chapter 14: medicare part d - cms · medicare & medicaid research review / 2013 statistical...

MEDICARE & MEDICAID RESEARCH REVIEW / 2013 Statistical Supplement

All Areas1 31,867,254 11,952,123 19,915,131 5,624,673United States 31,324,304 11,457,876 19,866,428 5,602,063

Northeast 6,056,619 2,335,576 3721043 1,252,996Midwest 7,023,728 1,949,165 5074563 1,456,503South 11,397,435 3,829,806 7567629 2,019,831West 6,846,522 3,343,329 3503193 872,733

New England 1,571,097 434,723 1,136,374 336,223Connecticut 379,469 121,446 258,023 79,656Maine 183,798 42,087 141,711 17,607Massachusetts 680,550 190,693 489,857 178,254New Hampshire 121,887 9,463 112,424 34,902Rhode Island 134,171 64,627 69,544 9,666Vermont 71,222 6,407 64,815 16,138

Middle Atlantic 4,485,522 1,900,853 2,584,669 916,773New Jersey 891,363 177,108 714,255 163,804New York 2,006,250 954,543 1,051,707 500,693Pennsylvania 1,587,909 769,202 818,707 252,276

East North Central 4,725,103 1,296,625 3,428,478 1,200,647Illinois 1,122,111 160,074 962,037 328,826Indiana 657,603 176,807 480,796 150,441Michigan 1,006,266 257,715 748,551 392,745Ohio 1,353,287 466,987 886,300 229,605Wisconsin 585,836 235,042 350,794 99,030

West North Central 2,298,625 652,540 1,646,085 255,856Iowa 371,793 63,258 308,535 42,099Kansas 289,724 50,272 239,452 27,078Minnesota 588,731 259,719 329,012 56,346Missouri 686,470 232,064 454,406 101,766Nebraska 191,753 30,680 161,073 19,342North Dakota 77,303 5,673 71,630 3,769South Dakota 92,851 10,874 81,977 5,456

South Atlantic 6,118,642 2,216,813 3,901,829 1,131,839Delaware 85,241 7,489 77,752 35,637District of Columbia 42,655 8,020 34,635 4,240Florida 2,356,001 1,175,813 1,180,188 364,579Georgia 850,767 304,265 546,502 112,621Maryland 396,642 64,972 331,670 132,366North Carolina 985,623 276,387 709,236 218,082South Carolina 476,626 140,653 335,973 120,874Virginia 672,996 161,909 511,087 101,304West Virginia 252,091 77,305 174,786 42,136See footnotes at end of table.

Medicare Advantage Prescription Drug

Retiree Drug Subsidy

Type of Plan

Table 14.1Medicare Part D: Type of Plan or Retiree Drug Subsidy for Part D Enrollees,

by Area of Residence: July 1, 2012

Area of Residence Total Prescription Drug Plan

MEDICARE & MEDICAID RESEARCH REVIEW / 2013 Statistical Supplement

Table 14.1—ContinuedMedicare Part D: Type of Plan or Retiree Drug Subsidy for Part D Enrollees,

by Area of Residence: July 1, 2012

East South Central 2,166,271 630,077 1,536,194 302,622Alabama 521,661 185,943 335,718 130,122Kentucky 542,354 97,445 444,909 57,771Mississippi 347,600 53,857 293,743 22,921Tennessee 754,656 292,832 461,824 91,808

West South Central 3,112,522 982,916 2,129,606 585,370Arkansas 350,100 82,508 267,592 40,793Louisiana 491,194 177,555 313,639 59,741Oklahoma 385,859 87,959 297,900 38,810Texas 1,885,369 634,894 1,250,475 446,026

Mountain 1,999,761 962,614 1,037,147 283,939Arizona 643,513 356,683 286,830 93,040Colorado 416,716 214,158 202,558 74,509Idaho 151,344 62,185 89,159 18,918Montana 106,258 24,052 82,206 11,758Nevada 233,332 120,148 113,184 36,503New Mexico 216,155 88,417 127,738 19,152Utah 184,513 93,288 91,225 24,504Wyoming 47,930 3,683 44,247 5,555

Pacific 4,846,761 2,380,715 2,466,046 588,794Alaska 28,402 449 27,953 17,902California 3,603,181 1,797,049 1,806,132 412,272Hawaii 149,714 92,547 57,167 7,186Oregon 449,662 241,833 207,829 36,838Washington 615,802 248,837 366,965 114,596

Outlying Areas 2 542,950 494,247 48,703 22,6101Includes the 50 States, outlying areas, and residence unknown. 2Includes Puerto Rico, Guam, Virgin Islands, and all other outlying areas not shown separately.

NOTE: Data in this table may differ from similar data, and certain row or column totals may not add, because of differences in the metrics used to construct different tables.

SOURCE: Centers for Medicare & Medicaid Services, Office of Information Services: Data from the Part D Denominator File; data development by theOffice of Information Products & Data Analytics.

Area of ResidenceMedicare Advantage

Prescription DrugRetiree Drug

Subsidy Prescription Drug PlanTotal

Type of Plan

MEDICARE & MEDICAID RESEARCH REVIEW/ 2013 Statistical Supplement

Part D Enrolled 31,867,254 31,400,729 31,588,234 31,679,749

Age Under 65 Years 6,219,142 6,112,998 6,218,914 6,113,226 65-69 Years 7,438,073 7,328,141 7,364,754 7,401,46070-74 Years 6,274,096 6,189,321 6,210,157 6,253,26075-79 Years 4,691,814 4,626,044 4,637,416 4,680,44280-84 Years 3,584,332 3,534,509 3,541,507 3,577,33485-89 Years 2,308,207 2,276,772 2,280,556 2,304,42390 Years or Over 1,351,590 1,332,944 1,334,930 1,349,604

Sex Male 13,277,435 13,074,746 13,187,071 13,165,110Female 18,589,819 18,325,983 18,401,163 18,514,639

