With the latest release of Medicare plan data from the Centers for Medicare & Medicaid Services (CMS), the Q1Medicare.com
Medicare Part D Plan Finder,
Medicare Advantage Plan Finder, and other online tools have been updated with the following 2023 Medicare Part D prescription drug plan information, including:
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30-day prescription drug cost-sharing - both co-payment (such as $1 for Tier 1 drugs) and co-insurance (such as 25% of retail) for each formulary tier.
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Formulary (Drug List) size - we now have the total number of drugs included on each plan’s formulary - represented by unique national drug codes (NDCs). Drug list details will be added as soon as the data is released.
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Initial Coverage Limits (ICL)
- the ICL is the retail value of medications that you can buy before
entering the 2023 Donut Hole or Coverage Gap. The standard ICL for 2023
is $4,660. The ICL is online for all 2023 Medicare Advantage (MAPDs) and stand-alone Medicare Part D prescription drug plans (PDPs).
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Full- and partial-LIS premiums
- the Low-Income Subsidy monthly premium information is online and you
can see plan premiums for a 100%, 75%, 50%, and 25% LIS-subsidy. You
can click here to learn more about the 2023 LIS $0 qualifying plans and partial-LIS premiums.
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Medicare Advantage Plan Health Plan Benefits & Maximum Out-of-Pocket Limits (MOOP)-Medicare Part A and Part B health care coverage, supplemental benefits, Medicare Part B Giveback amount, and MOOP are online for all 2023 Medicare Advantage plans, including, MA, MAPD, MMPs, and SNPs.
A note on the current 2023 data and additional data updates:
We will include the Medicare plan Star Ratings and Medicare
prescription drug (formulary) details including drug tiers excluded from
the deductible, cost-sharing for all phases and pharmacy types as soon
as released.
Q1Medicare.com tools available to review 2023 Medicare plans
- Reviewing 2023 stand-alone Medicare Part D prescription drug plans (PDPs)?
Our 2023 Medicare Part D prescription drug plan finder (or PDP-Finder) can be found directly at
PDP-Finder.com. To begin, you can click on the state abbreviation (such as
WI
for Wisconsin) or just choose your state from the from the drop-down
list, scroll down and hit “Click to Find Plans”. You can then view all
available stand-alone Medicare prescription drug plans in your area.
You can also enter additional search criteria to shorten your results
list.
As an example, click on the link below to see the 23
stand-alone Medicare Part D plans available to Floridians in 2023. Again, you can just
choose a new state to see the Medicare Part D plans offered in your
area:
PDP-Finder.com/FL.
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Comparing stand-alone Medicare Part D prescription drug plan (PDP) changes from 2022 to 2023?
Medicare
plans can change every year and if you would like an overview of how
each 2022 prescription drug plan will change in 2023, you can use our
PDP-Compare tool.
PDP-Compare.com shows changes in premiums, deductibles, cost-sharing, and plan names for all Medicare Part D plans.
PDP-Compare
has also been updated to include plan crosswalks – plans whose members
will be automatically transitioned to a different plan for 2023. To get
you started, you can
click here for an example of how all 2022 Medicare Part D plans in
Arizona will change in 2023 (again, you can change the state in the drop-down-box to your home state).
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Reviewing all 2023 Medicare Advantage plans in your area?
Our 2023 Medicare Advantage plan finder (or MA-Finder) has been updated and can be found directly at:
MA-Finder.com or include your ZIP code in the URL to go right to all plans available in your Service Area:
MA-Finder.com/11206.
Similar to our PDP-Finder, the
2023 MA-Finder
allows you to view all 2023 Medicare Advantage plans found in your area
by just entering your ZIP code and then tapping “Click to Find Plans”.
The 2023 Medicare Advantage plan information now includes monthly plan
premiums, drug plan coverage (if available), the plan’s maximum
out-of-pocket limit (or MOOP), initial coverage limit, Medicare Part B
Giveback
amount, and prescription drug 30-day cost-sharing. You can click on
the “Details” button or the plan’s name to review a Medicare Advantage
plan’s medical benefits and coverage details.
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Comparing Medicare Advantage plan changes from 2022 to 2023?
As with our PDP-Compare tool, our
MA-Compare
tool shows how each 2022 Medicare Advantage plan in your area is
changing for 2023. Begin by entering your ZIP code and selecting any
features you would like, if you want to narrow your search or include
your ZIP in the URL:
MA-Compare.com/33142. To get you started, you can
click here for an example
of how all 2022 Medicare Advantage plans in Summit County, Ohio are
changing in 2023 – then just change the ZIP code to whatever you wish.
Reminder: No need to rush.
The annual Open Enrollment Period for 2023 Medicare Part D plans
and Medicare Advantage plans begins on October 15th and continues
through December 7, 2022. Your new Medicare plan coverage will begin on
January 1, 2023.
Questions?
If you have any general questions about Medicare Part D plans or Medicare Advantage plans, please let us know.
You can
click here for our online Help Desk to submit a question.
For more detailed questions, we suggest that you speak with a Medicare
representative at 1-800-Medicare (1-800-633-4227 TTY 1-877-486-2048).