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This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

2012 North Dakota Medicare Part D Prescription Drug Plan Archive

North Dakota State Flag .
North Dakota PDP & MAPD Plan Highlights:
» ND’s Lowest Cost Medicare Advantage Plan (Health & Drug): $0.00
» Lowest Cost Medicare Part D Drug Plan (PDP) in North Dakota: $15.10
» Lowest Cost Drug Plan (PDP) in North Dakota with a $0 Deductible: $25.10

Were you really looking for 2024 Plans in North Dakota?   Choose a link below:

Below is a summary of national Medicare Prescription Drug Only plans (PDP) for Residents of North Dakota - CMS PDP Region 25.

Other 2012 Q1Medicare.com Plan Tools:
» Click here to view North Dakota national and regional plan details
    (copays/ coinsurance, plan ratings, enrollment figures, etc. in a separate window)

» Click here to compare 2012 North Dakota plan details with the 2011 plans
» Browse the 2012 North Dakota Medicare Advantage Plans
» Click here to show 2012 Medicare Part D plans for a different state

2012 Medicare Part D - North Dakota Plan Information
Print  |  Medicare Advantage Plans
2024 |  2023 |  2022 |  2021 |  2020 |  2019 |  2018 |  2017 |  2016 |  2015 |  2014 | 2013 | 2011 | 2010 |  2009 |  2008 |  2007 |  2006
Plan Name Monthly
Deductible Qualifies
for $0
with Full
Coverage Gap
(Donut Hole)
Benefit Type
Plan ID
AARP Plans by United HealthCare
AARP MedicareRx Preferred (PDP)
$41.90$0NoNo Gap CoverageBasicS5820-024
AARP MedicareRx Enhanced (PDP)
$91.30$0NoSome GenericsEnhancedS5921-249
Aetna Life Insurance Company
:: Aetna Plans - Benefits at a Glance Brochure
:: Summary of Benefits All Aetna Plans
:: Evidence of Coverage Aetna Premier Plan
:: Aetna Comprehensive Drug List
:: Browse Aetna Formularies Online
:: Compare Cost-Sharing for Aetna Plans
Aetna CVS/pharmacy Prescription Drug Plan (PDP)
$26.00$320YesNo Gap CoverageBasicS5810-059
Aetna Medicare Rx Premier (PDP)
$75.50$0NoMany GenericsEnhancedS5810-195
Blue Cross and Blue Shield
MedicareBlue Rx Standard (PDP)
$39.70$160NoNo Gap CoverageBasicS5743-001
MedicareBlue Rx Premier (PDP)
$104.60$0NoAll GenericsEnhancedS5743-004
Cigna Insurance Company
:: CIGNA Summary of Benefits Plans One & Two
:: Evidence of Coverage Plan One
:: Evidence of Coverage Plan Two
:: Plan One Formulary
:: Plan Two Formulary
:: Browse CIGNA Formularies Online
:: Compare Cost-Sharing for CIGNA Plans
CIGNA Medicare Rx Plan One (PDP)
$35.40$320YesNo Gap CoverageBasicS5617-123
CIGNA Medicare Rx Plan Two (PDP)
$69.40$0NoFew GenericsEnhancedS5617-195
Community CCRx by Universal American
:: CCRx Plan Guide
:: Summary of Benefits All CCRx Plans
:: Evidence Of Coverage Basic Plan
:: Evidence Of Coverage Choice Plan
:: CCRx Formulary All Plans
:: Browse CCRx Formularies Online
:: Compare Cost-Sharing for CCRx Plans
Community CCRx Basic (PDP)
$34.80$320YesNo Gap CoverageBasicS5803-094
Community CCRx Choice (PDP)
$87.60$0NoNo Gap CoverageEnhancedS5803-162
CVS Caremark by SilverScript
Summary of Benefits coming soon.
Evidence of Coverage Value coming soon.
:: Evidence Of Coverage Plus Plan
:: Value Plan Formulary
:: Plus Plan Formulary
:: Browse CVS Caremark Formularies Online
:: Compare Cost-Sharing for CVS Caremark Plans
CVS Caremark Value (PDP)
$35.50$320YesNo Gap CoverageBasicS5601-050
CVS Caremark Plus (PDP)
$78.60$0NoNo Gap CoverageEnhancedS5601-051
EnvisionRx Plus
:: Silver Plan Summary of Benefits
:: Silver Plan Evidence of Coverage
:: Gold Plan Summary of Benefits
:: Gold Plan Evidence of Coverage
:: Silver Plan Formulary
:: Gold Plan Formulary
:: Browse EnvisionRx Formularies Online
:: Compare cost-sharing for EnvisionRx Plans
EnvisionRxPlus Silver (PDP)
$35.10$320YesNo Gap CoverageBasicS7694-025
EnvisionRxPlus Gold (PDP)
$70.80$0NoSome GenericsEnhancedS7694-095
First Health Part D
:: Summary of Benefits FirstHealth Value Plus Plan
:: Summary of Benefits Premier and
    Premier Plus Plans

