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The New 2018 Medicare Part-D Plans in Puerto Rico.
2016 Medicare Part-D Plans in Puerto Rico
There are 6 Medicare Part-D Plans available in Puerto Rico from 4 different health insurance providers. You can choose from 1 prescription drug plans offering additional gap coverage. The plan with the lowest monthly premium is $6 and the highest monthly premium is $70. The highest rated PDP available in Puerto Rico County received a 4 overall star rating from the CMS and the lowest rated plan is 2.5 stars.
(Click the Plan Name for More Details)
| Plan Name | Monthly Premium |
Deductible | Type | Gap Coverage |
$0 Premium Full LIS |
Plan Rating | Formulary |
| Return to Change State | |||||||
| AARP MedicareRx Preferred (PDP) (S5820-037) |
$41.50 | $360.00 | Basic | No | No | See The Formulary | |
| EnvisionRxPlus Silver (PDP) (S7694-105) |
$30.00 | $360.00 | Basic | No | No | See The Formulary | |
| Express Scripts Medicare - Choice (PDP) (S5660-205) |
$70.20 | $360.00 | Enhanced | No | No | See The Formulary | |
| Express Scripts Medicare - Value (PDP) (S5660-137) |
$52.40 | $360.00 | Basic | No | No | See The Formulary | |
| Humana Enhanced (PDP) (S2874-001) |
$49.40 | $0.00 | Enhanced | Yes | No | See The Formulary | |
| Humana Preferred Rx Plan (PDP) (S2874-004) |
$6.80 | $360.00 | Basic | No | No | See The Formulary |
| 2016 Medicare Advantage in Puerto Rico |
Benefit Type
Enhanced Alternative plans may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard "generic" coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.
GAPIn 2016 once you and your plan provider have spent $3310 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") Once you reach the coverage gap you will pay 45% of the plans cost for covered brand-name prescription drugs and 58% on generic drugs unless your plan offers additional coverage. You will still receive a 55% discount on brand-name drugs and a 35% discount on generic drugs.
Source: CMS.gov
Plans as of September 9, 2015.
Plans are subject to change as contracts are finalized.
Includes 2016 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded. For 2016, enhanced alternative plans may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.
