2016 Medicare Part-D Plans in Texas


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2016 Medicare Part-D Plans in Texas


There are 25 Medicare Part-D Plans available in Texas from 13 different health insurance providers. You can choose from 5 prescription drug plans offering additional gap coverage. The plan with the lowest monthly premium is $18 and the highest monthly premium is $163. The highest rated PDP available in Texas 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)
(S5820-021)
$66.00 $0.00 Enhanced No NoSee The
Formulary
AARP MedicareRx Saver Plus (PDP)
(S5921-367)
$37.60 $360.00 Basic No NoSee The
Formulary
Aetna Medicare Rx Saver (PDP)
(S5810-056)
$24.20 $360.00 Basic No YesSee The
Formulary
Blue Cross MedicareRx Basic (PDP)
(S5715-014)
$29.60 $360.00 Basic No YesSee The
Formulary
Blue Cross MedicareRx Plus (PDP)
(S5715-006)
$163.00 $0.00 Enhanced Yes NoSee The
Formulary
Blue Cross MedicareRx Value (PDP)
(S5715-005)
$63.20 $360.00 Enhanced No NoSee The
Formulary
Cigna-HealthSpring Rx Secure (PDP)
(S5617-108)
$29.90 $360.00 Basic No YesSee The
Formulary
Cigna-HealthSpring Rx Secure-Extra (PDP)
(S5617-267)
$62.90 $250.00 Enhanced No NoSee The
Formulary
EnvisionRxPlus Silver (PDP)
(S7694-022)
$31.20 $360.00 Basic No NoSee The
Formulary
Express Scripts Medicare - Choice (PDP)
(S5660-192)
$104.30 $360.00 Enhanced No NoSee The
Formulary
Express Scripts Medicare - Value (PDP)
(S5660-124)
$36.60 $360.00 Basic No NoSee The
Formulary
First Health Part D Premier Plus (PDP)
(S5768-179)
$76.80 $0.00 Enhanced Yes NoSee The
Formulary
First Health Part D Value Plus (PDP)
(S5768-145)
$36.50 $0.00 Enhanced Yes NoSee The
Formulary
Humana Enhanced (PDP)
(S5884-020)
$65.90 $0.00 Enhanced Yes NoSee The
Formulary
Humana Preferred Rx Plan (PDP)
(S5884-143)
$26.20 $360.00 Basic No YesSee The
Formulary
Humana Walmart Rx Plan (PDP)
(S5884-168)
$18.40 $360.00 Enhanced No NoSee The
Formulary
Magellan Rx Medicare Basic (PDP)
(S4607-019)
$29.90 $360.00 Basic No YesToo NewSee The
Formulary
SilverScript Choice (PDP)
(S5601-044)
$22.90 $0.00 Basic No YesSee The
Formulary
SilverScript Plus (PDP)
(S5601-045)
$78.50 $0.00 Enhanced Yes NoSee The
Formulary
Symphonix PrimeSaver Rx (PDP)
(S0522-069)
$36.90 $200.00 Enhanced No NoSee The
Formulary
Symphonix Value Rx (PDP)
(S0522-039)
$26.40 $360.00 Basic No YesSee The
Formulary
Transamerica MedicareRx Classic (PDP)
(S9579-021)
$124.20 $360.00 Basic No NoSee The
Formulary
WellCare Classic (PDP)
(S5967-159)
$28.20 $360.00 Basic No YesSee The
Formulary
WellCare Extra (PDP)
(S5967-193)
$61.80 $0.00 Enhanced No NoSee The
Formulary
WellCare Simple (PDP)
(S4802-013)
$39.30 $360.00 Basic No NoSee The
Formulary
2016 Medicare Advantage in Texas


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.

GAP

In 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.