During a recent calendar year, 106,744 Vermont residents signed up for a Medicare Part D plan in the state. Of this number, 94,281 beneficiaries were Medicare Prescription Drug plan enrollees, and 15,407 enrolled in a Medicare Advantage Prescription Drug plan.

The number of annual Medicare Part D plan enrollments in Vermont increases yearly.

Vermont Medicare Part D Plans for 2023

Medicare Part D plans cover prescription drugs under Original Medicare through private companies. Some leading Medicare Part D insurance providers include Aetna, Humana, and Cigna.

The sections below discuss the different Vermont Part D plans under various categories. Learn more about Part D plans with the lowest premiums, low-income subsidies, gap coverage, and zero-dollar deductibles below.

Part D Plans with the Lowest Premium in Vermont

At $7.40 per month, Vermont’s Aetna Medicare Part D plan has the lowest premium. However, even though this plan is the most affordable, its deductible of $480 equals that of the other plans.

Wellcare offers a plan at a slightly higher premium of $13 per month, and its deductible is the same as the Aetna plan. This plan offers a $0 deductible on Tier 1 and 2 drugs.

If you have a chronic health condition or take expensive prescription drugs, consider the plan from UnitedHealthcare. While this plan’s premium is slightly higher at $29.30 per month, it offers gap coverage with a deductible of only $310.

PLAN PREMIUM DEDUCTIBLE STAR RATING GAP COVERAGE
Aetna $7.40 $480 3 No
Wellcare $13.00 $480 3 No
Humana $22.70 $480 4 No
UnitedHealthcare $29.30 $310 4 Yes
Cigna $32.10 $480 3 No

Zero-dollar Deductible Part D Plans in Vermont

With a zero deductible plan, you can save significantly over the long run, especially if you expect high medical bills in the future. Various Vermont Medicare Part D plans are available with a zero deductible, with some also offering gap coverage.

The Wellcare no-deductible plan also has the lowest premium at $69 per month. However, you don’t receive gap coverage with this plan.

Aetna offers a popular zero-dollar deductible plan for prescription medications. This plan has gap coverage, and its premium is relatively affordable at only $72.50.

The plan from Blue MedicareRX is the most effective and offers gap coverage. However, even though this is a zero-dollar deductible option, its $136.20 monthly premium is relatively high.

PLAN PREMIUM DEDUCTIBLE STAR RATING GAP COVERAGE
Wellcare $69.00 $0 3 No
Aetna $72.50 $0 3 Yes
UnitedHealthcare $101.00 $0 3 Yes
Blue MedicareRX $136.20 $0 4 Yes

Part D Plans with Gap Coverage in Vermont

If your prescription medication costs equal $4,430 or more, you need to pay 25% of this cost. Various Vermont Medicare Part D plans offer gap coverage for this percentage of costs.

The gap coverage plan from UnitedHealthcare is one of the most effective, with a relatively low premium of $29.30 per month. This plan offers a $0 deductible on Tier 1 drugs.

If you need a gap coverage plan offering a zero deductible, consider the plan from Aetna. This option has a premium of $72.50.

The Blue MedicareRX plan has a higher premium of $136.20. However, this gap coverage plan is effective with a deductible of $0.

PLAN PREMIUM DEDUCTIBLE STAR RATING GAP COVERAGE
UnitedHealthcare $29.30 $310 4 Yes
Cigna $55.60 $100 3 Yes
Aetna $72.50 $0 3 Yes
UnitedHealthcare $101.00 $0 3 Yes
Blue MedicareRX $136.20 $0 4 Yes

Low-Income Subsidy Part D Plans in Vermont

Of Vermont’s 106,744 Medicare Part D beneficiaries, 29,178 are eligible for the low-income subsidy. These plans help beneficiaries reduce the costs of their prescription medications.

The Part D plans with a low-income subsidy all have a deductible of $480 per month with no gap coverage. The plans from Cigna and Wellcare have the lowest monthly premiums of $33.50.

The UnitedHealthcare plan has a slightly higher premium of $35, but it has the best star rating of all the plans. This plan offers relatively low copays for prescription drugs.

The low-income subsidy plan from Aetna, with its low premium of $33.60, is also a viable option for eligible enrollees. It offers a $0 deductible on Tier 1 and 2 drugs.

PLAN PREMIUM DEDUCTIBLE STAR RATING GAP COVERAGE
Cigna $33.50 $480 3 No
Wellcare $33.50 $480 3 No
Aetna $33.60 $480 3 No
UnitedHealthcare $35.00 $480 4 No
Elixir $36.10 $480 3 No

Amount of Beneficiaries in Each Part D Phase of Coverage in Vermont

The Medicare Part D coverage gap, also called the “donut hole,” is the coverage phase after the initial period, when your total prescription drug costs reach a specific limit. If your expenses are in this gap, you must pay a percentage of your medication’s retail costs.

After spending the total out-of-pocket costs, you’re in the Catastrophic phase, which means you only pay up to 5% of your prescription medication’s retail prices.

This chart indicates beneficiaries’ numbers in each coverage phase:

Deductible Phase Initial Coverage Phase Coverage Gap Phase Catastrophic Phase
30,901 38,195 11,004 9,243

FAQs

What is Medicare Part D in Vermont?

Vermont Medicare Part D plans cover many prescription drugs for outpatients. Private carriers offer Part D coverage as an independent plan to Original Medicare enrollees or as a benefit set that is part of the Medicare Advantage plan.

What drugs are covered by Medicare Part D in Vermont?

Vermont Medicare Part D plans only cover drugs that:

  • Are prescription medication
  • Have Food and Drug Administration approval
  • Have a medically accepted purpose
  • Are for sale within the United States

Which Medicare Part D plan is the most popular in Vermont?

The plans from the CVS Health subsidiary, Aetna, are the most popular in Vermont. These plans generally have low premiums and deductibles. The company’s gap coverage, zero-dollar deductible, and low-income subsidy plans are also relatively affordable, with the best ratings.

Do I need Medicare Part D if I don’t take any drugs in Vermont?

Enrolling in a Part D plan ensures coverage should you require treatment for a health condition. If you are healthy, consider a low-premium plan to minimize your long-term costs.

Can I add Part D anytime available in Vermont?

You can only sign up for a Medicare Part D plan in Vermont during the following periods:

Initial Enrollment Period: This period starts on the first day of the month, three months before your 65th birthday. Once your birthday month ends, you have another calendar quarter to enroll in a Part D plan.

Open Enrollment Period: This period is every year from October 15 to December 7, and the coverage begins on January 1.

We Can Help You Sign Up for a Medicare Part D Plan in Vermont

Choosing the right Medicare Part D plan in Vermont can be challenging. At Medigap, we can compare plans and help you make an informed decision. We work with all plans, and our services are free.

Call us or complete our online contact form to get the best available rates in Vermont.

Written By:
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Lindsay Malzone, Lindsay Malzone is the Medicare editor for Medigap.com. She's been contributing to many well-known publications 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.
Reviewed By:
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Rodolfo Marrero, Rodolfo Marrero is one of the co-founders at Medigap.com. He has been helping consumers find the right coverage since the site was founded in 2013. Rodolfo is a licensed insurance agent that works hand-in-hand with the team to ensure the accuracy of the content.