Race White 25,496,263 25,284,191 25,396,432 25,384,022Black 3,609,255 3,525,886 3,570,846 3,564,295Asian 801,387 723,844 730,492 794,739Hispanic 1,073,305 1,015,499 1,030,623 1,058,181N. American Native 134,669 128,260 131,137 131,792Other 597,599 580,604 584,696 593,507Unknown 154,776 142,445 144,008 153,213

Medicare Advantage- Prescription Drug 11,952,123 11,946,790 11,947,128 11,951,785

Age

Under 65 Years 1,660,231 1,660,154 1,660,224 1,660,161 65-69 Years 3,157,053 3,155,230 3,155,299 3,156,98470-74 Years 2,624,282 2,623,160 2,623,252 2,624,19075-79 Years 1,921,229 1,920,527 1,920,575 1,921,18180-84 Years 1,379,412 1,378,678 1,378,708 1,379,38285-90 Years 803,031 802,486 802,507 803,01090 Years or Over 406,885 406,555 406,563 406,877

Sex Male 5,140,258 5,138,111 5,138,255 5,140,114Female 6,811,865 6,808,679 6,808,873 6,811,671

Race White 9,483,845 9,480,839 9,481,033 9,483,651Black 1,366,850 1,365,508 1,365,602 1,366,756Asian 282,895 282,590 282,602 282,883Hispanic 450,010 449,736 449,754 449,992N. American Native 23,744 23,736 23,738 23,742Other 296,158 295,850 295,863 296,145Unknown 48,621 48,531 48,536 48,616

Table 14.2Medicare Part D: Type of Entitlement for Part D Enrollees, by Type of Plan

and Demographic Characteristics: July 1, 2012 Type of Entitlement

Type of Plan and Demographic Characteristics

Health Insurance and/or Supplementary

Medical Insurance

Health Insurance and Supplementary Medical

Insurance Hospital InsuranceSupplementary Medical

Insurance


See footnotes at end of table.

Table 14.2—Continued

Prescription Drug Plan 19,915,131 19,453,939 19,641,106 19,727,964

Age Under 65 Years 4,558,911 4,452,844 4,558,690 4,453,065

65-69 Years 4,281,020 4,172,911 4,209,455 4,244,47670-74 Years 3,649,814 3,566,161 3,586,905 3,629,07075-79 Years 2,770,585 2,705,517 2,716,841 2,759,26180-84 Years 2,204,920 2,155,831 2,162,799 2,197,95285-89 Years 1,505,176 1,474,286 1,478,049 1,501,41390 Years or Over 944,705 926,389 928,367 942,727

Sex Male 8,137,177 7,936,635 8,048,816 8,024,996Female 11,777,954 11,517,304 11,592,290 11,702,968

Race White 16,012,418 15,803,352 15,915,399 15,900,371Black 2,242,405 2,160,378 2,205,244 2,197,539Asian 518,492 441,254 447,890 511,856Hispanic 623,295 565,763 580,869 608,189N. American Native 110,925 104,524 107,399 108,050Other 301,441 284,754 288,833 297,362Unknown 106,155 93,914 95,472 104,597

Note: Data in this table may differ from similar data, and certain row or column totals may not add, because of differences in the metrics used to construct different tables.


Health Insurance and Supplementary Medical

Insurance

and Demographic Characteristics: July 1, 2012

Hospital InsuranceSupplementary Medical

Insurance

Medicare Part D: Type of Entitlement for Part D Enrollees, by Type of Plan

Type of Entitlement

Type of Plan and Demographic Characteristics

Health Insurance and/or Supplementary

Medical Insurance


All Areas2 31,867,254 19,915,131 11,343,170 200,464 408,489United States 31,324,304 19,866,428 10,849,027 200,422 408,427

Northeast 6,056,619 3,721,043 2,297,730 723 37,123Midwest 7,023,728 5,074,563 1,734,367 115,822 98,976South 11,397,435 7,567,629 3,544,008 62,815 222,983West 6,846,522 3,503,193 3,272,922 21,062 49,345

New England 1,571,097 1,136,374 423,000 46 11,677Connecticut 379,469 258,023 121,406 11 29Maine 183,798 141,711 41,681 1 405Massachusetts 680,550 489,857 187,814 24 2,855New Hampshire 121,887 112,424 5,404 5 4,054Rhode Island 134,171 69,544 64,408 2 217Vermont 71,222 64,815 2,287 3 4,117

Middle Atlantic 4,485,522 2,584,669 1,874,730 677 25,446New Jersey 891,363 714,255 176,480 17 611New York 2,006,250 1,051,707 943,849 607 10,087Pennsylvania 1,587,909 818,707 754,401 53 14,748

East North Central 4,725,103 3,428,478 1,227,810 20,498 48,317Illinois 1,122,111 962,037 154,878 49 5,147Indiana 657,603 480,796 165,679 17 11,111Michigan 1,006,266 748,551 247,303 26 10,386Ohio 1,353,287 886,300 443,568 16,097 7,322Wisconsin 585,836 350,794 216,382 4,309 14,351

West North Central 2,298,625 1,646,085 506,557 95,324 50,659Iowa 371,793 308,535 60,886 17 2,355Kansas 289,724 239,452 39,515 9 10,748Minnesota 588,731 329,012 164,001 93,177 2,541Missouri 686,470 454,406 208,635 24 23,405Nebraska 191,753 161,073 23,794 6 6,880North Dakota 77,303 71,630 1,897 1,337 2,439South Dakota 92,851 81,977 7,829 754 2,291

South Atlantic 6,118,642 3,901,829 2,016,722 44,415 155,676Delaware 85,241 77,752 7,430 33 26District of Columbia 42,655 34,635 2,893 5,109 18Florida 2,356,001 1,180,188 1,168,861 294 6,658Georgia 850,767 546,502 261,943 35 42,287Maryland 396,642 331,670 38,271 24,516 2,185North Carolina 985,623 709,236 240,847 78 35,462South Carolina 476,626 335,973 117,385 43 23,225Virginia 672,996 511,087 107,909 14,279 39,721West Virginia 252,091 174,786 71,183 28 6,094See footnotes at end of table.

