2011 / 2012 Medicare Part D Plan Information Click here to jump to the Chart Legend | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
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 |
||||||
2011 Humana Walmart-Preferred Rx Plan (PDP) | $14.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5884 -132 | $2.00 | $5.00 | 20% | 35% | 25,183 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) | $35.80 | $310 | n/a | S5810 -041 | 2,498 members | |||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $16.00 | $35.00 | 40% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $35.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -007 | 25% | 25% | 25% | 25% | 8,398 members | ||
2012 EnvisionRxPlus Silver (PDP) | $27.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 First Health Part D Premier (PDP) | $35.70 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -010 | $8.00 | 17% | 36% | 29% | 23,232 members | ||
2012 First Health Part D Premier (PDP) | $27.40 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | 20% | 37% | 26% | tbd members | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $34.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -216 | $3.00 | $29.00 | $83.00 | 25% | 24,295 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $27.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $31.00 | $83.00 | 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 Community CCRx Basic (PDP) | $29.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -076 | $2.00 | 31% | 62% | 25% | 29,068 members | ||
2012 Community CCRx Basic (PDP) | $30.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 47% | 25% | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -078 | |||||||||||
2012 United American - Select (PDP) | $30.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $8.00 | $45.00 | $95.00 | tbd members | |||
2011 CVS Caremark Value (PDP) | $32.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -014 | $5.00 | $39.00 | $95.00 | 25% | 11,874 members | ||
2012 CVS Caremark Value (PDP) | $31.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.50 | $45.00 | $95.00 | 25% | tbd members | |||
2011 Blue MedicareRx Standard (PDP) | $33.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5596 -005 | $4.00 | $7.00 | $36.00 | 25% | 17,222 members | ||
2012 Blue MedicareRx Standard (PDP) | $32.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $7.00 | $37.00 | $90.00 | tbd members | |||
2011 Health Net Orange Option 1 (PDP) | $30.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -020 | $4.00 | $34.00 | $75.00 | 25% | 9,258 members | ||
2012 Health Net Orange Option 1 (PDP) | $33.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $44.00 | $83.00 | 25% | tbd members | |||
|