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This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

2023 Virginia Medicare Part D Plan (PDP) Statistics*
CMS Region 7 includes (VA)
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 -7 30
Nbr of Enhanced (EA) Plans 15 1 14 -5 19
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 $48.40 $-14.00 $62.40 $6.60 $55.80
$0 Deductible Plans (percentage) 17% -1% 17% 4% 13%
Number of Plans with a Premium under $25 6 2 4 -7 11
Percentage of Plans with a Premium under $25 25% 8% 17% -19% 37%
Lowest Cost PDP (Premium)
View details of Lowest Cost Plan(s)
$5.10 $-2.00 $7.10 $-0.20 $7.30
Highest Cost PDP (Premium)
View details of Highest Cost Plan(s)
$107.90 $10.60 $97.30 $11.80 $85.50
Average PDP Premium (Cost) $44.89 $-0.28 $45.17 $7.88 $37.29
% Change in Avg. PDP Costs -- -1% -- 21% --
Avg. Weighted PDP Premium** $41.70 $2.06 $39.64 $3.42 $36.22
% Change Weighted Avg. PDP Costs** -- 5% -- 9% --
Number of PDPs with Any Gap Coverage in the Gap (Donut Hole) 4 2 2 -2 4
Percentage of PDPs with Any Gap Coverage 17% 8% 9% -5% 13%
Lowest Cost PDP with Any Gap Coverage
View coverage type / premium details
$60.30 $-2.10 $62.40 $38.70 $23.70
Total Beneficiaries with LIS 255,439 0 247,731 0 246,874
LIS Benchmark Premium $34.55 $-0.56 $35.11 $3.74 31.37
Total Nbr of LIS Qualified Plans 6 -1 7 0 7
Premium Changes for Persons Staying in their Current Plan View premium detail chart
Number of PDPs with Premium Decrease 10 -3 13 5 8
Number of PDPs with No Premium Change 1 1 0 0 0
Number of PDPs with Premium Increase 11 -6 17 -2 19
Percentage of People with a Premium Increase 57.9% -10.64% 69% -12.47% 81%
Weighted Average Increase for People with a Premium Increase $6.45 $-1.25 $7.70 $3.25 $4.45


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
$-20.10 to $-16.1 * -- total: 1 plan
$-15.1 to $-11.1 * -- total: 1 plan
$-10.1 to $-6.1 0 plans
$-5.1 to $-1.1 * -- total: 1 plan
$-0.1 to $3.9 * * * * * * * * -- total: 8 plans
$4.9 to $8.9 * * * * -- total: 4 plans
$9.9 to $13.9 * * * * -- total: 4 plans
$14.9 to $18.9 * -- total: 1 plan
$19.9 to $23.9 * -- total: 1 plan
$24.9 to $28.9 0 plans
$29.9 to $33.9 0 plans
$34.9 to $38.9 0 plans
   

Details for the Min. and Max. Premium Plans in 2023
H/LStatePlan NamePrem.Ded.Gap CoverageBenefit Type
LowVASilverScript SmartSaver (PDP)$5.10$505.00No Gap CoverageEnhanced
HighVAAARP MedicareRx Preferred (PDP)$107.90$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
Low2022VASilverScript SmartRx (PDP)$7.10$480.00No Gap CoverageEnhanced
  2023VASilverScript SmartSaver (PDP)$5.10$505.00No Gap CoverageEnhanced
High2022VAAARP MedicareRx Preferred (PDP)$97.30$0.00No Gap CoverageEnhanced
  2023VAAARP MedicareRx Preferred (PDP)$107.90$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 Coverage20$5.10
Yes4$60.30
2022 Gap Coverage Details
Gap Coverage TypeNumber
of Plans
Minimum
Premium
No Gap Coverage21$7.10
Yes2$62.40
    Notes: Click the Gap Coverage Type above to see plan details for 2023 Virginia 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 Virginia $0 Premium LIS Qualified Part D Plans
2023 LIS Qualifying Plans
Plan NamePlan ID
AARP MedicareRx Saver Plus (PDP)S5921-352
Cigna Secure Rx (PDP)S5617-216
Clear Spring Health Value Rx (PDP)S6946-004
Humana Basic Rx Plan (PDP)S5884-132
SilverScript Choice (PDP)S5601-014
Wellcare Classic (PDP)S4802-069
2022 LIS Qualifying Plans
Plan NamePlan ID
AARP MedicareRx Saver Plus (PDP)S5921-352
Cigna Secure Rx (PDP)S5617-216
Clear Spring Health Value Rx (PDP)S6946-004
Elixir RxSecure (PDP)S7694-007
Humana Basic Rx Plan (PDP)S5884-132
SilverScript Choice (PDP)S5601-014
Wellcare Classic (PDP)S4802-069
    Note: Click heading above to see details of LIS qualifying plans in Virginia.
               Please note, not all plans are available in every state.

List of National PDP Providers with Plans available in Virginia
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 Virginia.