Area of Residence TotalFee-for- Service

Managed Care

Table 14.3Medicare Part D: Type of Coverage Category for Part D Enrollees,

by Area of Residence: July 1, 2012 Organization Type Code Category

Cost and Demo Other1


East South Central 2,166,271 1,536,194 609,612 41 20,424Alabama 521,661 335,718 183,537 17 2,389Kentucky 542,354 444,909 91,685 3 5,757Mississippi 347,600 293,743 47,325 7 6,525Tennessee 754,656 461,824 287,065 14 5,753

West South Central 3,112,522 2,129,606 917,674 18,359 46,883Arkansas 350,100 267,592 63,228 14 19,266Louisiana 491,194 313,639 173,260 12 4,283Oklahoma 385,859 297,900 79,970 13 7,976Texas 1,885,369 1,250,475 601,216 18,320 15,358

Mountain 1,999,761 1,037,147 911,238 15,056 36,320Arizona 643,513 286,830 349,831 252 6,600Colorado 416,716 202,558 189,552 14,700 9,906Idaho 151,344 89,159 58,670 4 3,511Montana 106,258 82,206 17,060 8 6,984Nevada 233,332 113,184 118,297 33 1,818New Mexico 216,155 127,738 85,643 26 2,748Utah 184,513 91,225 90,905 20 2,363Wyoming 47,930 44,247 1,280 13 2,390

Pacific 4,846,761 2,466,046 2,361,684 6,006 13,025Alaska 28,402 27,953 427 9 13California 3,603,181 1,806,132 1,789,826 201 7,022Hawaii 149,714 57,167 86,700 5,715 132Oregon 449,662 207,829 240,169 31 1,633Washington 615,802 366,965 244,562 50 4,225

Outlying Areas 3 542,950 48,703 494,143 42 621Includes Private Fee-for-Service and Program All Inclusive Care Elderly (PACE) categories not shown separately.2Includes the 50 States ,outlying areas, and residence unknown. 3Includes Puerto Rico, Guam, Virgin Islands, and all other outlying areas not shown separately.



Other1Cost and

DemoManaged

CareFee-for- ServiceTotalArea of Residence

Medicare Part D: Type of Coverage Category for Part D Enrollees,by Area of Residence: July 1, 2012

Organization Type Code Category



Total 31,867,254 19,915,131 11,343,170 383,960 24,529 200,464

Age

Under 65 Years 6,219,142 4,558,911 1,578,217 69,582 2,131 10,301

65-69 Years 7,438,073 4,281,020 3,003,362 92,415 2,812 58,46470-74 Years 6,274,096 3,649,814 2,477,504 96,792 3,350 46,63675-79 Years 4,691,814 2,770,585 1,824,423 59,769 3,924 33,11380-84 Years 3,584,332 2,204,920 1,312,775 36,674 4,490 25,47385-89 Years 2,308,207 1,505,176 762,510 19,550 4,259 16,71290 Years or Over 1,351,590 944,705 384,379 9,178 3,563 9,765

Sex

Male 13,277,435 8,137,177 4,878,540 172,314 6,960 82,444Female 18,589,819 11,777,954 6,464,630 211,646 17,569 118,020

Race

White 25,496,263 16,012,418 8,974,165 327,822 14,151 167,707Black 3,609,255 2,242,405 1,293,240 47,181 6,118 20,311Asian 801,387 518,492 274,880 1,595 1,650 4,770Hispanic 1,073,305 623,295 445,080 2,137 1,863 930N. American Native 134,669 110,925 21,833 1,518 119 274Other 597,599 301,441 287,210 2,904 518 5,526Unknown 154,776 106,155 46,762 803 110 946



Table 14.4Medicare Part D: Type of Coverage Category for Part D Enrollees, by

Demographic Characteristics: July 1, 2012 Organization Type Code Category

Area of Residence TotalFee-for- Service

Managed Care

Private Fee-for- Service

Program All Inclusive

Care ElderlyCost and

Demo

Table 14.5

Medicare Part D: Number of Enrollees, Part D Enrolled, and Cost Sharing Status, byArea of Residence: July 1, 2012

Full Subsidy

Area of Residence1 Total

No Part D, Retiree Drug Subsidy, or Creditable Coverage

Total Part D Enrolled Total

Deemed No-Copay

Deemed Low-Copay

Deemed High-Copay

Low Income Subsidy High-

Copay

All Areas2 50,828,609 7,675,895 31,867,254 10,754,817 2,053,661 4,958,875 2,721,588 1,020,693

United States 49,682,146 7,156,242 31,324,304 10,737,270 2,052,977 4,949,142 2,717,389 1,017,762

Northeast 9,475,311 1,265,345 6,056,619 2,173,236 468,589 1,105,925 443,568 155,154

Midwest 11,155,844 1,538,800 7,023,728 2,039,076 575,448 846,139 421,310 196,179

South 18,665,113 2,874,104 11,397,435 4,292,065 670,648 1,530,166 1,585,438 505,813

West 10,385,878 1,477,993 6,846,522 2,232,893 338,292 1,466,912 267,073 160,616

New England 2,554,653 363,560 1,571,097 638,472 122,254 287,439 205,588 23,191

Connecticut 595,294 73,092 379,469 150,263 36,293 35,620 74,883 3,467

Maine 281,968 47,857 183,798 97,674 9,293 45,877 41,630 874

Massachusetts 1,125,661 150,569 680,550 278,759 49,629 161,915 56,519 10,696

New Hampshire 240,551 49,740 121,887 38,601 10,162 10,612 13,676 4,151

Rhode Island 191,420 25,123 134,171 43,897 10,775 21,275 8,625 3,222

Vermont 119,759 17,179 71,222 29,278 6,102 12,140 10,255 781

Middle Atlantic 6,920,658 901,785 4,485,522 1,534,764 346,335 818,486 237,980 131,963

