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Number of Medicare Part D Stand-Alone Prescription Drug Plans, 2006-2014

Number of Medicare Part D Stand-Alone Prescription Drug Plans, 2006-2014. NOTE: Excludes plans in the territories. Total for 2014 includes 168 plans under CMS sanction and closed to new enrollees as of October 2013.

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Number of Medicare Part D Stand-Alone Prescription Drug Plans, 2006-2014

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  1. Number of Medicare Part D Stand-Alone Prescription Drug Plans, 2006-2014 NOTE: Excludes plans in the territories. Total for 2014 includes 168 plans under CMS sanction and closed to new enrollees as of October 2013. SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source files, 2006-2014.

  2. Number of Medicare Part D Stand-Alone Prescription Drug Plans, by Region, 2014 National Average: 35 PDPs 32ME, NH 35OR, WA 33CT, MA, RI, VT 34IA, MN, MT, NE, ND, SD, WY 31 33 36 34NJ 37ID, UT 37 39PA, WV 34 38 36DE, DC, MD 35IN, KY 35 34 36 33 35 34 35AL, TN 35 36 34 34 36 33 34 33 28 36 35 29 28-33 drug plans (9 regions) 34 drug plans (8 regions) 35 drug plans (7 regions) NOTE: PDP is prescription drug plan. Excludes plans in the territories. Includes 168 plans under CMS sanction and closed to new enrollees as of October 2013. SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source file, 2014. 36-39 drug plans (10 regions)

  3. Weighted Average Monthly Premiums for Medicare Part D Stand-Alone Prescription Drug Plans, 2006-2014 Projected 2013-2014: 5% projected increase 2006-2014: 54% increase NOTE: Average premiums are weighted by enrollment in each year. Excludes plans in the territories. Estimate for 2014 includes premiums for 168 plans under CMS sanction and closed to new enrollees as of October 2013. SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP enrollment and landscape files, 2006-2014.

  4. Distribution of Changes in Monthly Premium Amounts for Medicare Part D Stand-Alone Prescription Drug Plan EnrolleesIf Enrollees Do Not Switch Plans Between 2013 and 2014 NOTE: “Minimal change” represents premium changes of no more or less than a $1 increase or decrease. Analysis includes 168 plans under CMS sanction and closed to new enrollees as of October 2013. SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP enrollment, crosswalk, and landscape files, 2014.

  5. Premiums in Medicare Part D Stand-Alone Prescription Drug Plans with Highest 2013 Enrollment, 2006-2014 NOTE: PDP is prescription drug plan. Some PDPs listed here have undergone name changes since the first year the plan was offered that are not shown here. 1Average premiums are weighted by enrollment in each region for each year. 2Plan is under CMS sanction and closed to new enrollees as of October 2013. SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP enrollment, crosswalk, and landscape files, 2006-2014.

  6. Change in Weighted Average Premiums for Medicare Part D Stand-Alone Prescription Drug Plans, by Region, 2014 National Average: 5% increase -4%ME, NH 7%OR, WA 2%CT, MA, RI, VT 9%IA, MN, MT, NE, ND, SD, WY -4% 6% 5% 11%NJ 9%ID, UT 5% 6%PA, WV 16% 2% 4%DE, DC, MD 1%IN, KY 5% 15% 4% 4% 4% 2% 2%AL, TN 10% 3% 12% 9% 2% 2% 5% -6% 9% 3% 0% 14% -6% to 0% change (4 regions) 1% to 3% change (9 regions) 4% to 6% change (9 regions) NOTE: Includes 168 plans under CMS sanction and closed to new enrollees as of October 2013. SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP enrollment, crosswalk, and landscape files, 2013-2014. 7% to 16% change (12 regions)

  7. Share of Medicare Part D Stand-Alone Prescription Drug Plans, By Type of Gap Coverage, 2006-2014 In 2014, the coverage gap is partially filled by a 50% price discount and 2.5% plan payment for brand-name drugs and 28% plan payment for generic drugs, as required by the ACA No/Little Additional Gap Coverage Mostly Generics Generics and Brands NOTE: ACA is the Patient Protection and Affordable Care Act. Analysis excludes plans in the territories. The category "No/little" gap coverage includes plans offering coverage of few generics (and for 2014 few brands). In 2008 and 2009, the number of plans offering gap coverage for brands rounds to 0%. Totals may not sum to 100% due to rounding. Total for 2014 includes 168 plans under CMS sanction and closed to new enrollees as of October 2013; 2014 analysis excludes missing coverage gap data for SmartD Rx Plus PDP (3% of PDPs in 2014). SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source files, 2006-2014.

