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2016 Medicare Part-D Plans in North Carolina

There are 23 Medicare Part-D Plans available in North Carolina 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 $120. The highest rated PDP available in North Carolina 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
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AARP MedicareRx Preferred (PDP) (S5820-007)	$59.20	$0.00	Enhanced	No	No		See The Formulary
AARP MedicareRx Saver Plus (PDP) (S5921-353)	$39.20	$360.00	Basic	No	No		See The Formulary
Aetna Medicare Rx Saver (PDP) (S5810-042)	$26.00	$360.00	Basic	No	Yes		See The Formulary
Blue Medicare Rx Enhanced (PDP) (S5540-004)	$107.40	$0.00	Enhanced	Yes	No		See The Formulary
Blue Medicare Rx Standard (PDP) (S5540-002)	$68.40	$225.00	Basic	No	No		See The Formulary
Cigna-HealthSpring Rx Secure (PDP) (S5617-217)	$45.90	$360.00	Basic	No	No		See The Formulary
Cigna-HealthSpring Rx Secure-Extra (PDP) (S5617-253)	$42.40	$250.00	Enhanced	No	No		See The Formulary
EnvisionRxPlus Silver (PDP) (S7694-008)	$32.70	$360.00	Basic	No	Yes		See The Formulary
Express Scripts Medicare - Choice (PDP) (S5660-209)	$77.20	$360.00	Enhanced	No	No		See The Formulary
Express Scripts Medicare - Value (PDP) (S5660-110)	$37.30	$360.00	Basic	No	No		See The Formulary
First Health Part D Premier Plus (PDP) (S5768-167)	$81.40	$0.00	Enhanced	Yes	No		See The Formulary
First Health Part D Value Plus (PDP) (S5768-131)	$33.50	$0.00	Enhanced	Yes	No		See The Formulary
Humana Enhanced (PDP) (S5884-066)	$64.20	$0.00	Enhanced	Yes	No		See The Formulary
Humana Preferred Rx Plan (PDP) (S5884-133)	$27.70	$360.00	Basic	No	Yes		See The Formulary
Humana Walmart Rx Plan (PDP) (S5884-154)	$18.40	$360.00	Enhanced	No	No		See The Formulary
Magellan Rx Medicare Basic (PDP) (S4607-010)	$33.00	$360.00	Basic	No	Yes	Too New	See The Formulary
SilverScript Choice (PDP) (S5601-016)	$22.00	$0.00	Basic	No	Yes		See The Formulary
SilverScript Plus (PDP) (S5601-017)	$78.50	$0.00	Enhanced	Yes	No		See The Formulary
Symphonix PrimeSaver Rx (PDP) (S0522-053)	$39.60	$200.00	Enhanced	No	No		See The Formulary
Symphonix Value Rx (PDP) (S0522-010)	$27.50	$360.00	Basic	No	Yes		See The Formulary
Transamerica MedicareRx Classic (PDP) (S9579-007)	$120.50	$360.00	Basic	No	No		See The Formulary
WellCare Classic (PDP) (S5967-145)	$32.60	$360.00	Basic	No	Yes		See The Formulary
WellCare Extra (PDP) (S5967-180)	$65.60	$0.00	Enhanced	No	No		See The Formulary

2016 Medicare Advantage in North Carolina

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.