Chapter 14: Medicare Part D - Centers for Medicare …

1 Medicare & MEDICAID RESEARCH REVIEW / 2013 Statistical SupplementAll Areas131,867,254 11,952,123 19,915,131 5,624,673 United States31,324,304 11,457,876 19,866,428 5,602,063 Northeast6,056,619 2,335,576 3721043 1,252,996 Midwest7,023,728 1,949,165 5074563 1,456,503 South11,397,435 3,829,806 7567629 2,019,831 West6,846,522 3,343,329 3503193 872,733 New England1,571,097 434,723 1,136,374 336,223 Connecticut379,469 121,446 258,023 79,656 Maine183,798 42,087 141,711 17,607 Massachusetts680,550 190,693 489,857 178,254 New Hampshire121,887 9,463 112,424 34,902 Rhode Island134,171 64,627 69,544 9,666 Vermont71,222 6,407 64,815 16,138 Middle Atlantic4,485,522 1,900,853 2,584,669 916,773 New Jersey891,363 177,108 714,255 163,804 New York2,006,250 954,543 1,051,707 500,693 Pennsylvania1,587,909 769,202 818,707 252,276 East North Central4,725,103 1,296,625 3,428,478 1,200,647 Illinois1,122,111 160,074 962,037 328,826 Indiana657,603 176,807 480,796 150,441 Michigan1,006,266 257,715 748,551 392,745 Ohio1,353,287 466,987 886,300 229,605 Wisconsin585,836 235,042 350,794 99,030 West North Central2,298,625 652,540 1,646,085 255,856 Iowa371,793 63,258 308,535 42,099 Kansas289,724 50,272 239,452 27,078 Minnesota588,731 259,719 329,012 56,346 Missouri686,470 232,064 454,406 101,766 Nebraska191,753 30,680 161,073 19,342 North Dakota77,303 5,673 71,630 3,769 South Dakota92,851 10,874 81,977 5,456 South Atlantic6,118,642 2,216,813 3,901.

2 829 1,131,839 Delaware85,241 7,489 77,752 35,637 District of Columbia42,655 8,020 34,635 4,240 Florida2,356,001 1,175,813 1,180,188 364,579 Georgia850,767 304,265 546,502 112,621 Maryland396,642 64,972 331,670 132,366 North Carolina985,623 276,387 709,236 218,082 South Carolina476,626 140,653 335,973 120,874 Virginia672,996 161,909 511,087 101,304 West Virginia252,091 77,305 174,786 42,136 See footnotes at end of Advantage Prescription DrugRetiree Drug SubsidyType of PlanTable Part D: Type of Plan or Retiree Drug Subsidy for Part D Enrollees, by Area of Residence: July 1, 2012 Area of ResidenceTotal Prescription Drug PlanMEDICARE & MEDICAID RESEARCH REVIEW / 2013 Statistical SupplementTable ContinuedMedicare Part D: Type of Plan or Retiree Drug Subsidy for Part D Enrollees, by Area of Residence: July 1, 2012 East South Central2,166,271 630,077 1,536,194 302,622 Alabama521,661 185,943 335,718 130,122 Kentucky542,354 97,445 444,909 57,771 Mississippi347,600 53,857 293,743 22,921 Tennessee754,656 292,832 461,824 91,808 West South Central3,112,522 982,916 2,129,606 585,370 Arkansas350,100 82,508 267,592 40,793 Louisiana491,194 177,555 313,639 59,741 Oklahoma385,859 87,959 297,900 38,810 Texas1,885,369 634,894 1,250,475 446,026 Mountain1,999,761 962,614 1,037,147 283,939 Arizona643,513 356,683 286,830 93,040 Colorado416,716 214,158 202,558 74,509 Idaho151,344 62,185 89,159 18,918 Montana106,258 24,052 82,206 11,758 Nevada233,332 120,148 113,184 36,503 New Mexico216,155 88,417 127,738 19,152 Utah184,513 93.

