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 Blue Cross MedicareRx Standard (PDP) | $36.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5596 -033 | $4.00 | $7.00 | $38.00 | 25% | 44,815 members | ||
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 | $90.00 | tbd members | |||
-- This plan not offered in 2011 -- | S2468 -003 | |||||||||||
2012 Blue Shield Medicare Basic Plan (PDP) | $41.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $35.00 | $75.00 | 25% | tbd members | |||
-- This plan not offered in 2011 -- | S2468 -004 | |||||||||||
2012 Blue Shield Medicare Enhanced Plan (PDP) | $55.60 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 33% | tbd 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 | ||
2012 Blue Cross MedicareRx Plus (PDP) | $62.80 | $0 | Some Generics | No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 Blue Cross MedicareRx Gold (PDP) | $91.20 | $0 | Many Generics, Some Brands |
No | S5596 -035 | $6.00 | $43.00 | $85.00 | 33% | 53,402 members | ||
2012 Blue Cross MedicareRx Gold (PDP) | $107.30 | $0 | Many Generics, Some Brands |
No | $2.00 | $7.00 | $45.00 | $90.00 | 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 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 | ||
2012 Blue Shield Medicare Premium Plan (PDP) | $108.20 | $0 | Many Generics, Some Brands |
No | $7.00 | $45.00 | $75.00 | 33% | tbd members | |||
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