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 -146 | $2.00 | $5.00 | 20% | 35% | 16,739 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 | |||
-- This plan not offered in 2011 -- | S5768 -151 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $23.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 27% | 42% | 33% | tbd members | |||
2011 Health Net Orange Option 1 (PDP) | $22.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -001 | $4.00 | $36.00 | $75.00 | 25% | 28,402 members | ||
2012 Health Net Orange Option 1 (PDP) | $25.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $45.00 | $95.00 | 25% | tbd members | |||
2011 Community CCRx Basic (PDP) | $27.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -097 | $2.00 | 30% | 67% | 25% | 4,879 members | ||
2012 Community CCRx Basic (PDP) | $25.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 47% | 25% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $28.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -028 | 25% | 25% | 25% | 25% | 138 members | ||
2012 EnvisionRxPlus Silver (PDP) | $25.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | 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 Aetna Medicare Rx Essentials (PDP) | $57.60 | $310 | n/a | S5810 -062 | 331 members | |||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $24.00 | $35.00 | 41% | tbd members | |||
2011 BravoRx (PDP) | $26.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -032 | 25% | 25% | 25% | 25% | 4,520 members | ||
2012 BravoRx (PDP) | $26.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | tbd members | ||||
2011 WellCare Classic (PDP) | $23.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -165 | $0.00 | $44.00 | $94.00 | 25% | 6,808 members | ||
2012 WellCare Classic (PDP) | $26.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $45.00 | $95.00 | 25% | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -099 | |||||||||||
2012 United American - Select (PDP) | $26.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $7.00 | $45.00 | $95.00 | tbd members | |||
2011 MedicareRx Rewards Standard (PDP) | $25.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5960 -134 | $4.00 | $7.00 | $38.00 | 25% | 6,827 members | ||
2012 MedicareRx Rewards Standard (PDP) | $27.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $7.00 | $34.00 | $90.00 | tbd members | |||
2011 AARP MedicareRx Preferred (PDP) | $28.60 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5820 -027 | $7.00 | $45.00 | $80.00 | 33% | 115,147 members | ||
2012 AARP MedicareRx Preferred (PDP) | $28.80 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | $43.00 | $95.00 | 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 | ||||||
-- This plan not offered in 2011 -- | S6506 -001 | |||||||||||
2012 Blue MedicareRx (PDP) | $30.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $8.00 | $12.00 | $38.00 | 46% | tbd members | |||
2011 Humana Enhanced (PDP) | $32.90 | $0 | Few Generics | No | S5884 -086 | $7.00 | $39.00 | $71.00 | 33% | 21,709 members | ||
2012 Humana Enhanced (PDP) | $33.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $39.00 | $71.00 | 33% | tbd members | |||
2011 First Health Part D Premier (PDP) | $40.40 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -121 | $10.00 | 18% | 36% | 29% | 7,272 members | ||
2012 First Health Part D Premier (PDP) | $39.00 | $250 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | 20% | 38% | 26% | tbd members | |||
2011 CVS Caremark Value (PDP) | $25.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -056 | $5.00 | $39.50 | $95.00 | 25% | 2,161 members | ||
2012 CVS Caremark Value (PDP) | $40.50 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $7.50 | $45.00 | $95.00 | 25% | tbd members | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $48.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -138 | $3.00 | $30.00 | $82.00 | 25% | 1,056 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $43.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $20.00 | $36.00 | $81.00 | tbd members | |||
2011 HealthSpring Prescription Drug Plan-Reg 28 (PDP) | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5932 -027 | 25% | 25% | 152 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 28 (PDP) | $46.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 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 Medco Medicare Prescription Plan - Value (PDP) | $45.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -130 | 25% | 25% | 25% | 25% | 482 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $47.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | 25% | 34% | tbd members | |||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $48.30 | $80 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -031 | $10.00 | $45.00 | $95.00 | 31% | 1,596 members | ||
2012 United American - Preferred (PDP) | $50.00 | $110 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
2011 WellCare Signature (PDP) | $50.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -062 | $0.00 | $40.00 | $92.00 | 33% | 3,248 members | ||
2012 WellCare Signature (PDP) | $55.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $45.00 | $95.00 | tbd members | |||
-- This plan not offered in 2011 -- | S7694 -098 | |||||||||||
2012 Rite Aid EnvisionRxPlus (PDP) | $61.20 | $0 | Some Generics | No | $0.00 | 20% | 15% | 30% | tbd members | |||
2011 CIGNA Medicare Rx Plan Two (PDP) | $63.40 | $0 | Few Generics | No | S5617 -198 | $0.00 | $3.00 | $36.00 | $78.00 | 533 members | ||
2012 CIGNA Medicare Rx Plan Two (PDP) | $69.80 | $0 | Few Generics | No | $0.00 | $5.00 | $41.00 | $85.00 | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $97.20 | $0 | n/a | S5810 -198 | 761 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $70.00 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | 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 MedicareRx Rewards Plus (PDP) | $36.00 | $0 | Some Generics | No | S5960 -158 | $4.00 | $7.00 | $43.00 | $85.00 | 1,982 members | ||
2012 MedicareRx Rewards Plus (PDP) | $71.80 | $0 | Some Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $75.40 | $250 | Many Generics | No | S5660 -198 | $6.00 | $40.00 | $95.00 | 26% | 1,300 members | ||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $77.20 | $150 | Many Generics | No | $6.00 | $12.00 | $45.00 | $95.00 | tbd members | |||
2011 Community CCRx Choice (PDP) | $80.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -165 | $0.00 | $35.00 | $65.00 | 33% | 1,331 members | ||
2012 Community CCRx Choice (PDP) | $81.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $70.00 | 33% | tbd members | |||
2011 Health Net Orange Option 2 (PDP) | $81.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -007 | $2.00 | $34.00 | $68.00 | 33% | 1,832 members | ||
2012 Health Net Orange Option 2 (PDP) | $82.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $38.00 | $75.00 | 33% | tbd members | |||
2011 CVS Caremark Plus (PDP) | $76.90 | $0 | Many Generics | No | S5601 -057 | $2.00 | $5.00 | $35.00 | $90.00 | 640 members | ||
2012 CVS Caremark Plus (PDP) | $88.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $90.00 | 33% | tbd members | |||
2011 AARP MedicareRx Enhanced (PDP) | $92.50 | $0 | Some Generics | No | S5921 -233 | $4.50 | $40.00 | $75.00 | 33% | 2,709 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $90.80 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | 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 First Health Part D Premier Plus (PDP) | $89.50 | $0 | Some Generics, Some Brands |
No | S5670 -144 | $0.00 | $25.00 | 32% | 60% | 1,208 members | ||
2012 First Health Part D Premier Plus (PDP) | $96.70 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 44% | tbd members | |||
2011 Sterling Rx (PDP) | $39.00 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -018 | $4.00 | $24.00 | $40.00 | 25% | 94 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $24.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5644 -081 | $5.50 | 25% | $95.00 | 25% | 1,942 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Aetna Medicare Rx Costco Plus Plan (PDP) | $58.20 | $0 | n/a | S5810 -232 | 1,093 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $66.70 | $150 | Many Generics | No | S7694 -062 | $4.00 | 25% | $25.00 | 25% | 95 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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