New eHealth Choice & Impact Study: Average Medicare Beneficiary Could Have Saved $458 on Prescription Drugs in 2015
During this year's AEP, which runs from
Potential Savings on Medicare Advantage Prescription Drug Plans (MA-PDs)
More than 14,000 people used eHealth's tool to compare the MA-PD plans they had in 2014 to the plans available in 2015. Among those, ninety-two percent (92%) could lower their total costs for premiums and prescribed medications by switching to a new plan, according to the tool's analysis of their drug regimens and plan options. Those who switched to the plan with the lowest total costs in 2015 could have saved an average of
Potential Savings on Stand-Alone Prescription Drug Plans (PDPs)
More than 35,000 people used eHealth's tool to compare the PDP plans they had in 2014 to the plans available in 2015. Among those, ninety-five percent (95%) could lower their total costs for premiums and prescribed medications by switching to a new plan, according to the tool's analysis of their drug regimens and plan options. Those who switched to the plan with the lowest total costs in 2015 could have saved an average of
What Does eHealth's Medicare Plan Comparison Tool Do?
eHealth's
Once the data is entered, the tool shows that person the different plans eHealth can offer in their area. The tool estimates the annual cost of each plan for the coming year based on the data entered by the user and plan information provided by insurance companies. The estimated annual cost of a plan is a combination of the plan's monthly premiums and the estimated out-of-pocket costs for the medications entered into the tool. The estimated out-of-pocket costs include deductibles, co-pays and coinsurance.
Why Out-of-Pocket Costs For Prescription Drugs Change
Changes to one's prescribed medications aside, the amount a
- The drugs covered by a plan
- The plan's monthly premiums
- The plan's annual deductible, coinsurance, and co-payments
- The plan's drug tiers, which are used to assign different coinsurance amounts and co-payments to specific drugs
Any one of these changes may affect what an enrollee pays out of pocket for his or her drugs on the same PDP or MA-PD plan from one year to the next. In some cases, the lowest-cost plan for an enrollee's personal drug regimen in one year may not be the lowest-cost plan in the following year.
Cost Savings for Plan Switchers
The table below details potential savings after calculating all costs -- including monthly premiums, co-payments, coinsurance, and deductibles -- for people who used eHealth's online
Plan Type | Potential Average Annual Savings by Switching Plans | Potential Average Annual Savings by First-Time Enrollees | Percent of Users in Lowest-Priced Plan | |||
Stand-Alone Prescription Drug Plan (PDP) | $366 | $1,413 | 5% | |||
Medicare Advantage Prescription Drug Plan (MA-PD) | $682 | $1,212 | 8% |
The actual savings estimated when a person uses the tool can vary based on things like geographic location, plan selection, and other factors. Benefits and coverage may also vary between plans. When selecting a plan, you should always be sure to check the plan details to confirm the accuracy of any estimate of plan costs and coverage.
Report Methodology
This report analyzes more than 49,000 user sessions that occurred on eHealthMedicare.com and PlanPrescriber.com during the 2015 Annual Election Period (also called Annual Enrollment Period or AEP), which took place between October, 15 and December, 7, 2014. During that time, there were over 35,000 user sessions in which a person identified their current Medicare Prescription Drug Plan (PDP) and one or more prescription drugs they were taking. In addition, over 14,000 user sessions occurred in which a person identified their current Medicare Advantage Prescription Drug (MA-PD) plan and one or more prescription drugs they were taking.
The
The information users were required to provide in order to be counted as currently enrolled in a PDP or MA-PD plan included their zip code and the name of their existing PDP or MA-PD plan. In the user sessions used for this analysis, customers also included the names, dosages and frequency of any prescription drugs they were taking. Their average annual savings were calculated by subtracting the customer's total estimated out-of-pocket spending on their current plan -- including monthly premiums, deductibles, coinsurance, and co-payments -- from the estimated out-of-pocket spending on the plan recommended by eHealth's
For price comparisons, this study assumes no changes in prescription or medical needs, as well as no changes in rates or drug prices during the applicable time period. The average savings presented in this report are based on user sessions that occurred during the last AEP on eHealthMedicare.com and PlanPrescriber.com only. These user sessions may not reflect the overall
NOTE:
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About
For more health insurance news and information, visit the eHealth consumer blog: Get Smart - Get Covered or visit eHealth's Consumer Resource Center.
For more information, please contact:
Vice President of Consumer Affairs
(650) 210-3115
nate.purpura@ehealth.com
(916) 207-7674
sande.drew@ehealth.com
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