium (Cost) $50.94 $4.27 $46.67 $5.40 $41.27
% Change in Avg. PDP Costs -- 9% -- 13% --
Avg. Weighted PDP Premium** $46.53 $5.40 $41.13 $3.49 $37.64
% Change Weighted Avg. PDP Costs** -- 13% -- 9% --
Number of PDPs with Any Gap Coverage in the Gap (Donut Hole) 5 2 3 -1 4
Percentage of PDPs with Any Gap Coverage 21% 8% 13% 0% 13%
Lowest Cost PDP with Any Gap Coverage
View coverage type / premium details		 $67.60 $9.90 $57.70 $-2.30 $60.00
Total Beneficiaries with LIS 414,453 0 404,549 0 407,733
LIS Benchmark Premium $38.38 $2.56 $35.82 $5.48 30.34
Total Nbr of LIS Qualified Plans 5 -1 6 -3 9
Premium Changes for Persons Staying in their Current Plan View premium detail chart
Number of PDPs with Premium Decrease 5 -8 13 4 9
Number of PDPs with No Premium Change 0 0 0 0 0
Number of PDPs with Premium Increase 17 1 16 -1 17
Percentage of People with a Premium Increase 75.2% 3.57% 72% -10.28% 82%
Weighted Average Increase for People with a Premium Increase $7.84 $-0.54 $8.38 $4.73 $3.65


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.



2023 Premium Changes for Persons Staying in their 2022 Plan
Premium Change Range Total number of Plans in this Change Range
$-2.80 to $1.2 * * * * * -- total: 5 plans
$2.2 to $6.2 * * * * * -- total: 5 plans
$7.2 to $11.2 * * * * * * -- total: 6 plans
$12.2 to $16.2 * * * * -- total: 4 plans
$17.2 to $21.2 0 plans
$22.2 to $26.2 * -- total: 1 plan
$27.2 to $31.2 * -- total: 1 plan
   

Details for the Min. and Max. Premium Plans in 2023
H/LStatePlan NamePrem.Ded.Gap CoverageBenefit Type
LowNCSilverScript SmartSaver (PDP)$4.20$505.00No Gap CoverageEnhanced
HighNCBlue Medicare Rx Enhanced (PDP)$132.50$0.00YesEnhanced
   
    The chart above shows the details of the least expensive and most
    expensive plans available for 2023.

Min. and Max. Premium Plans in 2022 and how the plan changes in 2023
H/LYearStatePlan NamePrem.Ded.Gap CoverageBenefit Type
Low2022NCSilverScript SmartRx (PDP)$7.00$480.00No Gap CoverageEnhanced
  2023NCSilverScript SmartSaver (PDP)$4.20$505.00No Gap CoverageEnhanced
High2022NCBlue Medicare Rx Enhanced (PDP)$120.40$0.00YesEnhanced
  2023NCBlue Medicare Rx Enhanced (PDP)$132.50$0.00YesEnhanced
   
    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.

Gap Coverage Types and Minimum Premium for 2023 Part D Plans
2023 Gap Coverage Details
Gap Coverage TypeNumber
of Plans		Minimum
Premium
No Gap Coverage19$4.20
Yes5$67.60
2022 Gap Coverage Details
Gap Coverage TypeNumber
of Plans		Minimum
Premium
No Gap Coverage20$7.00
Yes3$57.70
    Notes: Click the Gap Coverage Type above to see plan details for 2023 North Carolina 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.

2023 North Carolina $0 Premium LIS Qualified Part D Plans
2023 LIS Qualifying Plans
Plan NamePlan ID
Cigna Secure Rx (PDP)S5617-217
Clear Spring Health Value Rx (PDP)S6946-005
Humana Basic Rx Plan (PDP)S5884-133
SilverScript Choice (PDP)S5601-016
Wellcare Classic (PDP)S4802-081
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
    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
2023 National PDP Providers
Aetna Medicare
Cigna
Clear Spring Health
Elixir Insurance
Humana
Mutual of Omaha Rx
UnitedHealthcare
Wellcare
2022 National PDP Providers
Aetna Medicare
Cigna
Elixir Insurance
Humana
UnitedHealthcare
Wellcare
    Note: Click heading above to see PDP plans and details for North Carolina.



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  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
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  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
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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."
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • 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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  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
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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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