In Tennessee, the State is split on the number of beneficiaries who receive their prescription drug coverage through Medicare Advantage or Medicare Part D. Of the 1,023,859 beneficiaries with Medicare drug coverage, 516,200 are enrolled in a Part D prescription plan.

Tennessee Part D Plans for 2022

Part D is one of the ways to receive coverage for prescription drugs you pick up from the pharmacy. Part D is one of the four parts of Medicare and is technically not required. Keep in mind that if you are first eligible for prescription coverage and choose not to take it, you’ll be assessed a penalty when you decide you need it.

We’ll cover the drug plans with the lowest premium, and the ones without a deductible. Then we’ll discuss the donut hole and the Low-Income Subsidy program. After that, we’ll talk about the coverage phases followed by answering some common questions. Finally, we’ll show you how to get help with Medicare Drug Plans.

Tennessee Medicare Part D Plans with the Lowest Premium

Aetna has the lowest premium with their SilverScript drug plans. They have been considered one of the top drug plan companies for several years. The plan is extremely affordable with a premium of just under $7.

Wellcare has the next lowest premium in the state. Their plan’s premium is just under $13. Wellcare is one of the premier names in Medicare drug coverage.

Clear Spring comes in third with a plan premium of just over $16 a month. They have the lowest star rating but are a fairly new company that’s improving.

PLAN PREMIUM DEDUCTIBLE STAR RATING GAP COVERAGE
Aetna $6.50 $480 3 No
Wellcare $12.90 $480 3 No
Clear Spring $16.30 $480 2 No
Humana $22.70 $480 4 No
UnitedHealthcare $29.30 $310 4 No

Tennessee Medicare Part D with a Zero-Dollar Deductible

Deductibles are part of the Medicare standard model, but that doesn’t mean the plans have to charge one. Below we have listed a few plans that do not have a deductible for prescription drugs. There are some plans that only have a deductible applying only for Tier 3 and higher prescriptions.

It’s not surprising to see Aetna on top again, SilverScript is the most well-known drug plan available.

Wellcare again comes in right after Aetna. Wellcare is part of Centene Corporation. They are aggressively improving and adding new products and features that help Medicare beneficiaries.

UnitedHealthcare comes in third. They are the largest provider of Medicare coverage in the nation.

PLAN PREMIUM DEDUCTIBLE STAR RATING GAP COVERAGE
Aetna $54.80 $0 3 Yes
Wellcare $68.90 $0 3 No
Unitedhealthcare $97.40 $0 3 Yes
Farm Bureau $100.20 $0 3 No
Bluerx $144.10 $0 3 No

Tennessee Medicare Part D Plans with Gap Coverage

When beneficiaries fall in the coverage gap they’re responsible for 25% of the cost of their prescriptions. Fortunately, some plans offer additional coverage in the gap.

UnitedHealthcare has a 4-star rated plan that’s affordable with gap coverage. This helps beneficiaries that fall in the gap offset some of the costs when you fall in the donut hole.

Aetna comes in second in this category. Their plan not only offers coverage in the coverage gap but also has no deductible.

Cigna rounds out the top three. Cigna seems to have a niche when it comes to certain drugs they cover in the donut hole. Their plan only has a $100 deductible as well.

PLAN PREMIUM DEDUCTIBLE STAR RATING GAP COVERAGE
UnitedHealthcare $29.30 $310 4 Yes
Aetna $54.80 $0 3 Yes
Cigna $57.00 $100 3 Yes
UnitedHealthcare $97.40 $0 3 Yes

Part D Plans with a Low-Income Subsidy in Tennessee

The Low-Income Subsidy program helps Medicare beneficiaries with low income with their drug premiums. Of the 1,023,859 Medicare beneficiaries that reside in Tennessee, 176,161 qualify for full Low-Income Subsidy.

