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Number of Medicare Prescription Drug Plans (PDPs) that are Low-Income Subsidy Eligible, 2010

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 Low-Income Subsidy Eligible Medicare PDP
United StatesNA
Alabama9
Alaska6
Arizona8
Arkansas15
California7
Colorado6
Connecticut13
Delaware11
District of Columbia11
Florida5
Georgia8
Hawaii7
Idaho9
Illinois10
Indiana9
Iowa8
Kansas9
Kentucky9
Louisiana13
Maine4
Maryland11
Massachusetts13
Michigan9
Minnesota8
Mississippi10
Missouri13
Montana8
Nebraska8
Nevada5
New Hampshire4
New Jersey6
New Mexico8
New York11
North Carolina8
North Dakota8
Ohio5
Oklahoma10
Oregon9
Pennsylvania11
Rhode Island13
South Carolina13
South Dakota8
Tennessee9
Texas11
Utah9
Vermont13
Virginia11
Washington9
West Virginia11
Wisconsin10
Wyoming8
(show/hide notes)
Notes: 

States do not sum to U.S. total. PDP organizations offer plans or benefits packages to the 34 PDP regions which may include one or more states.
PDP organizations can offer more than one plan per contract.
Data do not include territories.
The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) added prescription drug coverage to Medicare (Medicare Part D), beginning on January 1, 2006. Medicare's elderly and disabled beneficiaries can enroll in private plans that contract with Medicare to provide the drug benefit. People on Medicare can obtain the Medicare drug benefit through two types of private plans. Beneficiaries can join a prescription drug plan (PDP) for drug coverage only and get their other Medicare benefits through the fee-for-service program, as the majority of people with Medicare currently do. Alternatively they can join a Medicare Advantage (MA) plan, such as an HMO or regional PPO, that covers drugs and all other Medicare benefits. Private plans can operate in one or more of 34 PDP regions and 26 MA regions nationwide.
For more information including details about low-income assistance under the Medicare Drug Benefit, visit Kaiser's Resources on the Medicare Drug Benefit, available at http://www.kff.org/medicare/rxdrugbenefit.cfm.

Benchmark plans are not designated in the territories because low-income beneficiaries residing in the territories are not eligible for the LIS. Instead, the territories receive federal Medicaid funds to provide “wrap-around” Medicare drug coverage for beneficiaries who are dually eligible for Medicare and Medicaid benefits. Other low-income Medicare beneficiaries who have incomes below 150 percent of the federal poverty level, even those who receive partial Medicaid benefits, are not eligible for financial assistance to help with Part D premiums and cost sharing, though they would be eligible if they resided in the 50 states or the District of Columbia. (Mary Ellen Stahlman, “The Medicare Drug Benefit: Update on the Low-Income Subsidy,” Issue Brief No. 833, National Health Policy Forum, July 2009.)

Sources: 

Kaiser Family Foundation/Georgetown/NORC analysis of CMS PDP Landscape Source Files, 2006-2010. Available at: http://www.kff.org/medicare/7986.cfm.

Definitions: 

PDPs: Prescription Drug Plans.



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