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See How Your 2011 Medicare Part D Prescription Drug Plan is Changing in 2012
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.
PDP-Compare offers a one-click comparison of all 2011 and 2012 Medicare Part D Plans.

Not sure where to begin? Just "click" on your state to see changes in all 2012 plans:
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Choose Your Medicare Part D Prescription Drug Plan Preferences
 
Scroll down to see plans meeting your criteria.
Only show plans discontinued in 2012
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2011
2012
2011: $  max: $134
2012: $  max: $132
2011: $  max: $310
2012: $  max: $320
2011:
2012:
2011:
2012:
There are 38 California Stand-Alone Medicare Part D plans meeting your criteria.
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
-114		$2.00$5.0020%35%
129,805 members
Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 4 Stars (Above Average)  
2012 Humana Walmart-Preferred Rx Plan (PDP)
 $15.10 $320 No additional gap coverage, only the Donut Hole Discount Yes$1.00$5.0020%30%tbd members
2011 Aetna Medicare Rx Essentials (PDP)
 $59.80 $310 n/a S5810
-066		    
1,153 members
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average)  
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$39.0038%tbd members
2011 CVS Caremark Value (PDP)
 $46.40 $310 No additional gap coverage, only the Donut Hole Discount No S5601
-064		$5.00$43.00$95.0025%
1,369 members
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2012 CVS Caremark Value (PDP)
 $28.20 $320 No additional gap coverage, only the Donut Hole Discount Yes$7.00$45.00$95.0025%tbd members

-- This plan not offered in 2011 --

S5768
-155		     
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average)  
2012 First Health Part D Value Plus (PDP)
 $28.90 $0 No additional gap coverage, only the Donut Hole Discount No$0.0026%40%33%tbd members
2011 EnvisionRxPlus Silver (PDP)
 $39.20 $310 No additional gap coverage, only the Donut Hole Discount No S7694
-032		25%25%25%25%
988 members
Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2012 EnvisionRxPlus Silver (PDP)
 $29.60 $320 No additional gap coverage, only the Donut Hole Discount Yes25%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 WellCare Classic (PDP)
 $31.50 $310 No additional gap coverage, only the Donut Hole Discount Yes S5967
-169		$0.00$42.00$95.0025%
262,013 members
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2012 WellCare Classic (PDP)
 $31.50 $320 No additional gap coverage, only the Donut Hole Discount Yes$0.00$42.00$95.0025%tbd members
2011 Health Net Orange Option 1 (PDP)
 $30.30 $310 No additional gap coverage, only the Donut Hole Discount Yes S5678
-002		$4.00$34.00$75.0025%
181,741 members
Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2012 Health Net Orange Option 1 (PDP)
 $31.90 $320 No additional gap coverage, only the Donut Hole Discount Yes$4.00$41.00$85.0025%tbd members
2011 Medco Medicare Prescription Plan - Value (PDP)
 $56.40 $310 No additional gap coverage, only the Donut Hole Discount No S5660
-134		25%25%25%25%
1,608 members
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 4 Stars (Above Average)  
2012 Medco Medicare Prescription Plan - Value (PDP)
 $34.80 $320 No additional gap coverage, only the Donut Hole Discount No$4.00$8.0025%35%tbd members
2011 BravoRx (PDP)
 $32.00 $310 No additional gap coverage, only the Donut Hole Discount Yes S5998
-013		25%25%25%25%
174,235 members
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 2 Stars (Below Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2012 BravoRx (PDP)
 $37.10 $320 No additional gap coverage, only the Donut Hole Discount No25%25%25% tbd members

-- This plan not offered in 2011 --

S5755
-103		     
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 3 Stars (Average)  
2012 United American - Select (PDP)
 $37.60 $320 No additional gap coverage, only the Donut Hole Discount No$2.00$9.00$45.00$95.00tbd members
2011 First Health Part D Premier (PDP)
 $42.60 $150 No additional gap coverage, only the Donut Hole Discount No S5768
-082		$9.0016%33%29%
39,707 members
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average)  
2012 First Health Part D Premier (PDP)
 $38.70 $250 No additional gap coverage, only the Donut Hole Discount No$6.0019%36%26%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 Cross MedicareRx Standard (PDP)
 $36.80 $310 No additional gap coverage, only the Donut Hole Discount No S5596
-033		$4.00$7.00$38.0025%
44,815 members
Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2012 Blue Cross MedicareRx Standard (PDP)
 $39.30 $320 No additional gap coverage, only the Donut Hole Discount No$2.00$7.00$40.00$90.00tbd members

