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2023 North Dakota Medicare Part D Plan (PDP) Statistics*
CMS Region 25 includes (IA MN MT NE ND SD WY)
| Statistic |
2023 |
Change 23-22 |
2022 |
Change 22-21 |
2021 |
Total Number of Part D Drug Plans
View list of National Providers | 24 |
2 |
22 |
-6 |
28 |
| Nbr of Enhanced (EA) Plans |
15 |
2 |
13 |
-4 |
17 |
| Nbr of Basic (BA, DS, AE) Plans |
9 |
0 |
9 |
-2 |
11 |
|
| Nbr of $0 Deductible Plans |
4 |
0 |
4 |
0 |
4 |
| Lowest Premium for a $0 Deductible Plan |
$71.40 |
$2.50 |
$68.90 |
$-1.30 |
$70.20 |
| $0 Deductible Plans (percentage) |
17% |
-2% |
18% |
4% |
14% |
|
| Number of Plans with a Premium under $25 |
6 |
2 |
4 |
-4 |
8 |
| Percentage of Plans with a Premium under $25 |
25% |
7% |
18% |
-10% |
29% |
|
Lowest Cost PDP (Premium)
View details of Lowest Cost Plan(s) | $4.70 |
$-2.10 |
$6.80 |
$-0.50 |
$7.30 |
Highest Cost PDP (Premium)
View details of Highest Cost Plan(s) | $113.60 |
$-2.50 |
$116.10 |
$11.40 |
$104.70 |
| Average PDP Premium (Cost) |
$47.78 |
$-0.79 |
$48.57 |
$5.58 |
$42.99 |
| % Change in Avg. PDP Costs |
-- |
-2% |
-- |
13% |
-- |
| Avg. Weighted PDP Premium** |
$35.92 |
$0.75 |
$35.17 |
$0.32 |
$34.85 |
| % Change Weighted Avg. PDP Costs** |
-- |
2% |
-- |
1% |
-- |
|
| 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% |
7% |
14% |
-1% |
14% |
Lowest Cost PDP with Any Gap Coverage
View coverage type / premium details |
$56.70 |
$4.70 |
$52.00 |
$2.80 |
$49.20 |
|
| Total Beneficiaries with LIS |
17,354 |
0 |
15,997 |
0 |
15,925 |
| LIS Benchmark Premium |
$39.87 |
$0.99 |
$38.88 |
$0.92 |
37.96 |
| Total Nbr of LIS Qualified Plans | 6 |
0 |
6 |
-1 |
7 |
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| Premium Changes for Persons Staying in their Current Plan View premium detail chart |
| Number of PDPs with Premium Decrease |
9 |
-1 |
10 |
3 |
7 |
| Number of PDPs with No Premium Change |
0 |
-1 |
1 |
1 |
0 |
| Number of PDPs with Premium Increase |
12 |
-5 |
17 |
-2 |
19 |
| Percentage of People with a Premium Increase |
43.7% |
-23.01% |
67% |
-17.91% |
85% |
| Weighted Average Increase for People with a Premium Increase |
$4.87 |
$-2.46 |
$7.33 |
$-0.13 |
$7.46 |
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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 |
|---|
| $-3.50 to $0.5 | * * * * * * * * * -- total: 9 plans |
| $1.5 to $5.5 | * * * * * * * * -- total: 8 plans |
| $6.5 to $10.5 | * * -- total: 2 plans |
| $11.5 to $15.5 | 0 plans |
| $16.5 to $20.5 | * -- total: 1 plan |
| $21.5 to $25.5 | 0 plans |
| $26.5 to $30.5 | * -- total: 1 plan | |
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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 | IA MN MT NE ND SD WY | SilverScript SmartSaver (PDP) | $4.70 | $505.00 | No Gap Coverage | Enhanced |
| High | IA MN MT NE ND SD WY | MedicareBlue Rx Premier (PDP) | $113.60 | $0.00 | Yes | 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 | IA MN MT NE ND SD WY | SilverScript SmartRx (PDP) | $6.80 | $480.00 | No Gap Coverage | Enhanced |
| | 2023 | IA MN MT NE ND SD WY | SilverScript SmartSaver (PDP) | $4.70 | $505.00 | No Gap Coverage | Enhanced |
|
| High | 2022 | IA MN MT NE ND SD WY | MedicareBlue Rx Premier (PDP) | $116.10 | $0.00 | Yes | Enhanced |
| | 2023 | IA MN MT NE ND SD WY | MedicareBlue Rx Premier (PDP) | $113.60 | $0.00 | Yes | Enhanced | |
| |
| 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 | 19 | $4.70 |
| Yes | 5 | $56.70 |
|
| 2022 Gap Coverage Details |
|---|
| Gap Coverage Type | Number
of Plans | Minimum
Premium |
|---|
| No Gap Coverage | 19 | $6.80 |
| Yes | 3 | $52.00 |
|
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| Notes: Click the Gap Coverage Type above to see plan details for 2023 North Dakota 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 North Dakota $0 Premium LIS Qualified Part D Plans |
| 2023 LIS Qualifying Plans |
|---|
| Plan Name | Plan ID |
|---|
| AARP MedicareRx Saver Plus (PDP) | S5921-370 |
| Cigna Secure Rx (PDP) | S5617-123 |
| Clear Spring Health Value Rx (PDP) | S6946-022 |
| Humana Basic Rx Plan (PDP) | S5884-145 |
| SilverScript Choice (PDP) | S5601-050 |
| Wellcare Classic (PDP) | S4802-089 |
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| 2022 LIS Qualifying Plans |
|---|
| Plan Name | Plan ID |
|---|
| AARP MedicareRx Saver Plus (PDP) | S5921-370 |
| Cigna Secure Rx (PDP) | S5617-123 |
| Clear Spring Health Value Rx (PDP) | S6946-022 |
| Humana Basic Rx Plan (PDP) | S5884-145 |
| SilverScript Choice (PDP) | S5601-050 |
| Wellcare Classic (PDP) | S4802-089 |
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Note: Click heading above to see details of LIS qualifying plans in North Dakota.
Please note, not all plans are available in every state.
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| List of National PDP Providers with Plans available in North Dakota |
| 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 North Dakota.
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