The information below is for research purposes. Enrollment in the 2016 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 | |||
---|---|---|---|---|---|---|---|---|
SilverScript Choice (PDP) (S5601-052) Benefit Details |
$12.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $15.00 Preferred Brand: $46.00 Non-Preferred Brand: 47% Specialty Tier: 33% | 3,128 Browse Formulary | |||
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible |
Additional Gap Coverage |
Preferred Pharmacy Copay/Coinsurance | Total Drugs | |||
---|---|---|---|---|---|---|---|---|
SilverScript Choice (PDP) (S5601-052) Benefit Details |
$12.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $15.00 Preferred Brand: $46.00 Non-Preferred Brand: 47% Specialty Tier: 33% | 3,128 Browse Formulary | |||
Plan Name Plan ID |
Monthly Prem. |
Dedu- ctible |
Additional Gap Coverage |
Preferred Pharmacy Copay/Coinsurance |
State Members | |||
---|---|---|---|---|---|---|---|---|
SilverScript Choice (PDP) (S5601-052) Benefit Details |
$12.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $15.00 Preferred Brand: $46.00 Non-Preferred Brand: 47% Specialty Tier: 33% | 35,813 Browse Formulary | |||
AARP MedicareRx Preferred (PDP) (S5820-025) Benefit Details |
$52.70 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: 40% Specialty Tier: 33% | 18,916 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
AARP MedicareRx Saver Plus (PDP) (S5921-371) Benefit Details |
$20.90 | $360 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: $24.00 Non-Preferred Brand: 30% Specialty Tier: 25% | 11,771 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Preferred Rx Plan (PDP) (S5884-110) Benefit Details |
$21.30 | $360 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25% | 10,820 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Aetna Medicare Rx Saver (PDP) (S5810-060) Benefit Details |
$14.50 | $360 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: 35% Specialty Tier: 25% | 8,074 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) (S5601-052) Benefit Details |
$12.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $15.00 Preferred Brand: $46.00 Non-Preferred Brand: 47% Specialty Tier: 33% | 3,128 Browse Formulary | |||
Aetna Medicare Rx Saver (PDP) (S5810-060) Benefit Details |
$14.50 | $360 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: 35% Specialty Tier: 25% | 3,336 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Walmart Rx Plan (PDP) (S5884-172) Benefit Details |
$18.40 | $360 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $4.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25% | 3,533 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
WellCare Classic (PDP) (S5967-163) Benefit Details |
$18.40 | $360 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $18.00 Preferred Brand: $47.00 Non-Preferred Brand: 50% Specialty Tier: 25% | 2,964 Browse Formulary | |||
AARP MedicareRx Saver Plus (PDP) (S5921-371) Benefit Details |
$20.90 | $360 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: $24.00 Non-Preferred Brand: 30% Specialty Tier: 25% | 3,365 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Humana Preferred Rx Plan (PDP) (S5884-110) Benefit Details |
$21.30 | $360 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25% | 3,449 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Symphonix Value Rx (PDP) (S0522-043) Benefit Details |
$21.70 | $360 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $2.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25% | 3,696 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Blue Cross MedicareRx Basic (PDP) (S5715-013) Benefit Details |
$22.50 | $360 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $10.00 Preferred Brand: $42.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% | 2,673 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
EnvisionRxPlus Silver (PDP) (S7694-026) Benefit Details |
$22.60 | $360 | No additional gap coverage, only the Donut Hole Discount | Generic: $2.00 Preferred Brand: 16% Non-Preferred Brand: 40% Specialty Tier: 25% | 3,074 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
Magellan Rx Medicare Basic (PDP) (S4607-021) Benefit Details |
$25.50 | $360 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00 Generic: $3.00 Preferred Brand: $43.00 Non-Preferred Brand: $100.00 Specialty Tier: 25% | 4,254 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: | ||||||||
First Health Part D Value Plus (PDP) (S5768-149) Benefit Details |
$29.30 | $0 | Yes, some additional gap coverage. | Preferred Generic: $1.00 Generic: $7.00 Preferred Brand: $47.00 Non-Preferred Brand: 50% Specialty Tier: 33% | 3,388 Browse Formulary | |||
Higher cost-sharing at non-preferred pharmacies. Click for details: |
A few notes to help with the understanding of the 2016 Medicare Part D Plan chart above.
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. |