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Q1Group 2016 PDP Analysis: Over 600,000 Medicare beneficiaries will find that their 2015 stand-alone Medicare Part D plan is changing names in 2016

Annual Medicare plan changes · published Oct 19, 2015

Over 600,000 Medicare beneficiaries are enrolled in a stand-alone 2015 Medicare Part D prescription drug plan (PDP) that will be changing names in 2016.  Here are a few examples of the stand-alone Medicare Part D plan name changes along with the number of people affected by the change.

2015 Stand-Alone Prescription Drug Plans with 2016 Plan Name Changes
(with Membership Affected)
Plan Name 2015 Plan Name 2016 States Members Affected
Symphonix Rite Aid Premier Rx (PDP) Symphonix PrimeSaver Rx (PDP) many states (Ex: AL) 953
Symphonix Premier Rx (PDP) Symphonix PrimeSaver Rx (PDP) many states (Ex: TX) 1,467
Symphonix Rite Aid Value Rx (PDP) Symphonix Value Rx (PDP) many states (Ex: CA) 137,700
MedBlue Rx (PDP) BlueCross Rx Value (PDP) SC 13,566
MedBlue Rx Plus (PDP) BlueCross Rx Plus (PDP) SC 6,779
Cigna-HealthSpring Rx Secure-Xtra (PDP) Cigna-HealthSpring Rx Secure-Extra (PDP) all states
(Ex: FL)
482,990

The 480,000 members of the 2015 Cigna-HealthSpring Rx Secure-Xtra (PDP) will not only find a 2016 name change, but will also see changes to their 2016 prescription drug plan coverage when their plan becomes the Cigna-HealthSpring Rx Secure-Extra (PDP) (as seen in the table below).

In addition to the 2015 Cigna-HealthSpring Rx Secure-Xtra (PDP) name change, members of the 2015 Cigna-HealthSpring Rx Secure-Max (PDP) -- over 21,000 people -- will be automatically moved (crosswalked) to the 2016 Cigna-HealthSpring Rx Secure-Extra (PDP) plan.  These two 2015 Cigna-HealthSpring plans that will be consolidated in 2016 and the plan features compare as follows:

Pennsylvania 2015 Cigna-HealthSpring Rx Secure-Max Members
Reassigned to
2016 Cigna-HealthSpring Rx Secure-Extra (PDP)
2015
Secure-Max
2015
Secure-Xtra
2016
Secure-Extra
Monthly Premium $124.50 $35.80 $60.50
Initial Deductible $0 $0 $250
Cost
Sharing
Nbr of
Drugs
Cost
Sharing
Nbr of
Drugs
Cost
Sharing
Nbr of
Drugs
Tier 1 Cost-Sharing $1.00 293 $1.00 293 $1.00 290
Tier 2 Cost-Sharing $2.00 1,570 $4.00 1,569 $5.00 1,523
Tier 3 Cost-Sharing $30.00 522
20% 446 20% 448
Tier 4 Cost-Sharing $85.00 541 35% 647 43% 613
Tier 5 Cost-Sharing
33%
418
33% 424
27%
439
Total Formulary Drugs 3,344 3,379 3,310

From the chart, you can see that the 2016 Cigna-HealthSpring Rx Secure-Extra (PDP) plan will be similar in plan structure to the 2015 Cigna-HealthSpring Rx Secure-Xtra (PDP).  However, the 2016 plan will have a higher premium, $250 initial deductible, and cover slightly fewer medications on its formulary.

For more information about on how your 2015 Medicare plan is changing in 2016, please call a Medicare representative at 1-800-633-4227.

You can also use our PDP-Compare and MA-Compare tools to see how all 2015 stand-alone Medicare Part D prescription drug plans (PDPs) and Medicare Advantage plans (MAs or MAPDs) across the country are changing in 2016.  PDP-Compare and MA-Compare include changes in plan features such as premium, deductible, cost-sharing and formulary size.  Our compare tools also highlight plans that will be merged, discontinued, or added in 2016.