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 -105 | $2.00 | $5.00 | 20% | 35% | 95,661 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% | 30% | tbd members | |||
2011 CVS Caremark Value (PDP) | $41.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -022 | $5.00 | $42.00 | $95.00 | 25% | 1,253 members | ||
2012 CVS Caremark Value (PDP) | $23.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $45.00 | $95.00 | 25% | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -082 | |||||||||||
2012 United American - Select (PDP) | $23.90 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $45.00 | $95.00 | tbd members | |||
2011 Community CCRx Basic (PDP) | $25.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -080 | $2.00 | 30% | 55% | 25% | 129,682 members | ||
2012 Community CCRx Basic (PDP) | $25.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 24% | 45% | 25% | tbd members | |||
-- This plan not offered in 2011 -- | S5768 -134 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $25.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 26% | 40% | 33% | 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) | $58.20 | $310 | n/a | S5810 -045 | 2,361 members | |||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $18.00 | $39.00 | 41% | tbd members | |||
2011 WellCare Classic (PDP) | $30.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -148 | $0.00 | $40.00 | $89.00 | 25% | 14,347 members | ||
2012 WellCare Classic (PDP) | $27.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $38.00 | $90.00 | 25% | tbd members | |||
2011 Health Net Orange Option 1 (PDP) | $27.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -028 | $4.00 | $38.00 | $75.00 | 25% | 23,545 members | ||
2012 Health Net Orange Option 1 (PDP) | $27.90 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $44.00 | $80.00 | 25% | tbd members | |||
-- This plan not offered in 2011 -- | S0223 -001 | |||||||||||
-- | -- | |||||||||||
2012 Health First Essential Prescription Drug Plan (PDP) | $28.30 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $10.00 | $42.50 | $95.00 | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $27.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -011 | 25% | 25% | 25% | 25% | 9,654 members | ||
2012 EnvisionRxPlus Silver (PDP) | $32.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | |||
2011 BlueMedicare Rx-Option 1 (PDP) | $58.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5904 -001 | $7.00 | $45.00 | $92.00 | 33% | 51,484 members | ||
2012 BlueMedicare Rx-Option 1 (PDP) | $40.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $8.00 | $45.00 | $90.00 | 33% | 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 AARP MedicareRx Preferred (PDP) | $35.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -010 | $8.00 | $42.00 | $80.00 | 33% | 328,009 members | ||
2012 AARP MedicareRx Preferred (PDP) | $40.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $41.00 | $95.00 | tbd members | |||
2011 First Health Part D Premier (PDP) | $41.30 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -041 | $10.00 | 17% | 35% | 29% | 30,797 members | ||
2012 First Health Part D Premier (PDP) | $41.30 | $250 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | 20% | 35% | 26% | tbd members | |||
2011 Humana Enhanced (PDP) | $45.40 | $0 | Few Generics | No | S5884 -010 | $6.00 | $38.00 | $70.00 | 33% | 56,906 members | ||
2012 Humana Enhanced (PDP) | $41.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | $38.00 | $70.00 | 33% | tbd members | |||
2011 MedicareRx Rewards Standard (PDP) | $43.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -117 | $4.00 | $7.00 | $38.00 | 25% | 12,997 members | ||
2012 MedicareRx Rewards Standard (PDP) | $43.30 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $35.00 | $90.00 | tbd members | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $48.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -053 | $3.00 | $28.00 | $76.00 | 25% | 4,987 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $46.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $20.00 | $32.00 | $86.00 | tbd members | |||
2011 HealthSpring Prescription Drug Plan-Reg 11 (PDP) | $51.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5932 -011 | 25% | 25% | 505 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 11 (PDP) | $48.70 | $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) | $49.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -113 | 25% | 25% | 25% | 25% | 1,821 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $49.40 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | 25% | 35% | tbd members | |||