There are several levels when it comes to the Extra Help program, so it’s wise to speak to an insurance broker to see if you may qualify for assistance. Shown below are a few Part D plans that’s premiums and deductibles would be paid by the Low-Income Subsidy program for qualified beneficiaries/

Clear Spring we mentioned earlier. They have a plan that the Extra Help program would completely pay for the premium and deductible. Despite the low star rating, there are many beneficiaries who benefit from enrolling with Clear Spring.

Wellcare also has a plan that will reduce to a zero premium if you qualify for the full Low-Income Subsidy. Remember the LIS program can also pay your entire deductible depending on the level you qualify for.

As you can see Aetna, Cigna, and Humana are also on the list. All are well-known insurance companies that excel in the Medicare space.

PLAN PREMIUM DEDUCTIBLE STAR RATING GAP COVERAGE
Clear Spring $28.20 $480 2 No
Wellcare $28.90 $480 3 No
Aetna $29.70 $480 3 No
Cigna $30.20 $480 3 No
Humana $31.30 $480 4 No

Amount of Beneficiaries that Fall into each Part D Coverage Phase

Part D prescription plans are regulated by the Centers for Medicare and Medicaid Services. These plans are required to have coverage as good or better than the standard model outlines.

The standard model has four drug plan phases:

  1. Deductible Phase – Up to a $480 deductible.
  2. Initial Coverage Phase – copays up to 25% of the cost of the prescription.
  3. Coverage Gap Phase – Also known as the Donut Hole. Once your drug cost reaches a certain amount you’ll be required to pay 25% of the cost of your scripts.
  4. Catastrophic Phase – Once you’ve paid a certain amount out of pocket you’re responsible for the greater of 5% of the cost of the scripts or $9.21 (Brand Name Drugs) and $3.70 (Generic Drugs)

The illustration below shows the amount of Tennessee Medicare beneficiaries that fell into each phase. You can see that the vast majority never get into the Donut Hole.

Deductible Phase Initial Coverage Phase Coverage Gap Phase Catastrophic Phase
191,139 522,768 194,382 98,930

Cities in Tennessee with Medicare Supplemental Coverage’s Estimated Premiums

Medigap plans are very helpful but do come with an extra monthly cost. Here are some charts for the following cities in Tennessee that illustrated projected premiums:

FAQs

When can I review and change my Tennessee Medicare Part D plan?

In the Annual Enrollment Period, you can review and change your Part D coverage. This enrollment period occurs annually starting October 15th and running through December 7th. If you have certain life events you could potentially have a special enrollment period allowing you to change your coverage.

What company has the cheapest Tennessee Medicare Part D?

Currently, Aetna’s SilverScript company has the lowest premium of any Part D Prescription plan in Tennessee. The premium is $6.50. Wellcare has the second lowest at $12.90. Remember the cheapest plan may or may not be the best for your situation. You should review your current prescriptions with a licensed insurance broker.

Does a higher premium Tennessee Prescription Drug Plan mean it’s better?

No! Since these plans have different ways they cover prescriptions. The premium of the plan is really not relevant. It’s more important to make sure you take the plan that costs you less annually for the combined cost of the prescription and premium.

How to Get Help Signing Up for a Tennessee Medicare Part D Plan

Medicare Drug plans are the most intricate part of Medicare. They cause the most confusion and headaches of any other aspect of Medicare. Fortunately, there is help. We can help ease the frustration that’s involved with Part D plans, and assist in finding the right coverage for what you need currently.

Not only can our licensed agents review your scripts and help you understand the coverage, but they can also assist you in every step of the process. Simply give us a call or fill out our online request form.

Help is only one click or call away. Let our experts in the Medicare field alleviate any concerns you may have and help you get the coverage that’s best for you.

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by Lindsay Malzone, Lindsay Malzone is the Medicare expert for Medigap.com. She's been contributing to many well-known publications as an industry expert since 2017. Her passion is educating Medicare beneficiaries on all their supplemental Medicare options so they can make an informed decision on their healthcare coverage.