:: First Health Value Plus Formulary
:: First Health Premier Formulary
:: First Health Premier Plus Formulary
:: Browse First Health Formularies Online
:: Compare Cost-Sharing for First Health Plans
First Health Part D Premier (PDP)
$30.40$250YesNo Gap CoverageBasicS5768-122
First Health Part D Value Plus (PDP)
$25.10$0NoNo Gap CoverageEnhancedS5768-148
First Health Part D Premier Plus (PDP)
$100.90$0NoSome Generics and Some BrandsEnhancedS5674-035
Health Net
:: Summary of Benefits All HealthNet Plans
:: Evidence of Coverage All Option 1 Plan
:: Evidence of Coverage All Value Option 2 Plan
:: Value Formulary for Orange Option 1
& Value Orange Option 2

:: Browse Health Net Formularies Online
:: Compare cost-sharing for Health Net Plans
Health Net Orange Option 1 (PDP)
$50.60$320NoNo Gap CoverageBasicS5678-056
Health Net Value Orange Option 2 (PDP)
$75.30$0NoNo Gap CoverageEnhancedS5678-055
Health Spring
Plan materials coming soon. :: Browse the HealthSpring Formulary Online
:: Review Cost-Sharing for the HealthSpring Plan
HealthSpring Prescription Drug Plan-Reg 25 (PDP)
$38.70$320NoNo Gap CoverageBasicS5932-024
Humana Health Insurance Company
:: Humana Enhanced Summary of Benefits
:: Humana Enhanced Evidence of Coverage
:: Humana Walmart-Preferred Summary of Benefits
:: Humana Walmart-Preferred Evidence of Coverage
:: Humana Complete Summary of Benefits
:: Humana Complete Evidence of Coverage
:: Humana Walmart-Preferred Formulary
:: Humana Enhanced Plan Formulary
:: Humana Complete Plan Formulary
:: Browse Humana Formularies Online
:: Compare Cost-Sharing for Humana Plans
Humana Walmart-Preferred Rx Plan (PDP)
$15.10$320YesNo Gap CoverageBasicS5884-145
Humana Enhanced (PDP)
$35.40$0NoNo Gap CoverageEnhancedS5884-083
Humana Complete (PDP)
$106.50$0NoMany Generics and Some BrandsEnhancedS5884-053
Medco Medicare Prescription Plan
:: Summary of Benefits
:: Evidence of Coverage Value Plan
:: Evidence of Coverage Choice Plan
:: Medco Value Formulary
:: Medco Choice Formulary
:: Browse Medco Formularies Online
:: Compare Cost-Sharing for Medco Plans
Medco Medicare Prescription Plan - Value (PDP)
$36.90$320YesNo Gap CoverageBasicS5660-127
Medco Medicare Prescription Plan - Choice (PDP)
$97.80$150NoMany GenericsEnhancedS5660-195
MedicareRx Rewards by Unicare
:: Summary of Benefits All Rx Rewards Plans
:: Evidence of Coverage Rx Rewards Standard Plan
:: Evidence of Coverage Rx Rewards Plus Plan
:: Standard Plan Formulary
:: Plus Plan Formulary
:: Browse Rx Rewards Formularies Online
:: Compare Cost-Sharing for Rx Rewards Plans
MedicareRx Rewards Standard (PDP)
$52.50$320NoNo Gap CoverageBasicS5960-131
MedicareRx Rewards Plus (PDP)
$95.10$0NoSome GenericsEnhancedS5960-156
United American Insurance Company
:: Summary of Benefits All UA Medicare Plans
:: Evidence of Coverage Select Plan
:: Evidence of Coverage Preferred Plan
:: Formulary UA Medicare Select Plan
:: Formulary UA Medicare Preferred Plan
:: Browse UA Formularies Online
:: Compare Cost-Sharing for UA Plans
United American - Select (PDP)
$38.70$320NoNo Gap CoverageBasicS5755-096
United American - Preferred (PDP)
$56.30$40NoNo Gap CoverageEnhancedS5755-028
WellCare Health Plans
:: Summary of Benefits All Plans
:: Evidence Of Coverage Signature Plan
:: Evidence Of Coverage Classic Plan
:: WellCare Classic Formulary
:: WellCare Signature Formulary
:: Browse WellCare Formularies Online
:: Compare Cost-Sharing for WellCare Plans
WellCare Classic (PDP)
$39.40$320NoNo Gap CoverageBasicS5967-162
WellCare Signature (PDP)
$72.00$0NoNo Gap CoverageEnhancedS5967-059

