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 -107 | $2.00 | $5.00 | 20% | 35% | 41,746 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 -140 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $24.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 25% | 40% | 33% | tbd members | |||
2011 Aetna Medicare Rx Essentials (PDP) | $32.40 | $310 | n/a | S5810 -051 | 11,438 members | |||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $10.00 | $35.00 | 40% | tbd members | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $31.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -224 | $3.00 | $32.00 | $86.00 | 25% | 27,555 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $26.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $38.00 | $83.00 | tbd members | |||
2011 First Health Part D Premier (PDP) | $33.60 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -042 | $9.00 | 17% | 35% | 29% | 27,741 members | ||
2012 First Health Part D Premier (PDP) | $26.70 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | 19% | 35% | 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 Community CCRx Basic (PDP) | $27.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -086 | $2.00 | 30% | 61% | 25% | 52,539 members | ||
2012 Community CCRx Basic (PDP) | $27.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 47% | 25% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $32.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -017 | 25% | 25% | 25% | 25% | 310 members | ||
2012 EnvisionRxPlus Silver (PDP) | $27.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 CVS Caremark Value (PDP) | $30.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -034 | $5.00 | $38.25 | $95.00 | 25% | 12,079 members | ||
2012 CVS Caremark Value (PDP) | $28.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.75 | $45.00 | $95.00 | 25% | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -088 | |||||||||||
2012 United American - Select (PDP) | $28.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $7.00 | $45.00 | $95.00 | tbd members | |||
2011 HealthSpring Prescription Drug Plan-Reg 17 (PDP) | $31.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -016 | 25% | 25% | 35,681 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 17 (PDP) | $30.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2011 WellCare Classic (PDP) | $32.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -154 | $0.00 | $42.00 | $91.00 | 25% | 11,474 members | ||
2012 WellCare Classic (PDP) | $31.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $42.00 | $95.00 | 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) | $33.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -119 | 25% | 25% | 25% | 25% | 8,981 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $32.90 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | 25% | 40% | tbd members | |||
2011 AARP MedicareRx Preferred (PDP) | $30.60 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5820 -016 | $7.00 | $42.00 | $75.00 | 33% | 341,424 members | ||
2012 AARP MedicareRx Preferred (PDP) | $34.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $39.00 | $90.00 | tbd members | |||
2011 BravoRx (PDP) | $30.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -038 | 25% | 25% | 25% | 25% | 36,788 members | ||
2012 BravoRx (PDP) | $34.40 | $320 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | tbd members | ||||
2011 Blue MedicareRx Value (PDP) | $36.80 | $125 | No additional gap coverage, only the Donut Hole Discount | No | S5715 -001 | $9.00 | $40.00 | $91.00 | 29% | 141,828 members | ||
2012 Blue MedicareRx Value (PDP) | $38.00 | $125 | No additional gap coverage, only the Donut Hole Discount | No | $9.00 | $41.00 | $91.00 | 29% | tbd members | |||
2011 Humana Enhanced (PDP) | $45.50 | $0 | Few Generics | No | S5884 -015 | $7.00 | $38.00 | $70.00 | 33% | 35,796 members | ||
2012 Humana Enhanced (PDP) | $38.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $38.00 | $70.00 | 33% | tbd members | |||
2011 Health Net Orange Option 1 (PDP) | $30.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -040 | $4.00 | $35.00 | $75.00 | 25% | 1,145 members | ||
2012 Health Net Orange Option 1 (PDP) | $40.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $44.00 | $90.00 | 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 MedicareRx Rewards Standard (PDP) | $40.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -123 | $4.00 | $7.00 | $37.00 | 25% | 3,203 members | ||
2012 MedicareRx Rewards Standard (PDP) | $45.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $35.00 | $90.00 | tbd members | |||
2011 Health Alliance Medicare Prescription Plan - Basic (PDP) | $42.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S4219 -001 | $5.00 | $43.00 | $95.00 | 33% | 1,830 members | ||