  8. Share of Medicare Part D Stand-Alone Prescription Drug Plans, By Type of Gap Coverage,* 2014 In 2014, the coverage gap is partially filled by a 50% price discount and 2.5% plan payment for brand-name drugs and 28% plan payment for generic drugs, as required by the ACA • Additional gap coverage for generics and brands includes: • Many generics and some brands (6%) • Many generics and few brands (<1%) • Some generics and some brands (7%) Generics and brands • No/little additional gap coverage includes: • No gap coverage (76%) • Few generics (3%) • Few brands (3%) Mostly generics • Additional gap coverage for mostly generics includes: • Some generics (1%) • Many generics (1%) Missing Total Number of PDPs in 2014 = 1,169 NOTE: ACA is the Patient Protection and Affordable Care Act. PDP is prescription drug plan. Total includes 168 plans under CMS sanction and closed to new enrollees as of October 2013. Missing coverage gap data is for SmartD Rx Plus PDP. *Percent of formulary drugs covered in the gap: “few”=>0%-<10%; “some”=≥10%-<65%; “many”=≥65%-<100%. SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source file, 2014.

  9. Share of Medicare Part D Stand-Alone Prescription Drug Plans, By Deductible Amount, 2006-2014 NOTE: Estimates may not sum to total due to rounding. Analysis for 2014 includes 168 plans under CMS sanction and closed to new enrollees as of October 2013. SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source files, 2006-2014.

  10. Number of Medicare Part D Stand-Alone Prescription Drug Plans Available Without a Premium to Low-Income Subsidy Recipients, 2006-2014 NOTE: PDP is prescription drug plan. Excludes plans in the territories. Analysis for 2014 includes 168 plans under CMS sanction and closed to new enrollees as of October 2013. *De minimis plans can retain Low-Income Subsidy beneficiaries despite exceeding the benchmark premium by $2 in 2007, $1 in 2008, and $2 in 2011-2014. SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source files, 2006-2014.

  11. Number of Benchmark Plans, by Region, 2014 Total Number of Benchmark Plans Across All Regions = 352 7ME, NH 12OR, WA 8CT, MA, RI, VT 10IA, MN, MT, NE, ND, SD, WY 8 12 13 12NJ 13ID, UT 13PA, WV 12 14 13DE, DC, MD 4 15IN, KY 13 5 8 13 9 10 11AL, TN 12 12 8 11 7 9 13 14 11 11 5 4HI NOTE: Includes “de minimis” plans that can retain Low-Income Subsidy beneficiaries despite exceeding the benchmark premium by $2 in 2014; includes 168 plans under CMS sanction and closed to new enrollees as of October 2013. SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source file, 2014.

  12. Change in Number of Benchmark Plans, By Region, 2013-2014 Net Change in Benchmark Plans Across All Regions = +21 -3ME, NH +2OR, WA +2CT, MA, RI, VT +2IA, MN, MT, NE, ND, SD, WY -4 +2 +3 +2NJ +3ID, UT -1PA, WV +4 +4 +2 0DE, DC, MD +4IN, KY +3 +1 0 +3 +3 +2 -2AL, TN +1 -3 -6 +1 0 -4 0 0 -1 +4 +3 -6HI NOTE: Analysis includes 168 plans under CMS sanction and closed to new enrollees as of October 2013. SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source files, 2013-2014.

  13. Low-Income Subsidy (LIS) Enrollment by Benchmark Plan Status, as of 2014 Open Enrollment Period 2013 plan IS benchmark plan in 2014 6.3 million LIS enrollees (77%) 2013 plan IS NOT benchmark plan in 2014 1.9 million LIS enrollees (23%) Total LIS Enrollment in PDPs in 2013 = 8.2 million NOTE: CMS is Centers for Medicare & Medicaid Services. PDP is prescription drug plan. Analysis includes enrollment in PDPs only. Analysis includes 168 plans under CMS sanction and closed to new enrollees as of October 2013. SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP enrollment, crosswalk, and landscape files, 2013-2014.

  14. Number of Benchmark Plans Offered by Four Major Part D Organizations, 2006-2014 Number of PDP regions (out of 34): CVS Caremark Humana UnitedHealth Cigna 1,057,000 LIS enrollees in 2013 2,635,000 LIS enrollees in 2013 1,112,000 LIS enrollees in 2013 1,014,000 LIS enrollees in 2013 NOTE: PDP is prescription drug plan. Plan count for Cigna for 2014 includes recently-acquired HealthSpring plans.SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source files, 2006-2014.

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