New Jersey 1,397,532 220,217 891,363 243,890 47,183 126,210 32,806 37,691

New York 3,138,042 372,548 2,006,250 837,570 193,113 465,841 123,935 54,681

Pennsylvania 2,385,084 309,020 1,587,909 453,304 106,039 226,435 81,239 39,591

East North Central 7,723,187 1,078,337 4,725,103 1,436,337 384,140 616,901 294,736 140,560

Illinois 1,934,703 292,257 1,122,111 384,422 125,767 174,472 45,907 38,276

Indiana 1,064,511 146,907 657,603 196,329 44,016 55,831 72,295 24,187

Michigan 1,754,367 219,590 1,006,266 319,215 44,135 200,672 40,777 33,631

Ohio 2,003,455 240,744 1,353,287 370,795 112,480 121,473 101,644 35,198

Wisconsin 966,151 178,839 585,836 165,576 57,742 64,453 34,113 9,268

West North Central 3,432,657 460,463 2,298,625 602,739 191,308 229,238 126,574 55,619

Iowa 537,430 62,648 371,793 87,720 31,404 23,599 26,065 6,652

Kansas 453,927 74,657 289,724 74,383 26,083 15,237 24,472 8,591

Minnesota 836,205 94,453 588,731 142,714 61,515 53,909 18,281 9,009

Missouri 1,058,418 149,291 686,470 212,596 46,892 101,569 41,251 22,884

Nebraska 291,333 39,441 191,753 45,778 13,110 22,813 5,434 4,421

North Dakota 112,330 18,210 77,303 17,485 5,604 6,299 3,601 1,981





Partial Subsidy

Total

Low Income Subsidy 100

Percent Premium

Low Income

Subsidy 75 Percent

Premium

Low Income Subsidy

50 Percent Premium


Percent Premium

Part D Enrolled (No Subsidy, Retiree Drug Subsidy, or Creditable

Coverage)

Retiree Drug Subsidy (No

Part D or Creditable Coverage)

Creditable Coverage (No

Part D or Retiree Drug

Subsidy)

409,626 66,630 131,748 118,762 92,486 20,702,811 5,624,673 5,660,787

409,259 66,535 131,626 118,666 92,432 20,177,775 5,602,063 5,599,537

72,905 11,792 22,525 21,587 17,001 3,810,478 1,252,996 900,351

83,994 15,812 26,265 23,428 18,489 4,900,658 1,456,503 1,136,813

189,141 28,619 62,893 55,298 42,331 6,916,229 2,019,831 2,373,743

63,219 10,312 19,943 18,353 14,611 4,550,410 872,733 1,188,630

14,309 2,226 4,592 4,142 3,349 918,316 336,223 283,773

762 180 235 181 166 228,444 79,656 63,077

289 71 92 72 54 85,835 17,607 32,706

8,234 1,232 2,714 2,385 1,903 393,557 178,254 116,288

1,950 357 660 516 417 81,336 34,902 34,022

1,932 319 618 553 442 88,342 9,666 22,460

1,142 67 273 435 367 40,802 16,138 15,220

58,596 9,566 17,933 17,445 13,652 2,892,162 916,773 616,578

12,678 2,477 3,847 3,681 2,673 634,795 163,804 122,148

21,382 3,047 6,492 6,495 5,348 1,147,298 500,693 258,551

24,536 4,042 7,594 7,269 5,631 1,110,069 252,276 235,879

57,899 10,294 18,256 16,269 13,080 3,230,867 1,200,647 719,100

15,464 3,256 4,426 4,273 3,509 722,225 328,826 191,509

9,721 1,597 3,188 2,744 2,192 451,553 150,441 109,560

13,420 2,375 4,355 3,799 2,891 673,631 392,745 135,766

15,856 2,389 5,201 4,551 3,715 966,636 229,605 179,819

3,438 677 1,086 902 773 416,822 99,030 102,446

26,095 5,518 8,009 7,159 5,409 1,669,791 255,856 417,713

3,684 982 1,016 965 721 280,389 42,099 60,890

3,755 755 1,180 1,057 763 211,586 27,078 62,468

5,099 968 1,651 1,393 1,087 440,918 56,346 96,675

9,649 1,709 3,058 2,785 2,097 464,225 101,766 120,891

2,020 523 591 494 412 143,955 19,342 40,797

847 295 212 190 150 58,971 3,769 13,048




Full Subsidy




Deemed No-Copay

Deemed Low-Copay

Deemed High- Copay


Copay

South Dakota 143,014 21,763 92,851 22,063 6,700 5,812 7,470 2,081

South Atlantic 10,128,134 1,585,589 6,118,642 2,139,465 335,259 810,392 749,253 244,561

Delaware 161,422 21,934 85,241 27,739 4,936 7,425 13,078 2,300

District of Columbia 82,493 26,814 42,655 28,292 4,752 16,225 6,413 902

Florida 3,621,057 475,275 2,356,001 753,922 105,798 253,710 339,981 54,433

Georgia 1,350,944 211,299 850,767 331,569 53,476 90,138 143,434 44,521

Maryland 844,862 206,647 396,642 141,369 29,720 48,800 43,227 19,622

North Carolina 1,604,085 215,447 985,623 362,726 46,562 188,749 81,653 45,762

South Carolina 839,989 120,908 476,626 182,982 31,925 95,794 24,036 31,227

Virginia 1,226,577 252,694 672,996 218,158 42,856 76,893 64,361 34,048

West Virginia 396,705 54,571 252,091 92,708 15,234 32,658 33,070 11,746

East South Central 3,357,086 473,897 2,166,271 896,531 122,738 277,317 397,263 99,213

