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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 |
|---|
| $-17.90 to $-13.9 | * -- total: 1 plan |
| $-12.9 to $-8.9 | 0 plans |
| $-7.9 to $-3.9 | * -- total: 1 plan |
| $-2.9 to $1.1 | * * * * * * * * * -- total: 9 plans |
| $2.1 to $6.1 | * * * -- total: 3 plans |
| $7.1 to $11.1 | * * -- total: 2 plans |
| $12.1 to $16.1 | * * -- total: 2 plans |
| $17.1 to $21.1 | * -- total: 1 plan |
| $22.1 to $26.1 | 0 plans |
| $27.1 to $31.1 | * -- total: 1 plan |
| $32.1 to $36.1 | 0 plans |
| $37.1 to $41.1 | * -- 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 | WI | SilverScript SmartSaver (PDP) | $6.60 | $505.00 | No Gap Coverage | Enhanced |
| High | WI | AARP MedicareRx Preferred (PDP) | $113.00 | $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 | WI | SilverScript SmartRx (PDP) | $6.60 | $480.00 | No Gap Coverage | Enhanced |
| | 2023 | WI | SilverScript SmartSaver (PDP) | $6.60 | $505.00 | No Gap Coverage | Enhanced |
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| High | 2022 | WI | WPS MedicareRx Plan 2 (PDP) | $133.30 | $0.00 | Yes | Enhanced |
| | 2023 | WI | -- | $0.00 | $0.00 | -- | -- | |
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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 | 19 | $6.60 |
| Yes | 4 | $55.90 |
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| 2022 Gap Coverage Details |
|---|
| Gap Coverage Type | Number
of Plans | Minimum
Premium |
|---|
| No Gap Coverage | 21 | $6.60 |
| Yes | 3 | $45.00 |
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| Notes: Click the Gap Coverage Type above to see plan details for 2023 Wisconsin 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 Wisconsin $0 Premium LIS Qualified Part D Plans |
| 2023 LIS Qualifying Plans |
|---|
| Plan Name | Plan ID |
|---|
| AARP MedicareRx Saver Plus (PDP) | S5921-361 |
| Cigna Secure Rx (PDP) | S5617-223 |
| Clear Spring Health Value Rx (PDP) | S6946-013 |
| Elixir RxSecure (PDP) | S7694-016 |
| Humana Basic Rx Plan (PDP) | S5884-139 |
| SilverScript Choice (PDP) | S5601-032 |
| Wellcare Classic (PDP) | S4802-097 |
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| 2022 LIS Qualifying Plans |
|---|
| Plan Name | Plan ID |
|---|
| AARP MedicareRx Saver Plus (PDP) | S5921-361 |
| Cigna Secure Rx (PDP) | S5617-223 |
| Clear Spring Health Value Rx (PDP) | S6946-013 |
| Elixir RxSecure (PDP) | S7694-016 |
| Humana Basic Rx Plan (PDP) | S5884-139 |
| SilverScript Choice (PDP) | S5601-032 |
| Wellcare Classic (PDP) | S4802-097 |
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Note: Click heading above to see details of LIS qualifying plans in Wisconsin.
Please note, not all plans are available in every state.
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| List of National PDP Providers with Plans available in Wisconsin |
| 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 Wisconsin.
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