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2012 Health Alliance Medicare Prescription Plan - Basic (PDP) | $46.60 | $200 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $30.00 | $44.00 | $95.00 | tbd members | |||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $51.70 | $70 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -020 | $10.00 | $45.00 | $95.00 | 31% | 2,638 members | ||
2012 United American - Preferred (PDP) | $53.80 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
2011 WellCare Signature (PDP) | $54.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -051 | $0.00 | $40.00 | $81.00 | 33% | 10,708 members | ||
2012 WellCare Signature (PDP) | $60.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $45.00 | $90.00 | tbd members | |||
-- This plan not offered in 2011 -- | S7694 -087 | |||||||||||
2012 EnvisionRxPlus Gold (PDP) | $68.20 | $0 | Some Generics | No | $2.00 | 15% | 15% | 30% | tbd members | |||
2011 CIGNA Medicare Rx Plan Two (PDP) | $60.00 | $0 | Few Generics | No | S5617 -187 | $0.00 | $3.00 | $37.00 | $78.00 | 1,364 members | ||
2012 CIGNA Medicare Rx Plan Two (PDP) | $73.00 | $0 | Few Generics | No | $0.00 | $5.00 | $41.00 | $85.00 | 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 Health Net Orange Option 2 (PDP) | $89.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -039 | $2.00 | $34.00 | $68.00 | 33% | 248 members | ||
2012 Health Net Value Orange Option 2 (PDP) | $77.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | |||
2011 CVS Caremark Plus (PDP) | $76.50 | $0 | Many Generics | No | S5601 -035 | $2.00 | $5.00 | $35.00 | $90.00 | 2,470 members | ||
2012 CVS Caremark Plus (PDP) | $78.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $90.00 | 33% | tbd members | |||
2011 Community CCRx Choice (PDP) | $81.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -154 | $0.00 | $35.00 | $65.00 | 33% | 4,313 members | ||
2012 Community CCRx Choice (PDP) | $79.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $70.00 | 33% | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $104.40 | $0 | n/a | S5810 -187 | 1,285 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $80.50 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 AARP MedicareRx Enhanced (PDP) | $90.00 | $0 | Some Generics | No | S5921 -083 | $3.50 | $40.00 | $74.00 | 33% | 3,425 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $84.50 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $110.20 | $250 | Many Generics | No | S5660 -187 | $6.00 | $40.00 | $95.00 | 26% | 981 members | ||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $90.70 | $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 MedicareRx Rewards Plus (PDP) | $53.40 | $0 | Some Generics | No | S5960 -150 | $4.00 | $7.00 | $43.00 | $85.00 | 845 members | ||
2012 MedicareRx Rewards Plus (PDP) | $93.10 | $0 | Some Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 Blue MedicareRx Plus (PDP) | $84.70 | $0 | All Generics | No | S5715 -002 | $5.00 | $38.00 | $75.00 | 33% | 30,918 members | ||
2012 Blue MedicareRx Plus (PDP) | $94.90 | $0 | All Generics | No | $5.00 | $38.00 | $75.00 | 33% | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $89.10 | $0 | Some Generics, Some Brands |
No | S5670 -090 | $0.00 | $25.00 | 30% | 58% | 3,959 members | ||
2012 First Health Part D Premier Plus (PDP) | $101.00 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2011 Humana Complete (PDP) | $115.20 | $0 | Many Generics, Some Brands |
No | S5884 -045 | $5.00 | $36.00 | $68.00 | 33% | 2,644 members | ||
2012 Humana Complete (PDP) | $115.20 | $0 | Many Generics, Some Brands |
No | $5.00 | $36.00 | $68.00 | 33% | tbd members | |||
2011 Sterling Rx (PDP) | $38.40 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -028 | $4.00 | $24.00 | $40.00 | 25% | 298 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Aetna Medicare Rx Costco Plus Plan (PDP) | $59.70 | $0 | n/a | S5810 -221 | 2,767 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 Advantage Star Plan by RxAmerica (PDP) | $28.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5644 -192 | $4.75 | 25% | $95.00 | 25% | 17,835 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Health Alliance Medicare Prescription Plan - Enh (PDP) | $86.80 | $0 | Many Generics | No | S4219 -002 | $3.00 | $40.00 | $90.00 | 33% | 362 members | ||
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-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $69.60 | $150 | Many Generics | No | S7694 -051 | $4.00 | 25% | $25.00 | 25% | 193 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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