Alabama 896,274 125,062 521,661 233,250 25,714 64,615 110,541 32,380

Kentucky 804,245 113,693 542,354 206,425 28,437 58,854 91,502 27,632

Mississippi 523,625 82,258 347,600 169,566 31,301 46,123 77,552 14,590

Tennessee 1,132,942 152,884 754,656 287,290 37,286 107,725 117,668 24,611

West South Central 5,179,893 814,618 3,112,522 1,256,069 212,651 442,457 438,922 162,039

Arkansas 558,620 85,326 350,100 141,502 21,419 44,872 58,866 16,345

Louisiana 729,271 104,601 491,194 207,103 33,188 71,529 85,849 16,537

Oklahoma 635,525 118,512 385,859 131,579 32,128 59,002 24,911 15,538

Texas 3,256,477 506,179 1,885,369 775,885 125,916 267,054 269,296 113,619

Mountain 3,252,459 521,249 1,999,761 548,411 109,861 232,221 145,537 60,792

Arizona 1,009,292 143,089 643,513 182,099 30,164 102,948 36,582 12,405

Colorado 688,283 103,766 416,716 107,677 35,148 31,498 25,427 15,604

Idaho 249,626 43,660 151,344 40,912 11,277 12,916 12,245 4,474





Partial Subsidy

Total


Percent Premium

Low Income

Subsidy 75 Percent

Premium


Percent Premium


Percent Premium


Coverage)





Subsidy)

1,041 286 301 275 179 69,747 5,456 22,944

93,413 15,066 30,657 27,018 20,672 3,885,764 1,131,839 1,292,064

1,323 94 475 397 357 56,179 35,637 18,610

185 45 58 46 36 14,178 4,240 8,784

24,846 3,771 8,030 7,256 5,789 1,577,233 364,579 425,202

14,126 2,292 4,665 4,050 3,119 505,072 112,621 176,257

6,265 994 2,133 1,820 1,318 249,008 132,366 109,207

19,918 3,268 6,574 5,732 4,344 602,979 218,082 184,933

10,569 1,618 3,540 3,133 2,278 283,075 120,874 121,581

11,401 2,246 3,606 3,167 2,382 443,437 101,304 199,583

4,780 738 1,576 1,417 1,049 154,603 42,136 47,907

42,787 5,535 14,345 12,843 10,064 1,226,953 302,622 414,296

11,373 1,046 4,178 3,533 2,616 277,038 130,122 119,429

10,449 1,808 3,479 2,868 2,294 325,480 57,771 90,427

5,389 597 1,418 1,895 1,479 172,645 22,921 70,846

15,576 2,084 5,270 4,547 3,675 451,790 91,808 133,594

52,941 8,018 17,891 15,437 11,595 1,803,512 585,370 667,383

7,009 1,039 2,398 2,052 1,520 201,589 40,793 82,401

7,509 869 2,490 2,394 1,756 276,582 59,741 73,735

6,144 1,033 2,029 1,809 1,273 248,136 38,810 92,344

32,279 5,077 10,974 9,182 7,046 1,077,205 446,026 418,903

24,748 3,492 8,417 7,295 5,544 1,426,602 283,939 447,510

7,144 557 2,669 2,242 1,676 454,270 93,040 129,650

4,788 863 1,475 1,415 1,035 304,251 74,509 93,292

2,105 412 699 558 436 108,327 18,918 35,704


Table 14.5—ContinuedMedicare Part D: Number of Enrollees, Part D Enrolled, and Cost Sharing Status, by

Area of Residence: July 1, 2012

Full Subsidy




Deemed No-Copay

Deemed Low-Copay

Deemed High- Copay


Copay

Montana 181,710 36,483 106,258 28,166 6,236 9,928 7,682 4,320

Nevada 394,066 64,263 233,332 59,749 6,691 18,398 23,933 10,727

New Mexico 336,413 56,045 216,155 77,164 9,014 30,795 30,105 7,250

Utah 307,361 56,476 184,513 40,789 7,305 23,300 5,381 4,803

Wyoming 85,708 17,467 47,930 11,855 4,026 2,438 4,182 1,209

Pacific 7,133,419 956,744 4,846,761 1,684,482 228,431 1,234,691 121,536 99,824

Alaska 72,898 15,064 28,402 16,586 3,453 9,237 2,926 970

California 5,111,208 623,140 3,603,181 1,329,763 136,623 1,090,271 29,898 72,971

Hawaii 221,514 36,342 149,714 39,625 6,469 24,308 4,527 4,321

Oregon 671,822 103,813 449,662 114,174 34,116 30,888 40,406 8,764

Washington 1,055,977 178,385 615,802 184,334 47,770 79,987 43,779 12,798

Outlying Areas3 1,146,463 519,653 542,950 17,547 684 9,733 4,199 2,931 1Based on the area of residence of the beneficiary.2Includes 50 States, District of Columbia, and outlying areas.

3Includes Puerto Rico, Guam, Virgin Islands, residence unknown, and all other outlying areas not shown separately.

NOTE: Full Subsidy consists of beneficiaries deemed eligible or Low Income Subsidy (LIS) eligible receiving full subsidization of the Part D premium up to the

standard and paying no or a nominal (either “Low” or High”) co-pay. Partial Subsidy consists of LIS beneficiaries paying a 15 percent co-pay. Beginning in 2008,

State Pharmacy Assistance Program (SPAP) enrollees are no longer reported.

SOURCE: Centers for Medicare & Medicaid Services, Office of Information Services: Data from the Part D Denominator File; data development by the

Office of Information Products & Data Analytics.