3 288 91,225 24,504 Wyoming47,930 3,683 44,247 5,555 Pacific4,846,761 2,380,715 2,466,046 588,794 Alaska28,402 449 27,953 17,902 California3,603,181 1,797,049 1,806,132 412,272 Hawaii149,714 92,547 57,167 7,186 Oregon449,662 241,833 207,829 36,838 Washington615,802 248,837 366,965 114,596 Outlying Areas 2542,950 494,247 48,703 22,6101 Includes the 50 States, outlying areas, and residence unknown. 2 Includes 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 : Centers for Medicare & Medicaid Services, Office of Information Services: Data from the Part D Denominator File; data development by theOffice of Information Products & Data of ResidenceMedicare Advantage Prescription DrugRetiree Drug Subsidy Prescription Drug PlanTotalType of PlanMEDICARE & MEDICAID RESEARCH REVIEW/ 2013 Statistical SupplementPart D Enrolled31,867,254 31,400,729 31,588,234 31,679,749 Age Under 65 Years6,219,142 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 Years6,274,096 6,189,321 6,210,157 6,253,26075-79 Years4,691,814 4,626,044 4,637,416 4,680,44280-84 Years3,584,332 3,534,509 3,541,507 3,577,33485-89 Years2,308,207 2,276,772 2,280,556 2,304,42390 Years or Over1,351,590 1,332,944 1,334,930 1,349,604 Sex Male13,277.

4 435 13,074,746 13,187,071 13,165,110 Female18,589,819 18,325,983 18,401,163 18,514,639 Race White25,496,263 25,284,191 25,396,432 25,384,022 Black3,609,255 3,525,886 3,570,846 3,564,295 Asian801,387 723,844 730,492 794,739 Hispanic1,073,305 1,015,499 1,030,623 1,058,181N. American Native134,669 128,260 131,137 131,792 Other 597,599 580,604 584,696 593,507 Unknown154,776 142,445 144,008 153,213 Medicare Advantage- Prescription Drug11,952,123 11,946,790 11,947,128 11,951,785 Age Under 65 Years1,660,231 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 Years2,624,282 2,623,160 2,623,252 2,624,19075-79 Years1,921,229 1,920,527 1,920,575 1,921,18180-84 Years1,379,412 1,378,678 1,378,708 1,379,38285-90 Years803,031 802,486 802,507 803,01090 Years or Over406,885 406,555 406,563 406,877 Sex Male5,140,258 5,138,111 5,138,255 5,140.

5 114 Female6,811,865 6,808,679 6,808,873 6,811,671 Race White9,483,845 9,480,839 9,481,033 9,483,651 Black1,366,850 1,365,508 1,365,602 1,366,756 Asian282,895 282,590 282,602 282,883 Hispanic450,010 449,736 449,754 449,992N. American Native23,744 23,736 23,738 23,742 Other 296,158 295,850 295,863 296,145 Unknown48,621 48,531 48,536 48,616 Table Part D: Type of Entitlement for Part D Enrollees, by Type of Plan and Demographic Characteristics: July 1, 2012 Type of EntitlementType of Plan and Demographic CharacteristicsHealth Insurance and/or Supplementary Medical Insurance Health Insurance and Supplementary Medical InsuranceHospital InsuranceSupplementary Medical InsuranceMEDICARE & MEDICAID RESEARCH REVIEW/ 2013 Statistical SupplementSee footnotes at end of ContinuedPrescription Drug Plan19,915,131 19,453,939 19,641,106 19,727,964 Age Under 65 Years4,558,911 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 Years3,649,814 3,566,161 3,586,905 3,629,07075-79 Years2,770,585 2,705,517 2,716,841 2,759,26180-84 Years2,204,920 2,155,831 2,162,799 2,197,95285-89 Years1,505,176 1,474,286 1,478,049 1,501,41390 Years or Over944,705 926.

6 389 928,367 942,727 Sex Male8,137,177 7,936,635 8,048,816 8,024,996 Female11,777,954 11,517,304 11,592,290 11,702,968 Race White16,012,418 15,803,352 15,915,399 15,900,371 Black2,242,405 2,160,378 2,205,244 2,197,539 Asian518,492 441,254 447,890 511,856 Hispanic623,295 565,763 580,869 608,189N. American Native110,925 104,524 107,399 108,050 Other 301,441 284,754 288,833 297,362 Unknown106,155 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 : Centers for Medicare & Medicaid Services, Office of Information Services: Data from the Part D Denominator File.

