The information below is for research purposes. Enrollment in the 2015 plans is no longer available.
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible |
(Donut Hole) Additional Gap Coverage |
Preferred Pharmacy Copay/Coinsurance 30-Day Supply | Total Formulary Drugs | |||
---|---|---|---|---|---|---|---|---|
Humana Walmart Rx Plan (PDP) (S5552-005) Benefit Details ![]() ![]() ![]() ![]() |
$15.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Non-Preferred Generic: $4.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25% | 3,433 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() |
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible |
Additional Gap Coverage |
Preferred Pharmacy Copay/Coinsurance | Total Drugs | |||
---|---|---|---|---|---|---|---|---|
SilverScript Choice (PDP) (S5601-006) Benefit Details ![]() ![]() ![]() ![]() |
$25.70 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $7.00 Preferred Brand: $34.00 Non-Preferred Brand: 47% Specialty Tier: 33% | 3,043 Browse Formulary | |||
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible |
Additional Gap Coverage |
Preferred Pharmacy Copay/Coinsurance |
State Members | |||
---|---|---|---|---|---|---|---|---|
AARP MedicareRx Preferred (PDP) (S5805-001) Benefit Details ![]() ![]() ![]() ![]() |
$52.10 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | 229,590 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
SilverScript Choice (PDP) (S5601-006) Benefit Details ![]() ![]() ![]() ![]() |
$25.70 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $7.00 Preferred Brand: $34.00 Non-Preferred Brand: 47% Specialty Tier: 33% | 204,462 Browse Formulary | |||
Cigna-HealthSpring Rx Secure (PDP) (S5617-013) Benefit Details ![]() ![]() ![]() ![]() |
$35.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Non-Preferred Generic: $4.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25% | 135,855 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
Express Scripts Medicare - Value (PDP) (S5983-004) Benefit Details ![]() ![]() ![]() ![]() |
$36.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Non-Preferred Generic: $4.00 Preferred Brand: 23% Non-Preferred Brand: 48% Specialty Tier: 25% | 73,799 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
Humana Preferred Rx Plan (PDP) (S5552-004) Benefit Details ![]() ![]() ![]() ![]() |
$33.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Non-Preferred Generic: $2.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25% | 58,802 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() |
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible |
Additional Gap Coverage |
Preferred Pharmacy Copay/Coinsurance | Total Drugs | |||
---|---|---|---|---|---|---|---|---|
Humana Walmart Rx Plan (PDP) (S5552-005) Benefit Details ![]() ![]() ![]() ![]() |
$15.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Non-Preferred Generic: $4.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25% | 3,433 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() | ||||||||
SilverScript Choice (PDP) (S5601-006) Benefit Details ![]() ![]() ![]() ![]() |
$25.70 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $7.00 Preferred Brand: $34.00 Non-Preferred Brand: 47% Specialty Tier: 33% | 3,043 Browse Formulary | |||
Aetna Medicare Rx Saver (PDP) (S5810-037) Benefit Details ![]() ![]() ![]() ![]() |
$29.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Non-Preferred Generic: $3.00 Preferred Brand: $45.00 Non-Preferred Brand: 38% Specialty Tier: 25% | 3,062 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: ![]() |
A few notes to help with the understanding of the 2015 Medicare Part D Plan chart above.
(Chart Source: Centers for Medicare and Medicaid file 2015 PDP Landscape Source file) 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. |