Table 14.5—ContinuedMedicare Part D: Number of Enrollees, Part D Enrolled, and Cost Sharing Status, by


Partial Subsidy

Total


Percent Premium

Low Income

Subsidy 75 Percent

Premium


Percent Premium


Percent Premium


Coverage)





Subsidy)

2,030 426 616 533 455 76,062 11,758 27,211

3,520 398 1,265 1,059 798 170,063 36,503 59,968

2,652 373 932 779 568 136,339 19,152 45,061

1,944 352 586 549 457 141,780 24,504 41,868

565 111 175 160 119 35,510 5,555 14,756

38,471 6,820 11,526 11,058 9,067 3,123,808 588,794 741,120

248 72 76 68 32 11,568 17,902 11,530

25,462 4,607 7,238 7,334 6,283 2,247,956 412,272 472,615

1,237 452 342 260 183 108,852 7,186 28,272

5,160 701 1,710 1,577 1,172 330,328 36,838 81,509

6,364 988 2,160 1,819 1,397 425,104 114,596 147,194

367 95 122 96 54 525,036 22,610 61,250


Table 14.6

Medicare Part D: Number of Enrollees, Part D Enrolled, and Cost Sharing Status, by

Demographic Characteristics: Calendar Year 2012 Full Subsidy

Demographic Characteristics Total

No Part D, Retiree Drug Subsidy, or

Creditable Coverage


Deemed No-Copay

Deemed Low-Copay

Deemed High-Copay

Total 50,828,609 7,675,895 31,867,254 10,754,817 2,053,661 4,958,875 2,721,588

Age

Under 65 Years 8,624,192 1,193,083 6,219,142 4,574,671 644,091 2,352,546 1,177,102

65-69 Years 13,566,062 2,469,706 7,438,073 1,634,604 184,466 803,068 454,761

70-74 Years 9,829,943 1,306,142 6,274,096 1,354,687 197,205 629,263 376,572

75-79 Years 7,334,170 955,266 4,691,814 1,131,311 222,612 498,527 299,236

80-84 Years 5,617,283 747,676 3,584,332 919,493 260,348 357,616 218,350

85-89 Years 3,649,869 529,092 2,308,207 659,786 268,191 208,102 130,251

90 Years or Over 2,207,090 474,930 1,351,590 480,265 276,748 109,753 65,316

Sex

Male 22,975,553 3,389,232 13,277,435 4,228,503 728,696 1,980,376 1,100,605

Female 27,853,056 4,286,663 18,589,819 6,526,314 1,324,965 2,978,499 1,620,983

Race

White 41,624,435 6,298,573 25,496,263 6,809,556 1,504,512 2,698,340 1,908,359

Black 5,282,434 701,554 3,609,255 2,243,213 366,605 1,059,591 599,509

Asian 1,061,611 142,777 801,387 541,995 53,979 428,026 36,204

Hispanic 1,351,707 196,369 1,073,305 790,951 76,642 544,353 118,042

N. American Native 225,782 58,298 134,669 94,724 15,862 53,877 18,327

Other 981,604 195,421 597,599 209,561 28,844 128,371 33,468

Unknown 301,036 82,903 154,776 64,817 7,217 46,317 7,679

NOTE: Full Subsidy consists of beneficiaries deemed eligible or Low Income Subsidy (LIS) eligible receiving full subsidization of the Part D premium up to the

standard and paying no or a nominal (either “Low” or High”) co-pay. Partial Subsidy consists of LIS beneficiaries paying a 15 percent co-pay. Beginning in 2008,


Partial Subsidy


Copay Total


Percent Premium


Percent Premium


Percent Premium


Percent Premium

Retiree Drug Subsidy (No Part D or Creditable

Coverage)



Subsidy)

1,020,693 409,626 66,630 131,748 118,762 92,486 20,702,811 5,624,673 5,660,787

400,932 118,045 12,780 41,221 36,097 27,947 1,526,426 249,238 962,729

192,309 73,055 11,456 22,952 21,204 17,443 5,730,414 1,503,616 2,154,667

151,647 66,760 9,851 21,699 19,613 15,597 4,852,649 1,262,568 987,137

110,936 58,383 9,895 18,346 16,969 13,173 3,502,120 1,015,537 671,553

83,179 47,732 9,592 14,702 13,357 10,081 2,617,107 814,726 470,549

53,242 30,271 7,901 8,815 7,859 5,696 1,618,150 523,067 289,503

28,448 15,380 5,155 4,013 3,663 2,549 855,945 255,921 124,649

418,826 154,129 21,301 51,457 45,534 35,837 8,894,803 2,548,923 3,759,963

601,867 255,497 45,329 80,291 73,228 56,649 11,808,008 3,075,750 1,900,824

698,345 323,647 53,707 103,174 93,676 73,090 18,363,060 5,005,017 4,824,582

217,508 61,973 6,671 21,585 19,058 14,659 1,304,069 467,569 504,056

23,786 5,414 2,187 1,240 1,103 884 253,978 31,659 85,788

51,914 10,227 2,127 3,218 2,731 2,151 272,127 21,752 60,281

6,658 1,713 231 616 497 369 38,232 9,335 23,480

18,878 5,647 1,416 1,647 1,445 1,139 382,391 68,567 120,017

3,604 1,005 291 268 252 194 88,954 20,774 42,583



State Pharmacy Assistance Program (SPAP) enrollees are no longer reported.

SOURCE: Centers for Medicare & Medicaid Services, Office of Information Services: Data from the Part D Denominator File; data development by

the Office of Information Products & Data Analytics.