2011 WellCare Signature (PDP) | $48.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -045 | $0.00 | $40.00 | $72.00 | 33% | 26,360 members | ||
2012 WellCare Signature (PDP) | $55.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $45.00 | $85.00 | tbd members | |||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $53.40 | $70 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -014 | $10.00 | $45.00 | $95.00 | 31% | 12,017 members | ||
2012 United American - Preferred (PDP) | $55.10 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
-- This plan not offered in 2011 -- | S0223 -002 | |||||||||||
-- | -- | |||||||||||
2012 Health First Prime Prescription Drug Plan (PDP) | $56.20 | $0 | Some Generics | No | $2.00 | $10.00 | $45.00 | $95.00 | tbd members | |||
-- This plan not offered in 2011 -- | S7694 -082 | |||||||||||
2012 EnvisionRxPlus Gold (PDP) | $59.80 | $0 | Some Generics | No | $2.00 | 15% | 15% | 30% | tbd members | |||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $70.20 | $250 | Many Generics | No | S5660 -181 | $6.00 | $40.00 | $95.00 | 26% | 5,744 members | ||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $69.00 | $150 | Many Generics | No | $6.00 | $12.00 | $45.00 | $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 | ||||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $71.70 | $0 | Few Generics | No | S5617 -181 | $0.00 | $3.00 | $33.00 | $78.00 | 1,424 members | ||
2012 CIGNA Medicare Rx Plan Two (PDP) | $69.10 | $0 | Few Generics | No | $0.00 | $5.00 | $41.00 | $85.00 | tbd members | |||
2011 Health Net Orange Option 2 (PDP) | $83.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -027 | $2.00 | $34.00 | $68.00 | 33% | 396 members | ||
2012 Health Net Value Orange Option 2 (PDP) | $75.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | |||
2011 MedicareRx Rewards Plus (PDP) | $38.20 | $0 | Some Generics | No | S5960 -147 | $4.00 | $7.00 | $43.00 | $85.00 | 10,126 members | ||
2012 MedicareRx Rewards Plus (PDP) | $78.90 | $0 | Some Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 Community CCRx Choice (PDP) | $79.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -148 | $0.00 | $35.00 | $65.00 | 33% | 8,702 members | ||
2012 Community CCRx Choice (PDP) | $79.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $70.00 | 33% | tbd members | |||
2011 CVS Caremark Plus (PDP) | $66.40 | $0 | Many Generics | No | S5601 -023 | $2.00 | $5.00 | $35.00 | $90.00 | 3,449 members | ||
2012 CVS Caremark Plus (PDP) | $85.50 | $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) | $88.40 | $0 | Some Generics | No | S5921 -143 | $4.00 | $40.00 | $80.00 | 33% | 10,641 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $86.50 | $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 Aetna Medicare Rx Premier (PDP) | $104.50 | $0 | n/a | S5810 -240 | < 10 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $86.50 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $81.00 | $0 | Some Generics, Some Brands |
No | S5674 -023 | $0.00 | $25.00 | 30% | 60% | 7,478 members | ||
2012 First Health Part D Premier Plus (PDP) | $96.50 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2011 Humana Complete (PDP) | $109.70 | $0 | Many Generics, Some Brands |
No | S5884 -039 | $4.00 | $37.00 | $68.00 | 33% | 3,565 members | ||
2012 Humana Complete (PDP) | $109.80 | $0 | Many Generics, Some Brands |
No | $4.00 | $37.00 | $68.00 | 33% | tbd members | |||
2011 BlueMedicare Rx-Option 2 (PDP) | $119.70 | $0 | All Generics | No | S5904 -002 | $4.00 | $30.00 | $70.00 | 33% | 13,610 members | ||
2012 BlueMedicare Rx-Option 2 (PDP) | $125.00 | $0 | All Generics | No | $6.00 | $35.00 | $90.00 | 33% | tbd members | |||
2011 Sterling Rx (PDP) | $55.00 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -008 | $4.00 | $22.00 | $37.00 | 25% | 184 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $24.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5644 -188 | $5.00 | 25% | $95.00 | 25% | 167,173 members | ||
-- 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) | $58.10 | $0 | n/a | S5810 -215 | 2,904 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $56.90 | $150 | Many Generics | No | S7694 -045 | $4.00 | 25% | $25.00 | 25% | 489 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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