In the state of Virginia, Medicare Part D has 969,474 enrollees. Of these enrollees, 690,661 have private prescription insurance. Many of these Medicare participants, especially new enrollees, have many questions about Medicare Part D, how it works, and what it means for them. If you are new to supplemental Medicare insurance or changing your plan, take a look at your options in Virginia.

Virginia Part D Plans for 2022

Medicare Part D is a supplemental but stand-alone plan that covers prescription drug costs and some costs that other parts of Medicare do not cover. It has some unusual features, such as a gap in coverage called the “donut-hole” and a penalty for delaying enrollment after you become eligible.

Part D Plans with the Lowest Premium in Virginia

The Aetna plan has a $7.10 premium, the lowest of the plans included in this comparison. It has a 3-star rating and a $480 deductible. It does not include gap coverage.

The highest-rated plan in this list that does not have gap coverage is a Humana plan that has a $480 deductible. It is a four-star plan and has a monthly premium of $23.20.

The only plan on this list that includes gap coverage is UnitedHealthcare, which has the highest premium ($28.90). It has a four-star rating and a lower deductible ($310).

PLAN PREMIUM DEDUCTIBLE STAR RATING GAP COVERAGE
Aetna $7.10 $480 3 No
Wellcare $11.70 $480 3 No
Humana $22.70 $480 4 No
Clear Spring $23.20 $480 2 No
UnitedHealthcare $28.90 $310 4 Yes

Part D Plans with a Zero-Dollar Deductible in Virginia

Aetna’s zero-deductible plan has a premium of $62.40, making it the most economical choice for individuals with low or no expected drug costs. It has gap coverage and a 3-star rating.

The only Virginia Part D plan with a four-star rating in this list of zero-deductible plans is by Anthem. It has a $68.50 premium and gap coverage.

The priciest plan on this list of the zero-premium plans is from UnitedHealthcare, with a premium of $97.30. It is a three-star plan that includes gap coverage.

PLAN PREMIUM DEDUCTIBLE STAR RATING GAP COVERAGE
Aetna $62.40 $0 3 Yes
Wellcare $68.30 $0 3 No
Anthem $68.50 $0 4 Yes
UnitedHealthcare $97.30 $0 3 Yes

Virginia Part D Plans with Gap Coverage

The plan with the highest star rating on the list is the Anthem plan (a 5-star plan). It has gap coverage, a $0 deductible, and the premium is $68.50.

Aetna offers a zero-deductible plan with gap coverage. It has a 3-star rating, and its premium is $62.40.

The plan with the lowest premium on the list is a 4-star plan from UnitedHealthcare. It has a $310 deductible. The premium is $28.90.

PLAN PREMIUM DEDUCTIBLE STAR RATING GAP COVERAGE
UnitedHealthcare $28.90 $310 4 Yes
Aetna $62.40 $0 3 Yes
Cigna $67.10 $100 3 Yes
Anthem $68.50 $0 5 Yes
UnitedHealthcare $97.30 $0 3 Yes

Virginia Part D Plans with a Low-Income Subsidy

The plan with the lowest premium among the group that has a low-income subsidy is a Clear Spring plan with a $28.90 premium. It has a 2-star rating. Like all the plans on this list, they do not offer gap coverage and have a $480 deductible.

UnitedHealthcare offers a plan with a 4-star rating and a $30.90 premium. The plan does not have gap coverage and the deductible is $480.

Wellcare has a plan that has slightly lower premiums ($29.80). It is a 3-star plan and lacks gap coverage. Like the other plans, its deductible is $480.

PLAN PREMIUM DEDUCTIBLE STAR RATING GAP COVERAGE
Clear Spring $28.90 $480 2 No
Aetna $29.20 $480 3 No
Wellcare $29.80 $480 3 No
UnitedHealthcare $30.90 $480 4 No
Humana $33.00 $480 4 No

Amount of Beneficiaries that Fall into each Part D Coverage Phase

Unlike Medicare Parts A and B, which are Fee For Service (FFS) plans, Medicare Part D is a supplemental plan that depends on private insurance company coverage. Medicare Part D includes four phases of coverage. Medicare enrollees do not receive coverage in the deductible phase but are covered for expenses during the initial coverage phase.

Part D gap coverage plans provide coverage for the “donut hole” or coverage gap phase until medical spending reaches the threshold for catastrophic phase coverage. The table below shows the number of people in each phase of Medicare coverage.

Deductible Phase Initial Coverage Phase Coverage Gap Phase Catastrophic Phase
262,496 390,380 108,364 78,981

FAQs

What Medicare Part D plan is best in Virginia?

The best Virginia Medicare Part D plan depends on your priorities. Anthem’s zero-premium plan has a high rating. It includes gap coverage and has a reasonable premium of $68.50. For enrollees requiring a low-income subsidy, the plans are similar, but the Clear Spring plan has a low premium while the UnitedHealthcare (AARP MedicareRx Saver Plus) and Humana plans have the highest star rating.

What is the main problem with Medicare Part D in Virginia?

The biggest underlying problem with Medicare Part D is that it does not fully address the high cost of pharmaceuticals in the U.S. Beneficiaries feel pressure to enroll in plans to avoid penalties, whether they need them or not. Even if they have coverage, the “donut hole” in coverage means they have to get gap coverage to cover some costs.

What is the average cost of a Medicare Part D plan in Virginia?

Premiums range from under $10 to nearly $100. The total cost of prescription drug coverage can be more than premium costs. The enrollee pays drug costs until they reach the deductible and once they are in the donut hole gap phase.

Is Medicare Part D Automatically Deducted From Social Security in Virginia?

Unlike Medicare Part B, the government does not automatically deduct Medicare Part C or D costs from monthly benefits. Your coverage providers can help you set up automatic deductions if you want them.

How are Medicare Part D Premiums Paid in Virginia?

You can choose to have your payment automatically deducted from your monthly benefits if you want. You can send payments directly to the company that provides your Part D coverage. For more information about Part D payments, contact the policy’s provider.

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

If you turn 65 in the next three months or if you turned 65 within the past three months, now is the time to enroll in Medicare. Contact Medigap for more information about the Initial Enrollment Period. Give us a call at the number above if you have any questions about Medicare coverage. Or, use the contact form to get rates. We’ll help you find the supplemental Medicare insurance you need.

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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.