All Areas2 50,828,609 7,675,895 31,867,254 1,917,345 29,949,909 5,624,673 446,139 5,178,534 5,660,787 8,024,271

United States 49,682,146 7,156,242 31,324,304 1,886,821 29,437,483 5,602,063 443,562 5,158,501 5,599,537 7,929,920

Northeast 9,475,311 1,265,345 6,056,619 366,563 5,690,056 1,252,996 116,563 1,136,433 900,351 1,383,477Midwest 11,155,844 1,538,800 7,023,728 411,611 6,612,117 1,456,503 102,442 1,354,061 1,136,813 1,650,866South 18,665,113 2,874,104 11,397,435 686,376 10,711,059 2,019,831 160,195 1,859,636 2,373,743 3,220,314West 10,385,878 1,477,993 6,846,522 422,271 6,424,251 872,733 64,362 808,371 1,188,630 1,675,263

New England 2,554,653 363,560 1,571,097 92,885 1,478,212 336,223 25,203 311,020 283,773 401,861Connecticut 595,294 73,092 379,469 24,771 354,698 79,656 6,157 73,499 63,077 94,005Maine 281,968 47,857 183,798 13,725 170,073 17,607 1,421 16,186 32,706 47,852Massachusetts 1,125,661 150,569 680,550 34,860 645,690 178,254 13,174 165,080 116,288 164,322New Hampshire 240,551 49,740 121,887 6,624 115,263 34,902 2,484 32,418 34,022 43,130Rhode Island 191,420 25,123 134,171 8,750 125,421 9,666 837 8,829 22,460 32,047Vermont 119,759 17,179 71222 4,155 67,067 16,138 1,130 15,008 15,220 20,505

Middle Atlantic 6,920,658 901,785 4,485,522 273,678 4,211,844 916,773 91,360 825,413 616,578 981,616New Jersey 1,397,532 220,217 891,363 50,924 840,439 163,804 13,273 150,531 122,148 186,345New York 3,138,042 372,548 2,006,250 118,012 1,888,238 500,693 53,939 446,754 258,551 430,502Pennsylvania 2,385,084 309,020 1,587,909 104,742 1,483,167 252,276 24,148 228,128 235,879 364,769

East North Central 7,723,187 1,078,337 4,725,103 269,231 4,455,872 1,200,647 81,608 1,119,039 719,100 1,069,939Illinois 1,934,703 292,257 1,122,111 59,243 1,062,868 328,826 23,931 304,895 191,509 274,683Indiana 1,064,511 146,907 657,603 37,579 620,024 150,441 11,065 139,376 109,560 158,204Michigan 1,754,367 219,590 1,006,266 48,394 957,872 392,745 22,521 370,224 135,766 206,681Ohio 2,003,455 240,744 1,353,287 89,507 1,263,780 229,605 17,539 212,066 179,819 286,865Wisconsin 966,151 178,839 585,836 34,508 551,328 99,030 6,552 92,478 102,446 143,506See footnotes at end of table.



Part D Enrolled Retiree Drug Subsidy

Total

With Creditable Coverage

Without Creditable Coverage Total


Without Creditable Coverage



Subsidy)

Creditable Coverage Without Regard to Part D or Retiree

Drug Subsidy

Table 14.7Medicare Part D: Number of Enrollees, Part D Enrolled, Retiree Drug Subsidy, and Creditable Coverage Status, by



West North Central 3,432,657 460,463 2,298,625 142,380 2,156,245 255,856 20,834 235,022 417,713 580,927Iowa 537,430 62,648 371,793 21,610 350,183 42,099 2,995 39,104 60,890 85,495Kansas 453,927 74,657 289,724 15,674 274,050 27,078 1,992 25,086 62,468 80,134Minnesota 836,205 94,453 588,731 37,330 551,401 56,346 5,338 51,008 96,675 139,343Missouri 1,058,418 149,291 686,470 43,662 642,808 101,766 7,374 94,392 120,891 171,927Nebraska 291,333 39,441 191,753 13,492 178,261 19,342 2,072 17,270 40,797 56,361North Dakota 112,330 18,210 77,303 4,945 72,358 3,769 438 3,331 13,048 18,431South Dakota 143,014 21,763 92,851 5,667 87,184 5,456 625 4,831 22,944 29,236

South Atlantic 10,128,134 1,585,589 6,118,642 381,527 5,737,115 1,131,839 90,471 1,041,368 1,292,064 1,764,062Delaware 161,422 21,934 85,241 4,990 80,251 35,637 2,529 33,108 18,610 26,129District of Columbia 82,493 26,814 42,655 2,340 40,315 4,240 277 3,963 8,784 11,401Florida 3,621,057 475,275 2,356,001 167,066 2,188,935 364,579 33,880 330,699 425,202 626,148Georgia 1,350,944 211,299 850,767 49,733 801,034 112,621 8,209 104,412 176,257 234,199Maryland 844,862 206,647 396,642 20,586 376,056 132,366 8,759 123,607 109,207 138,552North Carolina 1,604,085 215,447 985,623 54,254 931,369 218,082 15,915 202,167 184,933 255,102South Carolina 839,989 120,908 476,626 28,022 448,604 120,874 9,362 111,512 121,581 158,965Virginia 1,226,577 252,694 672,996 36,542 636,454 101,304 6,929 94,375 199,583 243,054West Virginia 396,705 54,571 252,091 17,994 234,097 42,136 4,611 37,525 47,907 70,512

East South Central 3,357,086 473,897 2,166,271 123,531 2,042,740 302,622 24,004 278,618 414,296 561,831Alabama 896,274 125,062 521,661 32,312 489,349 130,122 10,218 119,904 119,429 161,959Kentucky 804,245 113,693 542,354 29,239 513,115 57,771 5,068 52,703 90,427 124,734Mississippi 523,625 82,258 347,600 17,529 330,071 22,921 2,148 20,773 70,846 90,523Tennessee 1,132,942 152,884 754,656 44,451 710,205 91,808 6,570 85,238 133,594 184,615

West South Central 5,179,893 814,618 3,112,522 181,318 2,931,204 585,370 45,720 539,650 667,383 894,421Arkansas 558,620 85,326 350,100 20,601 329,499 40,793 3,412 37,381 82,401 106,414Louisiana 729,271 104,601 491,194 30,421 460,773 59,741 5,356 54,385 73,735 109,512Oklahoma 635,525 118,512 385,859 24,642 361,217 38,810 3,270 35,540 92,344 120,256Texas 3,256,477 506,179 1,885,369 105,654 1,779,715 446,026 33,682 412,344 418,903 558,239See footnotes at end of table.