-- This plan not offered in 2011 --

S2468
-003		     
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 4 Stars (Above Average)  
2012 Blue Shield Medicare Basic Plan (PDP)
 $41.10 $320 No additional gap coverage, only the Donut Hole Discount No$4.00$35.00$75.0025%tbd members
2011 Humana Enhanced (PDP)
 $43.20 $0 Few Generics No S5884
-030		$7.00$38.00$74.0033%
75,275 members
Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 4 Stars (Above Average)  
2012 Humana Enhanced (PDP)
 $43.20 $0 No additional gap coverage, only the Donut Hole Discount No$7.00$38.00$74.0033%tbd members
2011 AARP MedicareRx Preferred (PDP)
 $40.10 $0 No additional gap coverage, only the Donut Hole Discount No S5820
-031		$7.00$45.00$78.0033%
279,057 members
Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 3 Stars (Average)  
2012 AARP MedicareRx Preferred (PDP)
 $48.20 $0 No additional gap coverage, only the Donut Hole Discount No$4.00$8.00$43.00$94.00tbd members
2011 Community CCRx Basic (PDP)
 $47.60 $310 No additional gap coverage, only the Donut Hole Discount No S5803
-101		$2.0031%63%25%
12,721 members
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2012 Community CCRx Basic (PDP)
 $48.90 $320 No additional gap coverage, only the Donut Hole Discount No$2.0025%46%25%tbd members
2011 HealthSpring Prescription Drug Plan-Reg 32 (PDP)
 $43.80 $310 No additional gap coverage, only the Donut Hole Discount No S5932
-031		25%25%  
3,340 members
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 2 Stars (Below Average)  
2012 HealthSpring Prescription Drug Plan-Reg 32 (PDP)
 $53.00 $320 No additional gap coverage, only the Donut Hole Discount No25%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 UA Medicare Part D Prescription Drug Cov (PDP)
 $52.70 $60 No additional gap coverage, only the Donut Hole Discount No S5755
-035		$10.00$45.00$95.0031%
7,905 members
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 3 Stars (Average)  
2012 United American - Preferred (PDP)
 $54.80 $80 No additional gap coverage, only the Donut Hole Discount No$3.00$9.00$45.00$95.00tbd members
2011 WellCare Signature (PDP)
 $52.20 $0 No additional gap coverage, only the Donut Hole Discount No S5967
-066		$0.00$40.00$85.0033%
21,310 members
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2012 WellCare Signature (PDP)
 $55.40 $0 No additional gap coverage, only the Donut Hole Discount No$0.00$20.00$45.00$90.00tbd members

-- This plan not offered in 2011 --

S2468
-004		     
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 4 Stars (Above Average)  
2012 Blue Shield Medicare Enhanced Plan (PDP)
 $55.60 $0 Many Generics No$7.00$45.00$75.0033%tbd members
2011 CIGNA Medicare Rx Plan One (PDP)
 $60.00 $310 No additional gap coverage, only the Donut Hole Discount No S5617
-158		$3.00$31.00$75.0025%
2,926 members
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 3 Stars (Average)  
2012 CIGNA Medicare Rx Plan One (PDP)
 $56.20 $320 No additional gap coverage, only the Donut Hole Discount No$3.00$20.00$34.00$86.00tbd members
2011 Blue Cross MedicareRx Plus (PDP)
 $52.10 $0 Some Generics No S5596
-034		$4.00$7.00$43.00$85.00
49,385 members
Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2012 Blue Cross MedicareRx Plus (PDP)
 $62.80 $0 Some Generics No$2.00$7.00$45.00$90.00tbd members