A few notes to help with the understanding of the 2012 Medicare Part D Plan chart above.
  • Plan Name: This is the official plan name from CMS
  • Deductible: This is the $320 deductible that was presented in the CMS Standard Plan. Many provider’s plans do not have a deductible, however the premium may be higher.
  • Qualifies for $0 Premium with Full Low-Income Subsidy?: If Yes is in the field, then you would pay a $0 premium if you have a Full Low-Income Subsidy. If No is in the field, then you would be responsible for the difference between what the state provides as the Full Low-Income Subsidy and the actual cost of the plan even if you have a Full Low-Income Subsidy.
  • Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3727.5 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2012, ALL formulary generics will have at least a 14% discount and ALL brand drugs will have at least a 50% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
    • No Gap Coverage: you must pay the $3727.5;

    • Few Generics: less than 10% of formulary generics are covered, but you must pay for Brand Drugs up to $3727.5;
    • Some Generics: 10% to 65% of formulary generics are covered, but you must pay for Brand Drugs up to $3727.5;

    • Many Generics: 65% to 100% of formulary generics are covered, but you must pay for Brand Drugs up to $3727.5;

    • All Generics : All formulary Generics are covered, but you must pay for Brand Drugs up to $3727.5;

    • Many Generics & Some Brands: These Medicare prescription drug plans cover 65% to 100% of formulary generics and a some (10% to 65%) of Brand drugs on the plan’s formulary.

    • Some Generics & Some Brands: These Medicare prescription drug plans cover 10% to 65% of Generic and Brand drugs on the plan’s formulary. (Search Tip: If you would like to reduce the plans shown to just plans with a certain type of gap coverage, select this type of coverage in the "Type of Gap Coverage" field.)

  • Benefit Type: Basic means that this plan follows the standard CMS plan. Enhanced means that this plan has features above and beyond the standard CMS plan.
  • Plan ID: This is the unique id for this particular plan.

(Chart Source: Centers for Medicare and Medicaid file 2012LandscapeSourceData_PDP_09_08_11.xls)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information. Through the application process we will provide you with the most up-to-the-minute information/pricing.

» Top

Last updated on: 09/15/2011

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  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDPCompare.com and MACompare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
    Statement required by Medicare:
    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.