2011 / 2012 Medicare Part D Plan Information Click here to jump to the Chart Legend | ||||||||||||
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Plan Name | Monthly Premium |
Deduct- ible | (Donut Hole) Additional Gap Coverage | $0 Prem. with Full LIS? |
Plan ID |
Cost-Sharing | Members In This Plan | |||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
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-- This plan not offered in 2011 -- | S7694 -073 | |||||||||||
2012 Rite Aid/EnvisionRxPlus (PDP) | $65.80 | $0 | Some Generics | No | $0.00 | 20% | 15% | 30% | tbd members | |||
2011 CIGNA Medicare Rx Plan Two (PDP) | $66.00 | $0 | Few Generics | No | S5617 -172 | $0.00 | $3.00 | $39.00 | $78.00 | 746 members | ||
2012 CIGNA Medicare Rx Plan Two (PDP) | $67.80 | $0 | Few Generics | No | $0.00 | $5.00 | $41.00 | $85.00 | tbd members | |||
2011 AARP MedicareRx Enhanced (PDP) | $88.50 | $0 | Some Generics | No | S5921 -183 | $5.00 | $40.00 | $75.00 | 33% | 4,433 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $85.30 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $118.20 | $0 | n/a | S5810 -172 | 572 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $91.90 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $84.40 | $0 | Some Generics, Some Brands | No | S5674 -011 | $0.00 | $25.00 | 30% | 56% | 4,940 members | ||
2012 First Health Part D Premier Plus (PDP) | $92.20 | $0 | Some Generics, Some Brands | No | $0.00 | $20.00 | 25% | 41% | tbd members | |||
Plan Name | Monthly Premium |
Deduct- ible | Additional Gap Coverage | $0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | |||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | ||||||
2011 Blue MedicareRx Premier (PDP) | $106.60 | $0 | Many Generics | No | S2893 -003 | $4.00 | $9.00 | $30.00 | $70.00 | 20,533 members | ||
2012 Blue MedicareRx Premier (PDP) | $104.90 | $0 | Many Generics | No | $4.00 | $9.00 | $30.00 | $70.00 | tbd members | |||
2011 Humana Complete (PDP) | $110.10 | $0 | Many Generics, Some Brands | No | S5884 -031 | $5.00 | $38.00 | $72.00 | 33% | 2,232 members | ||
2012 Humana Complete (PDP) | $110.20 | $0 | Many Generics, Some Brands | No | $5.00 | $38.00 | $72.00 | 33% | tbd members | |||
2011 EnvisionRxPlus Gold (PDP) | $75.30 | $150 | Many Generics | No | S7694 -036 | $4.00 | 25% | $25.00 | 25% | 226 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $32.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5644 -068 | $5.25 | 25% | $95.00 | 25% | 26,849 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Sterling Rx (PDP) | $55.70 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -023 | $4.00 | $21.00 | $36.00 | 25% | 87 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $120.10 | $250 | Many Generics | No | S5660 -173 | $6.00 | $40.00 | $95.00 | 26% | 431 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
Plan Name | Monthly Premium |
Deduct- ible | Additional Gap Coverage | $0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | |||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | ||||||
2011 Aetna Medicare Rx Plus (PDP) | $65.90 | $0 | n/a | S5810 -206 | 1,693 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
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