-- This plan not offered in 2011 --

S7694
-102		     
Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2012 Rite Aid EnvisionRxPlus (PDP)
 $78.60 $0 Some Generics No$0.0020%15%30%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 CVS Caremark Plus (PDP)
 $63.40 $0 Many Generics No S5601
-065		$2.00$5.00$35.00$90.00
4,662 members
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2012 CVS Caremark Plus (PDP)
 $81.90 $0 No additional gap coverage, only the Donut Hole Discount No$0.00$40.00$90.0033%tbd members
2011 Medco Medicare Prescription Plan - Choice (PDP)
 $83.90 $250 Many Generics No S5660
-202		$6.00$40.00$95.0026%
4,323 members
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 4 Stars (Above Average)  
2012 Medco Medicare Prescription Plan - Choice (PDP)
 $82.50 $150 Many Generics No$6.00$12.00$45.00$95.00tbd members
2011 Health Net Orange Option 2 (PDP)
 $84.60 $0 No additional gap coverage, only the Donut Hole Discount No S5678
-008		$2.00$34.00$68.0033%
10,497 members
Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2012 Health Net Orange Option 2 (PDP)
 $87.60 $0 No additional gap coverage, only the Donut Hole Discount No$0.00$38.00$75.0033%tbd members
2011 Community CCRx Choice (PDP)
 $89.70 $0 No additional gap coverage, only the Donut Hole Discount No S5803
-169		$0.00$35.00$65.0033%
3,474 members
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2012 Community CCRx Choice (PDP)
 $91.50 $0 No additional gap coverage, only the Donut Hole Discount No$0.00$40.00$70.0033%tbd members
2011 Aetna Medicare Rx Premier (PDP)
 $108.50 $0 n/a S5810
-202		    
1,894 members
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2012 Aetna Medicare Rx Premier (PDP)
 $92.20 $0 Many Generics No$4.00$25.00$35.00$80.00tbd members
2011 AARP MedicareRx Enhanced (PDP)
 $98.80 $0 Some Generics No S5921
-003		$4.00$40.00$80.0033%
9,102 members
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 2 Stars (Below Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2012 AARP MedicareRx Enhanced (PDP)
 $96.10 $0 Some Generics No$4.00$7.00$40.00$76.00tbd 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 Cross MedicareRx Gold (PDP)
 $91.20 $0 Many Generics,
Some Brands		 No S5596
-035		$6.00$43.00$85.0033%
53,402 members
Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2012 Blue Cross MedicareRx Gold (PDP)
 $107.30 $0 Many Generics,
Some Brands 		No$2.00$7.00$45.00$90.00tbd members
2011 First Health Part D Premier Plus (PDP)
 $90.50 $0 Some Generics,
Some Brands		 No S5674
-059		$0.00$25.0030%55%
2,887 members
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 4 Stars (Above Average)  
2012 First Health Part D Premier Plus (PDP)
 $107.30 $0 Some Generics,
Some Brands 		No$0.00$20.0025%43%tbd members
2011 Blue Shield Medicare Rx Plan (PDP)
 $62.70 $0 No additional gap coverage, only the Donut Hole Discount No S2468
-002		$9.00$20.00$45.00$80.50
36,116 members
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 4 Stars (Above Average)  
2012 Blue Shield Medicare Premium Plan (PDP)
 $108.20 $0 Many Generics,
Some Brands 		No$7.00$45.00$75.0033%tbd members
2011 Humana Complete (PDP)
 $114.80 $0 Many Generics,
Some Brands		 No S5884
-060		$5.00$37.00$69.0033%
4,106 members
Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 4 Stars (Above Average)  
2012 Humana Complete (PDP)
 $114.90 $0 Many Generics,
Some Brands 		No$5.00$37.00$69.0033%tbd members
2011 Advantage Star Plan by RxAmerica (PDP)
 $28.10 $310 No additional gap coverage, only the Donut Hole Discount Yes S5644
-084		$5.0025%$95.0025%
200,778 members
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 2 Stars (Below Average) Medicare Part D Plan Rating - 2 Stars (Below Average)  

-- This plan not offered in 2012 --

     
2011 Sterling Rx (PDP)
 $51.10 $100 No additional gap coverage, only the Donut Hole Discount No S4802
-067		$4.00$23.00$38.0025%
160 members
Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 4 Stars (Above Average)  

