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2023 National Medicare Part D Plan Statistics*
and Averages per Region
| Statistic |
2023 |
Change 23-22 |
2022 |
Change 22-21 |
2021 |
| Total Number of Part D Drug Plans | 801 |
35 |
766 |
-230 |
996 |
| Average Nbr of Part D Plans per Region |
24 |
1 |
23 |
-6 |
29 |
| Nbr of Enhanced (EA) Plans |
497 |
33 |
464 |
-154 |
618 |
| Avg. Enhanced Plans per Region |
15 |
1 |
14 |
-4 |
18 |
| Nbr of Basic (BA, DS, AE) Plans |
304 |
2 |
302 |
-76 |
378 |
| Avg. Nbr of Basic Plans per Region |
9 |
0 |
9 |
-2 |
11 |
|
| Nbr of $0 Deductible Plans |
132 |
-4 |
136 |
-3 |
139 |
| Avgerage Nbr of $0 Deductible Plans per Region |
4 |
0 |
4 |
0 |
4 |
| $0 Deductible Plans (percentage) |
16% |
-1% |
18% |
4% |
14% |
|
| Number of Plans with a Premium under $25 |
184 |
42 |
142 |
-177 |
319 |
| Avg Nbr of Plans - Premium < $25 |
5 |
1 |
4 |
-5 |
9 |
| Percentage of Plans with a Premium under $25 |
23% |
4% |
19% |
-13% |
32% |
|
| Lowest Cost PDP (Premium) | $1.60 |
$-3.90 |
$5.50 |
$-0.20 |
$5.70 |
| Highest Cost PDP (Premium) | $201.10 |
$-6.10 |
$207.20 |
$1.90 |
$205.30 |
| Average PDP Premium (Cost) |
$48.97 |
$1.42 |
$47.55 |
$6.17 |
$41.38 |
| % Change in Avg. PDP Costs |
-- |
3% |
-- |
15% |
-- |
| Avg. Weighted PDP Premium** |
$42.62 |
$3.48 |
$39.14 |
$1.60 |
$37.54 |
| % Change Weighted Avg. PDP Costs** |
-- |
9% |
-- |
4% |
-- |
|
| Number of PDPs with Any Gap Coverage in the Gap (Donut Hole) |
150 |
65 |
85 |
-49 |
134 |
| Percentage of PDPs with Any Gap Coverage |
19% |
8% |
11% |
-2% |
13% |
Lowest Cost PDP with Any Gap Coverage
View coverage type / premium details |
$41.20 |
$-3.80 |
$45.00 |
$26.00 |
$19.00 |
|
Number of LIS PDPs
View List of LIS Qualified Plans | 191 |
-7 |
198 |
-61 |
259 |
Nbr of Unique LIS Qualified Plans
View List of LIS Qualified Plans |
9 |
-2 |
11 |
-4 |
15 |
|
| Number of PDPs with Premium Decrease |
225 |
-181 |
406 |
105 |
301 |
| Number of PDPs with No Premium Change |
0 |
0 |
0 |
0 |
0 |
| Number of PDPs with Premium Increase |
498 |
-76 |
574 |
-17 |
591 |
| Percentage of People with a Premium Increase |
64.2% |
-6.31% |
70% |
3.2% |
67% |
| Weighted Average Increase for People with a Premium Increase |
$7.00 |
$0.74 |
$6.26 |
$0.93 |
$5.33 |
|
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 2023 |
| H/L | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
|---|
| Low | OR WA | SilverScript SmartSaver (PDP) | $1.60 | $505.00 | No Gap Coverage | Enhanced |
| High | SC | BlueCross Rx Plus (PDP) | $201.10 | $0.00 | Yes | Enhanced | |
| |
| 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 | CO | Wellcare Value Script (PDP) | $5.50 | $480.00 | No Gap Coverage | Enhanced |
| | 2023 | CO | Wellcare Value Script (PDP) | $3.50 | $505.00 | No Gap Coverage | Enhanced |
|
| High | 2022 | SC | BlueCross Rx Plus (PDP) | $207.20 | $0.00 | Yes | Enhanced |
| | 2023 | SC | BlueCross Rx Plus (PDP) | $201.10 | $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 | 651 | $1.60 |
| Yes | 150 | $41.20 |
|
| 2022 Gap Coverage Details |
|---|
| Gap Coverage Type | Number
of Plans | Minimum
Premium |
|---|
| No Gap Coverage | 681 | $5.50 |
| Yes | 85 | $45.00 |
|
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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 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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| $0 Premium LIS Qualified Part D Plans |
| 2023 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 |
| Cigna Secure Rx (PDP) | S5617 |
| Clear Spring Health Value Rx (PDP) | S6946 |
| Elixir RxSecure (PDP) | S7694 |
| Humana Basic Rx Plan (PDP) | S5884 |
| SilverScript Choice (PDP) | S5601 |
| Wellcare Classic (PDP) | S4802 |
|
| 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) | S5884 |
| Humana Basic Rx Plan (PDP) | S5552 |
| SilverScript Choice (PDP) | S5601 |
| Wellcare Classic (PDP) | S4802 |
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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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