No Part D, Retiree Drug Subsidy, or Creditable Coverage Total




Total





Subsidy)


Drug Subsidy

Table 14.7—ContinuedMedicare Part D: Number of Enrollees, Part D Enrolled, Retiree Drug Subsidy, and Creditable Coverage Status, by



Mountain 3,252,459 521,249 1,999,761 144,844 1,854,917 283,939 22,403 261,536 447,510 614,757Arizona 1,009,292 143,089 643,513 48,422 595,091 93,040 7,172 85,868 129,650 185,244Colorado 688,283 103,766 416,716 25,560 391,156 74,509 4,575 69,934 93,292 123,427Idaho 249,626 43,660 151,344 9,538 141,806 18,918 1,566 17,352 35,704 46,808Montana 181,710 36,483 106,258 7,774 98,484 11,758 1,281 10,477 27,211 36,266Nevada 394,066 64,263 233,332 21,503 211,829 36,503 3,862 32,641 59,968 85,333New Mexico 336,413 56,045 216,155 17,017 199,138 19,152 1,582 17,570 45,061 63,660Utah 307,361 56,476 184,513 11,695 172,818 24,504 1,661 22,843 41,868 55,224Wyoming 85,708 17,467 47,930 3,335 44,595 5,555 704 4,851 14,756 18,795

Pacific 7,133,419 956,744 4,846,761 277,427 4,569,334 588,794 41,959 546,835 741,120 1,060,506Alaska 72,898 15,064 28,402 2,508 25,894 17,902 2,282 15,620 11,530 16,320California 5,111,208 623,140 3,603,181 197,263 3,405,918 412,272 29,840 382,432 472,615 699,718Hawaii 221,514 36,342 149,714 13,307 136,407 7,186 710 6,476 28,272 42,289Oregon 671,822 103,813 449,662 29,571 420,091 36,838 2,835 34,003 81,509 113,915Washington 1,055,977 178,385 615,802 34,778 581,024 114,596 6,292 108,304 147,194 188,264

Outlying Areas3 1,146,463 519,653 542,950 30,524 512,426 22,610 2,577 20,033 61,250 94,3511Based on the area of residence of the beneficiary.2Includes 50 States, District of Columbia, and outlying areas.3Includes Puerto Rico, Guam, Virgin Islands, residence unknown, and all other outlying areas not shown separately.

NOTE: Beginning in 2008, State Pharmacy Assistance Program (SPAP) enrollees are no longer reported.

SOURCE: Centers for Medicare & Medicaid Services, Office of Information Services: Data from the Part D Denominator File; data development by the Office of Information Products & Data Analytics.




Subsidy)


Drug Subsidy



Total




No Part D, Retiree Drug Subsidy, or Creditable Coverage Total

Table 14.7—ContinuedMedicare Part D: Number of Enrollees, Part D Enrolled, Retiree Drug Subsidy, and Creditable Coverage Status, by


Table 14.8Medicare Part D: Number of Enrollees, Part D Enrolled, Retiree Drug Subsidy, and Creditable Coverage Status,

by Demographic Characteristics: July 1, 2012

Demographic Characteristics Total


Part D Enrolled Retiree Drug Subsidy Creditable Coverage (No


Subsidy)


Drug SubsidyTotal


Without Creditable Coverage Total




Total 50,828,609 7,675,895 31,867,254 1,917,345 29,949,909 5,624,673 446,139 5,178,534 5,660,787 8,024,271

Age

Under 65 Years 8,624,192 1,193,083 6,219,142 323,883 5,895,259 249,238 28,107 221,131 962,729 1,314,719

65-69 Years 13,566,062 2,469,706 7,438,073 427,815 7,010,258 1,503,616 130,202 1,373,414 2,154,667 2,712,68470-74 Years 9,829,943 1,306,142 6,274,096 298,601 5,975,495 1,262,568 71,307 1,191,261 987,137 1,357,04575-79 Years 7,334,170 955,266 4,691,814 300,206 4,391,608 1,015,537 69,665 945,872 671,553 1,041,42480-84 Years 5,617,283 747,676 3,584,332 278,518 3,305,814 814,726 70,704 744,022 470,549 819,77185-89 Years 3,649,869 529,092 2,308,207 204,739 2,103,468 523,067 55,013 468,054 289,503 549,25590 Years or Over 2,207,090 474,930 1,351,590 83,583 1,268,007 255,921 21,141 234,780 124,649 229,373

Sex

Male 22,975,553 3,389,232 13,277,435 1,665,063 11,612,372 2,548,923 399,311 2,149,612 3,759,963 5,824,337Female 27,853,056 4,286,663 18,589,819 252,282 18,337,537 3,075,750 46,828 3,028,922 1,900,824 2,199,934

Race

White 41,624,435 6,298,573 25,496,263 1,609,016 23,887,247 5,005,017 387,517 4,617,500 4,824,582 6,821,115Black 5,282,434 701,554 3,609,255 216,103 3,393,152 467,569 46,056 421,513 504,056 766,215Asian 1,061,611 142,777 801,387 19,746 781,641 31,659 2,143 29,516 85,788 107,677Hispanic 1,351,707 196,369 1,073,305 30,303 1,043,002 21,752 2,181 19,571 60,281 92,765N. American Native 225,782 58,298 134,669 8,248 126,421 9,335 1,018 8,317 23,480 32,746Other 981,604 195,421 597,599 26,523 571,076 68,567 5,158 63,409 120,017 151,698Unknown 301,036 82,903 154,776 7,406 147,370 20,774 2,066 18,708 42,583 52,055

NOTE: Beginning in 2008, State Pharmacy Assistance Program (SPAP) enrollees are no longer reported.

SOURCE: Centers for Medicare & Medicaid Services, Office of Information Services: Data from the Part D Denominator File; data development by the Office of Information Products & Data Analytics.

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