-- 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 Costco Plus Plan (PDP)
 $60.80 $0 n/a S5810
-236		    
3,041 members
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average)  

-- This plan not offered in 2012 --

     
2011 EnvisionRxPlus Gold (PDP)
 $91.40 $150 Many Generics No S7694
-066		$4.0025%$25.0025%
349 members
Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average)  

-- This plan not offered in 2012 --

     
2011 CIGNA Medicare Rx Plan Two (PDP)
 $71.40 $0 Few Generics No S5617
-202		$0.00$3.00$36.00$78.00
1,038 members
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 3 Stars (Average)  

-- This plan not offered in 2012 --

     



Chart Legend:

What does all this mean? Below are a few notes to help you understand the 2012 Medicare Part D Plan information above.



A few notes to help with the understanding of the 2012 Medicare Part D Prescription Drug Plan chart above and Search Tips to help you narrow down your list of plans to those that best meet your needs.
  • Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS). The same plan name generally has a different plan id in each state. (Search Tip: If you would like to reduce the plans shown to just plans for one or two specific carriers, you can select the carrier name in the "Plan Family" fields 1 and 2. Select the empty (blank) option at the top of the list to remove the criteria. You can also click the "National Plans" checkbox to limit your search to just national plans.)
  • CMS Plan Ratings: these are found under the Plan Name at the left side of the chart.

    This is a 1 to 5 star rating system with five (5) stars as excellent, four (4) stars as very good, three (3) stars as good, two (2) stars as fair and one (1) star as poor.

    Cust. Service Rating - Drug Plan Customer Service - Medicare and members rate the drug plan and how well a drug plan provides customer service.

    This category includes measures of how drug plans rate on the following areas:
    • Time on Hold When Customer and Pharmacist Calls Drug Plan.
    • Calls Disconnected When Customer and Pharmacist Calls Drug Plan.
    • Drug Plan’s Timeliness in Giving a Decision for Members Who Make an Appeal.
    • Fairness of Drug Plan’s Denials to a Member’s Appeal, Based on an Independent Reviewer.
  • Member Plan Exper. - Member Experience with Drug Plan - This category shows how well drug plans make prescription drugs available to their members.

    This category includes measures of how drug plans rate on the following areas:
    • Drug Plan Provides Information or Help When Members Need It.
    • Members’ Overall Rating of Drug Plan.
    • Members’ Ability to Get Prescriptions Filled Easily When Using the Drug Plan.
  • RxCost Info Rating - This category shows how well drug plans are doing with pricing prescriptions and providing information on the Medicare website.

    This category includes measures of how drug plans rate on the following areas:
    • Completeness of the Drug Plan’s Information on Members Who Need Extra Help.
    • Drug Plan Provides Current Information on Costs and Coverage for Medicare’s Website (the same data is used on this Q1Medicare.com).
    • Drug Plan’s Prices that Did Not Increase More Than Expected During the Year.
    • Drug Plan’s Prices on Medicare’s Website (and this website) Are Similar to the Prices Members Pay at the Pharmacy.
    • Drug Plan’s Members 65 and Older Who Received Prescriptions for Certain Drugs with a High Risk of Side Effects, when There May Be Safer Drug Choices.
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  • Monthly Premium: This is the amount you must pay each month to use the plan. This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase. (Search Tip: If you would like to reduce the plans shown to just plans under a certain premium, enter this value in the "Maximum Premium" field.)

  • Deductible: This is the $320 deductible that was presented in the CMS Standard Plan. Many provider’s plans do not have a deductible, however the premium may be higher. (Search Tip: If you would like to reduce the plans shown to just plans with a deductible under a certain value, enter this value in the "Maximum Deductible field" field.)

  • Gap Coverage: the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3727.5 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2012, ALL formulary generics will have at least a 14% discount and ALL brand drugs will have at least a 50% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
    • No Gap Coverage: you must pay the $3727.5;

    • Few Generics: less than 10% of formulary generics are covered, but you must pay for Brand Drugs up to $3727.5;

    • Some Generics: 10% to 65% of formulary generics are covered, but you must pay for Brand Drugs up to $3727.5;

    • Many Generics: 65% to 100% of formulary generics are covered, but you must pay for Brand Drugs up to $3727.5;

    • All Generics : All formulary Generics are covered, but you must pay for Brand Drugs up to $3727.5;

    • Many Generics & Some Brands: These Medicare prescription drug plans cover 65% to 100% of formulary generics and a some (10% to 65%) of Brand drugs on the plan’s formulary.

