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The New 2021 Medicare Part-D Plans in Puerto Rico.
2017 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 $12 and the highest monthly premium is $74. The highest rated PDP available in Puerto Rico County received a 4 overall star rating from the CMS and the lowest rated plan is 3 stars.
(Click the Plan Name for More Details)
| Plan Name | Monthly Premium |
Annual Deductible |
Type | Gap Coverage |
$0 Premium Full LIS |
Plan Rating | Formulary |
| AARP MedicareRx Preferred (PDP) (S5820-037) |
$55.30 | $400.00 | Basic | No | No | See The Formulary | |
| EnvisionRxPlus (PDP) (S7694-105) |
$62.70 | $400.00 | Basic | No | No | See The Formulary | |
| Express Scripts Medicare - Choice (PDP) (S5660-205) |
$74.50 | $350.00 | Enhanced | No | No | See The Formulary | |
| Express Scripts Medicare - Value (PDP) (S5660-137) |
$53.10 | $400.00 | Basic | No | No | See The Formulary | |
| Humana Enhanced (PDP) (S2874-001) |
$47.30 | $0.00 | Enhanced | Yes | No | See The Formulary | |
| Humana Preferred Rx Plan (PDP) (S2874-004) |
$12.90 | $400.00 | Basic | No | No | See The Formulary | |
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| 2017 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 2017 once you and your plan provider have spent $3700 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 40% of the plans cost for covered brand-name prescription drugs and 51% on generic drugs unless your plan offers additional coverage. You will still receive a 60% discount on brand-name drugs and a 49% discount on generic drugs.
Source: CMS.gov
Plans as of September 6, 2016.
Plans are subject to change as contracts are finalized.
Includes 2017 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded. For 2017, 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.