New York 2024 Medicare Part D Stand-Alone Prescription Drug Plans
State Company Name Plan Name Benefit Type
$0
Premium
with Full
LIS
Monthly Drug
Premium
Annual Drug
Deductible
Contract ID Plan ID
New York Wellcare Wellcare Classic (PDP) Basic x $41.40 $545.00 S4802 077
New York Wellcare Wellcare Value Script (PDP) Enhanced $3.70 $545.00 S4802 138
New York Wellcare Wellcare Medicare Rx Value Plus (PDP) Enhanced $91.80 $0.00 S4802 206
New York Humana Humana Basic Rx Plan (PDP) Basic $85.60 $545.00 S5552 004
New York Humana Humana Premier Rx Plan (PDP) Enhanced $135.40 $0.00 S5552 005
New York Humana Humana Walmart Value Rx Plan (PDP) Enhanced $73.90 $545.00 S5552 006
New York Aetna Medicare SilverScript Choice (PDP) Basic $66.10 $545.00 S5601 006
New York Aetna Medicare SilverScript Plus (PDP) Enhanced $120.40 $200.00 S5601 007
New York Aetna Medicare SilverScript SmartSaver (PDP) Enhanced $31.00 $280.00 S5601 178
New York Cigna Cigna Secure Rx (PDP) Basic x $45.60 $545.00 S5617 013
New York Cigna Cigna Extra Rx (PDP) Enhanced $111.60 $145.00 S5617 248
New York Cigna Cigna Saver Rx (PDP) Enhanced $19.50 $545.00 S5617 353
New York UnitedHealthcare AARP Medicare Rx Preferred from UHC (PDP) Enhanced $115.90 $0.00 S5805 001
New York UnitedHealthcare AARP Medicare Rx Saver from UHC (PDP) Basic $93.10 $545.00 S5921 379
New York UnitedHealthcare AARP Medicare Rx Walgreens from UHC (PDP) Enhanced $78.70 $410.00 S5921 382
