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Virginia Part D Plans

How to get drug coverage?

Medicare beneficiaries can obtain prescription drug coverage by enrolling in a Medicare stand alone prescription drug plan (Part D) or by enrolling in a Medicare Advantage plan (Part C) with a drug component.

Enrollment in 2016

In 2016, 645,761 enrolled in a Stand Alone Virginia Prescription Drug Plan and 229,061 enrolled in an Virginia Medicare Advantage Plan with prescription drug coverage.

Costs for Medicare drug coverage

Medicare drug plans cover a portion of all covered prescription drug costs after the enrollee has paid their annual drug deductible. However an enrollee’s actual drug costs will depend on their drug plan’s cost-sharing requirements for each drug tier, whether they use a preferred pharmacy in the plan’s network, whether their drugs are listed in the plan’s formulary (and if so, the tier in which the drugs are listed), and whether the enrollee is eligible for income-based subsidies.

Virginia 2017 Medicare Part D Plans at a glance

Using CMS data HealthPocket found that:

  • The average monthly premium for a 2017 Medicare prescription drug plan in Virginia is $53.99, 1.45% higher than the national average of $53.22. The lowest available Medicare Part D monthly premium in the state of Virginia in 2017 is $17.00.
  • The maximum possible annual drug deductible in any 2017 Medicare drug plan is $400, but in Virginia the average annual drug deductible for Medicare Part D plans is $224.29. 42.86% of Medicare Part D insurance plans in Virginia have a $0 annual drug deductible.

To assist seniors in choosing Medicare plans, CMS assigns star ratings to Medicare Part C and Part D plans each year based on preventive care, chronic condition management, customer service, member satisfaction, and drug pricing. Ratings range from 1 star (a poor plan) to 5 stars (an excellent plan).

  • The average CMS star rating assigned to Medicare Part D insurance plans in Virginia was 3.4 stars in 2017.
  • Among Virginia's 2017 Medicare prescription drug plans with CMS star ratings:
    • 33.33% earned a score of 4 or 4.5 stars
    • 42.86% earned a score of 3 or 3.5 stars
    • 19.05% earned a score of 2.5 stars
    • 4.76% of plans are “Not enough data available”.

Sources:

Medicare Enrollment Dashboard:

https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/CMSProgramStatistics/Dashboard.html

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Virginia Medicare Part D Insurance Companies

There are 14 Part D insurance providers that offer affordable and comprehensive Part D insurance in Virginia. Of these, the companies that offer the largest variety of plans to choose from are UnitedHealthcare, Humana, and ExpressScripts. In Virginia,. The following are all medicare insurance providers in Virginia:

Humana

3 Plans

WellCare

2 Plans

Highmark

2 Plans

Aetna

2 Plans

Magellan Rx Medicare

1 Plans

MII Life, Inc.

1 Plans

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2018 Best Medicare Part D Plans in Virginia

There are 29 medicare part d plans in Virginia. The following are the 10 highest rated part d plans in Virginia based on their CMS rating for the plan's overall quality.

Monthly CostPlan NameCMS Rating
from $24ExpressScripts - Express Scripts Medicare - Saver (PDP)
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from $26SilverScript - SilverScript Choice (PDP)
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from $35ExpressScripts - Express Scripts Medicare - Value (PDP)
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from $68Avalon Insurance Company - SecureRx - Option 3 (PDP)
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from $72SilverScript - SilverScript Plus (PDP)
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from $83UnitedHealthcare - AARP MedicareRx Preferred (PDP)
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from $84Highmark - Blue Rx PDP Plus (PDP)
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from $91ExpressScripts - Express Scripts Medicare - Choice (PDP)
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from $133Avalon Insurance Company - SecureRx - Option 1 (PDP)
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from $157Highmark - Blue Rx PDP Complete (PDP)
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Details
See all Part D plans in Virginia

Best Virginia Part D Plans for patients with High Blood Pressure

The following are the 5 highest rated medicare part d plans in Virginia based on their CMS rating of the plan's medication adherence for hypertension.

Monthly CostPlan NameCMS Rating
from $27MII Life, Inc. - Basic Blue Rx (PDP)Not Rated
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from $70Magellan Rx Medicare - Magellan Rx Medicare Basic (PDP)
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from $55Cigna-HealthSpring - Cigna-HealthSpring Rx Secure-Extra (PDP)
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from $37Cigna-HealthSpring - Cigna-HealthSpring Rx Secure (PDP)
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from $70WellCare - WellCare Extra (PDP)
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Best Virginia Part D Plans for patients with High Cholesterol

The following are the 5 highest rated medicare part d plans in Virginia based on their CMS rating of the plan's medication adherence for cholesterol.

Monthly CostPlan NameCMS Rating
from $27MII Life, Inc. - Basic Blue Rx (PDP)Not Rated
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Details
from $70Magellan Rx Medicare - Magellan Rx Medicare Basic (PDP)
Remove X
Details
from $55Cigna-HealthSpring - Cigna-HealthSpring Rx Secure-Extra (PDP)
Remove X
Details
from $37Cigna-HealthSpring - Cigna-HealthSpring Rx Secure (PDP)
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from $70WellCare - WellCare Extra (PDP)
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Best Virginia Part D Plans for patients with Diabetes

The following are the 5 highest rated medicare plans in Virginia based on their CMS rating for the plan's ability for diabetes treatment and the plan's medication adherence for oral diabetes medications.

Monthly CostPlan NameCMS Rating
from $27MII Life, Inc. - Basic Blue Rx (PDP)Not Rated
Remove X
Details
from $70Magellan Rx Medicare - Magellan Rx Medicare Basic (PDP)
Remove X
Details
from $55Cigna-HealthSpring - Cigna-HealthSpring Rx Secure-Extra (PDP)
Remove X
Details
from $37Cigna-HealthSpring - Cigna-HealthSpring Rx Secure (PDP)
Remove X
Details
from $70WellCare - WellCare Extra (PDP)
Remove X
Details

Most Popular Medicare Doctors in Virginia

The following are the most popular medicare doctors in Virginia based on the provider utilization and payment data published by the U.S. Department of Health & Human Services.

NameSpecialtyLocation
RadiologyROANOKE, VA
SurgeryRICHMOND, VA
SurgeryVA BEACH, VA
SpecialistFALLS CHURCH, VA
RadiologyRICHMOND, VA
RadiologyVIRGINIA BEACH, VA
RadiologyRICHMOND, VA
RadiologyFAIRFAX, VA
SurgeryVA BEACH, VA
SurgeryRICHMOND, VA
See all doctors accepting Medicare in Virginia

Browse Part D Plans by Cities

  1. Virginia Beach, VA
  2. Norfolk, VA
  3. Chesapeake, VA
  4. Richmond, VA
  5. Newport News, VA
  6. Hampton, VA
See all cities in Virginia

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