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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2011 Humana Walmart-Preferred Rx Plan (PDP) | $14.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5884 -131 | $2.00 | $5.00 | 20% | 35% | 21,862 members | ||
2012 Humana Walmart-Preferred Rx Plan (PDP) | $15.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $5.00 | 20% | 35% | tbd members | |||
2011 Aetna Medicare Rx Essentials (PDP) | $53.20 | $310 | n/a | S5810 -038 | 1,225 members | |||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $17.00 | $40.00 | 37% | tbd members | |||
2011 First Health Part D Premier (PDP) | $43.60 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -007 | $7.00 | 19% | 39% | 29% | 19,224 members | ||
2012 First Health Part D Premier (PDP) | $33.90 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $7.00 | 18% | 33% | 26% | tbd members | |||
2011 CVS Caremark Value (PDP) | $34.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -008 | $5.25 | $45.00 | $95.00 | 25% | 79,011 members | ||
2012 CVS Caremark Value (PDP) | $34.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $8.75 | $45.00 | $95.00 | 25% | tbd members | |||
2011 Medco Medicare Prescription Plan - Value (PDP) | $37.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -106 | 25% | 25% | 25% | 25% | 30,080 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $34.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | 25% | 40% | 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 EnvisionRxPlus Silver (PDP) | $34.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -004 | 25% | 25% | 25% | 25% | 15,947 members | ||
2012 EnvisionRxPlus Silver (PDP) | $34.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -075 | |||||||||||
2012 United American - Select (PDP) | $34.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
2011 BravoRx (PDP) | $39.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5998 -003 | 25% | 25% | 25% | 25% | 179 members | ||
2012 BravoRx (PDP) | $37.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | tbd members | ||||
2011 WellCare Classic (PDP) | $45.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -141 | $0.00 | $41.00 | $94.00 | 25% | 1,987 members | ||
2012 WellCare Classic (PDP) | $37.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $45.00 | $95.00 | 33% | tbd members | |||
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