7 Data development by theOffice of Information Products & Data Insurance and Supplementary Medical Insuranceand Demographic Characteristics: July 1, 2012 Hospital InsuranceSupplementary Medical InsuranceMedicare Part D: Type of Entitlement for Part D Enrollees, by Type of Plan Type of EntitlementType of Plan and Demographic CharacteristicsHealth Insurance and/or Supplementary Medical Insurance Medicare & MEDICAID RESEARCH REVIEW/ 2013 Statistical SupplementAll Areas231,867,254 19,915,131 11,343,170 200,464 408,489 United States31,324,304 19,866,428 10,849,027 200,422 408,427 Northeast6,056,619 3,721,043 2,297,730 723 37,123 Midwest7,023,728 5,074,563 1,734,367 115,822 98,976 South11,397,435 7,567,629 3,544,008 62,815 222,983 West6,846,522 3,503,193 3,272,922 21,062 49,345 New England1,571,097 1,136,374 423,000 46 11,677 Connecticut379,469 258,023 121,406 11 29 Maine183,798 141,711 41,681 1 405 Massachusetts680,550 489,857 187,814 24 2,855 New Hampshire121,887 112,424 5,404 5 4,054 Rhode Island134,171 69.

8 544 64,408 2 217 Vermont71,222 64,815 2,287 3 4,117 Middle Atlantic4,485,522 2,584,669 1,874,730 677 25,446 New Jersey891,363 714,255 176,480 17 611 New York2,006,250 1,051,707 943,849 607 10,087 Pennsylvania1,587,909 818,707 754,401 53 14,748 East North Central4,725,103 3,428,478 1,227,810 20,498 48,317 Illinois1,122,111 962,037 154,878 49 5,147 Indiana657,603 480,796 165,679 17 11,111 Michigan1,006,266 748,551 247,303 26 10,386 Ohio1,353,287 886,300 443,568 16,097 7,322 Wisconsin585,836 350,794 216,382 4,309 14,351 West North Central2,298,625 1,646,085 506,557 95,324 50,659 Iowa371,793 308,535 60,886 17 2,355 Kansas289,724 239,452 39,515 9 10,748 Minnesota588,731 329,012 164,001 93,177 2,541 Missouri686,470 454,406 208,635 24 23,405 Nebraska191,753 161,073 23,794 6 6,880 North Dakota77,303 71,630 1,897 1,337 2,439 South Dakota92,851 81,977 7,829 754 2,291 South Atlantic6,118,642 3,901,829 2,016,722 44,415 155,676 Delaware85,241 77,752 7,430 33 26 District of Columbia42,655 34,635 2,893 5,109 18 Florida2,356,001 1,180,188 1,168,861 294 6,658 Georgia850,767 546,502 261,943 35 42,287 Maryland396,642 331,670 38,271 24,516 2,185 North Carolina985,623 709,236 240,847 78 35,462 South Carolina476,626 335,973 117,385 43 23,225 Virginia672,996 511,087 107,909 14,279 39,721 West Virginia252,091 174,786 71,183 28 6,094 See footnotes at end of of ResidenceTotalFee-for- ServiceManaged CareTable Part D: Type of Coverage Category for Part D Enrollees, by Area of Residence.

9 July 1, 2012 Organization Type Code CategoryCost and DemoOther1 Medicare & MEDICAID RESEARCH REVIEW/ 2013 Statistical SupplementEast South Central2,166,271 1,536,194 609,612 41 20,424 Alabama521,661 335,718 183,537 17 2,389 Kentucky542,354 444,909 91,685 3 5,757 Mississippi347,600 293,743 47,325 7 6,525 Tennessee754,656 461,824 287,065 14 5,753 West South Central3,112,522 2,129,606 917,674 18,359 46,883 Arkansas350,100 267,592 63,228 14 19,266 Louisiana491,194 313,639 173,260 12 4,283 Oklahoma385,859 297,900 79,970 13 7,976 Texas1,885,369 1,250,475 601,216 18,320 15,358 Mountain1,999,761 1,037,147 911,238 15,056 36,320 Arizona643,513 286,830 349,831 252 6,600 Colorado416,716 202,558 189,552 14,700 9,906 Idaho151,344 89,159 58,670 4 3,511 Montana106,258 82,206 17,060 8 6,984 Nevada233,332 113,184 118,297 33 1,818 New Mexico216,155 127,738 85,643 26 2,748 Utah184,513 91,225 90,905 20 2,363 Wyoming47,930 44,247 1,280 13 2,390 Pacific4,846,761 2,466,046 2,361,684 6,006 13,025 Alaska28,402 27,953 427 9 13 California3,603,181 1,806,132 1,789,826 201 7,022 Hawaii149,714 57,167 86,700 5,715 132 Oregon449,662 207,829 240,169 31 1,633 Washington615,802 366,965 244,562 50 4,225 Outlying Areas 3542,950 48,703 494,143 42 621 Includes Private Fee-for-Service and Program All Inclusive Care Elderly (PACE) categories not shown the 50 States ,outlying areas, and residence unknown.