2021 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 prescription drug plans offering additional gap coverage. The plan with the lowest monthly premium is $23.20 and the highest monthly premium is $69.70. The highest rated Part-D plan available in Puerto Rico County received a 3.5 overall star rating from the CMS and the lowest rated plan is 3 stars.



(Click the Plan Name for More Details)
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Plan Name Monthly
Premium
Annual
Deductible
Type Gap
Coverage
$0
Full LIS
Plan Rating
AARP MedicareRx Preferred (PDP)
(S5820-037)
$62.40 $445.00 Basic No No
Elixir RxPlus (PDP)
(S7694-105)
$55.80 $445.00 Basic No No
Express Scripts Medicare - Saver (PDP)
(S5660-251)
$23.20 $285.00 Enhanced No No
Express Scripts Medicare - Value (PDP)
(S5660-137)
$30.40 $445.00 Basic No No
Humana Basic Rx Plan (PDP)
(S2874-004)
$31.20 $445.00 Basic No No
Humana Premier Rx Plan (PDP)
(S2874-001)
$69.70 $305.00 Enhanced No No

Return 2021 Medicare Part D Plans



Medicare in Puerto Rico, 2021

2021 Part D:

2 stand-alone Medicare prescription drug plans and 17 Medicare Advantage plans with prescription drug coverage will offer lower out-of-pocket insulin costs through the Part D Senior Savings Model.

6 stand-alone Medicare prescription drug plans are available in 2021, compared to 6 plans in 2020. This represents a 0 percent change in plan options. All Medicare beneficiaries have access to a Medicare prescription drug plan.

100 percent of people with a stand-alone Medicare prescription drug plan have access to a plan with a lower premium than what they paid in 2020.

2 percent of people with a stand-alone Medicare prescription drug plan get Extra Help (also called the low-income subsidy, or LIS).

$23.20 is the lowest monthly premium for a stand-alone Medicare prescription drug plan.



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 2021 once you and your plan provider have spent $4130 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 25% of the plans cost for covered brand-name prescription drugs and 25% on generic drugs unless your plan offers additional coverage. You will also receive discounted prescription drugs.

Full LIS

Plans that offer Full Low Income Subsidy (also called Extra Help). The amount of Extra Help a beneficiary receives depends on their income and resources. Most people who qualify for Full Low Income Subsidy will pay no premiums or deductibles and pay no more than the LIS drug coverage cost limit.



Source: CMS.gov
Plans as of September 9, 2020.
Plans are subject to change as contracts are finalized.
Includes 2021 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded. For 2021, 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.

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