    • Some Generics & Some Brands: These Medicare prescription drug plans cover 10% to 65% of Generic and Brand drugs on the plan’s formulary. (Search Tip: If you would like to reduce the plans shown to just plans with a certain type of gap coverage, select this type of coverage in the "Type of Gap Coverage" field.)

  • $0 Premium with Full LIS - Does the plan Qualify for $0 Premium with Full Low-Income Subsidy?: If Yes is in the field, then you would pay a $0 premium if you have a Full Low-Income Subsidy (LIS). If No is in the field, then you would be responsible for the difference between what the state provides as the Full Low-Income Subsidy and the actual cost of the plan even if you have a Full Low-Income Subsidy. (Search Tip: If you would like to reduce the plans shown to just plans that qualify for the $0 premium (Benchmark plans), select "Yes..." in the "Full Low-Income Subsidy?" field.)

  • Plan ID: This is the unique id for this particular plan.
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  • Copay / Coinsurance - Cost Sharing - These figures apply to the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on the drug’s tier. Plans can form their own tiers, so you should contact the plan or reference their summary of benefits to find out what copays and limitations are associated with each tier. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. (Search Tip: If you would like to reduce the plans shown to just plans that have a tier 1 (Generics) co-pay of up to a certain value (ex: $0 co-pay), enter the value (ex: 0) in the "Max. Co-pay Tier 1 (Generics)" field.)
Additional Information Fields:
 You can select one of the following additional pieces of plan information to display (Search Tip: to change the type of information shown in the last column of the chart, select the data to be shown in the "Additional Info" field.)
  • Total Formulary Drugs (default) - This is the total number of medications on the plans formulary or drug list. For 2009 Medicare Part D plans, the smallest formulary is the Geisinger Gold Rx 1 plan formulary in PA and WV with 1,994 total medications and the largest formulary is the AARP Enhanced and Preferred plans’ formulary (all states) with 5,218 total formulary drugs. This total drug count does not include "Bonus Drugs". These are non-Medicare Part D drugs which are covered by the plan, however they do not count toward your plan deductible, retail drug cost, or TrOOP.
  • Offers Mail Order - "Yes" is displayed if this plan offers mail order on any medications. It does NOT mean that ALL medications are available through mail order.
  • Members in This State (updated: December 2012 figures) - This is the total number of members in this plan for this CMS Region. For regions which contain more than one state, this is the total for all of those states combined. We are showing the latest Medicare Part D plan enrollment figures. We update this figure as new enrollment statistics are released by Medicare.
  • Members Nation Wide (updated: December 2012 figures) - This is the total number of member for this plan in all CMS Regions (States) combined. We are showing the latest Medicare Part D plan enrollment figures. We update this figure as new enrollment statistics are released by Medicare.

  • Initial Coverage Limit (ICL) - The initial coverage limit phase of a Medicare Part D plan is the phase AFTER the initial deductible is met (if the plan has an initial deductible) and BEFORE the coverage gap (or donut hole) begins. The ICL is the phase of the prescription drug plan during which you and your plan share your prescription costs. During this phase you will pay either a co-payment (a flat fee per prescription) or co-insurance (a percentage of the drug cost). The details of the cost-sharing for the plan are shown in the Cost-Sharing column directly to the left of this column. The CMS standard Initial Coverage Limit for 2012 is $2930 and increases each year.
  • National or Regional Plans - This column simply displays the word "National" if the plan is sponsored by a national carrier or "Regional" if the plan sponsor is a regional carrier.


(Chart Source: various files provided by the Centers for Medicare and Medicaid Services along with data from the Medicare.gov website plan finder.)

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.



 
 


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Tips & Disclaimers
  • Q1Medicare®, Q1Rx®, and Q1Group® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDPCompare.com and MACompare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
    Statement required by Medicare:
    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.
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