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 -109 | $2.00 | $5.00 | 20% | 35% | 18,268 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 -147 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $25.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 25% | 39% | 33% | tbd members | |||
2011 Aetna Medicare Rx Essentials (PDP) | $38.30 | $310 | n/a | S5810 -058 | 4,503 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 | $31.00 | 40% | tbd members | |||
2011 BravoRx (PDP) | $35.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -028 | 25% | 25% | 25% | 25% | 733 members | ||
2012 BravoRx (PDP) | $33.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | tbd members | ||||
2011 First Health Part D Premier (PDP) | $33.70 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -047 | $8.00 | 18% | 36% | 29% | 23,928 members | ||
2012 First Health Part D Premier (PDP) | $34.30 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | 18% | 34% | 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) | $35.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -093 | $2.00 | 30% | 64% | 25% | 24,934 members | ||
2012 Community CCRx Basic (PDP) | $34.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 48% | 25% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $37.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -024 | 25% | 25% | 25% | 25% | 246 members | ||
2012 EnvisionRxPlus Silver (PDP) | $35.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 Medco Medicare Prescription Plan - Value (PDP) | $38.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -126 | 25% | 25% | 25% | 25% | 5,395 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $35.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | 25% | 40% | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -095 | |||||||||||
2012 United American - Select (PDP) | $36.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $8.00 | $45.00 | $95.00 | tbd members | |||
2011 HealthSpring Prescription Drug Plan-Reg 24 (PDP) | $37.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -023 | 25% | 25% | 5,256 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 24 (PDP) | $37.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2011 WellCare Classic (PDP) | $36.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -161 | $0.00 | $41.00 | $93.00 | 25% | 2,983 members | ||
2012 WellCare Classic (PDP) | $37.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $41.00 | $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 Health Net Orange Option 1 (PDP) | $39.50 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -054 | $4.00 | $34.00 | $75.00 | 25% | 220 members | ||
2012 Health Net Orange Option 1 (PDP) | $39.40 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $40.00 | $84.00 | 25% | tbd members | |||
2011 Humana Enhanced (PDP) | $45.00 | $50 | Few Generics | No | S5884 -022 | $7.00 | $35.00 | $71.00 | 31% | 30,192 members | ||
2012 Humana Enhanced (PDP) | $40.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $35.00 | $71.00 | 33% | tbd members | |||
2011 Blue MedicareRx Value (PDP) | $41.10 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5726 -013 | $4.00 | $7.00 | $45.00 | 29% | 7,947 members | ||
2012 Blue MedicareRx Value (PDP) | $40.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $33.00 | $85.00 | tbd members | |||
2011 MedicareRx Rewards Standard (PDP) | $37.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5960 -130 | $4.00 | $7.00 | $35.00 | 25% | 3,932 members | ||
2012 MedicareRx Rewards Standard (PDP) | $41.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $31.00 | $90.00 | tbd members | |||
2011 AARP MedicareRx Preferred (PDP) | $35.20 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5820 -023 | $7.00 | $45.00 | $70.00 | 33% | 46,842 members | ||
2012 AARP MedicareRx Preferred (PDP) | $42.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $39.00 | $95.00 | tbd members | |||
2011 CVS Caremark Value (PDP) | $36.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -048 | $5.00 | $38.75 | $95.00 | 25% | 2,833 members | ||
2012 CVS Caremark Value (PDP) | $48.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $5.25 | $45.00 | $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 CIGNA Medicare Rx Plan One (PDP) | $57.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -118 | $3.00 | $26.00 | $80.00 | 25% | 1,024 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $48.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $20.00 | $30.00 | $72.00 | tbd members | |||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $51.60 | $40 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -027 | $10.00 | $45.00 | $95.00 | 32% | 1,198 members | ||
2012 United American - Preferred (PDP) | $53.40 | $60 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
2011 WellCare Signature (PDP) | $57.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -058 | $0.00 | $40.00 | $79.00 | 33% | 7,312 members | ||
2012 WellCare Signature (PDP) | $66.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $45.00 | $85.00 | tbd members | |||
2011 Blue MedicareRx Plus (PDP) | $58.80 | $0 | Some Generics | No | S5726 -014 | $4.00 | $7.00 | $43.00 | $85.00 | 15,560 members | ||
2012 Blue MedicareRx Plus (PDP) | $67.00 | $0 | Some Generics | No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
-- This plan not offered in 2011 -- | S7694 -094 | |||||||||||
2012 EnvisionRxPlus Gold (PDP) | $68.60 | $0 | Some Generics | No | $2.00 | 15% | 15% | 30% | tbd members | |||
2011 Health Net Value Orange Option 2 (PDP) | $77.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -053 | $0.00 | $32.00 | $64.00 | 33% | 390 members | ||
2012 Health Net Value Orange Option 2 (PDP) | $73.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 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 Medco Medicare Prescription Plan - Choice (PDP) | $73.40 | $250 | Many Generics | No | S5660 -194 | $6.00 | $40.00 | $95.00 | 26% | 1,456 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 Aetna Medicare Rx Premier (PDP) | $107.50 | $0 | n/a | S5810 -194 | 410 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $79.40 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 CVS Caremark Plus (PDP) | $80.00 | $0 | Many Generics | No | S5601 -049 | $2.00 | $5.00 | $35.00 | $90.00 | 511 members | ||
2012 CVS Caremark Plus (PDP) | $83.50 | $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) | $94.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -161 | $0.00 | $35.00 | $65.00 | 33% | 1,876 members | ||
2012 Community CCRx Choice (PDP) | $92.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $70.00 | 33% | tbd members | |||
2011 AARP MedicareRx Enhanced (PDP) | $98.80 | $0 | Some Generics | No | S5921 -283 | $4.00 | $40.00 | $74.00 | 33% | 941 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $97.40 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 Humana Complete (PDP) | $101.10 | $0 | Many Generics, Some Brands |
No | S5884 -052 | $5.00 | $37.00 | $74.00 | 33% | 1,740 members | ||
2012 Humana Complete (PDP) | $101.20 | $0 | Many Generics, Some Brands |
No | $5.00 | $37.00 | $74.00 | 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 First Health Part D Premier Plus (PDP) | $96.00 | $0 | Some Generics, Some Brands |
No | S5670 -132 | $0.00 | $25.00 | 30% | 57% | 1,492 members | ||
2012 First Health Part D Premier Plus (PDP) | $107.60 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 41% | tbd members | |||
2011 Blue MedicareRx Premier (PDP) | $105.10 | $0 | Many Generics, Some Brands |
No | S5726 -015 | $6.00 | $43.00 | $85.00 | 33% | 6,730 members | ||
2012 Blue MedicareRx Premier (PDP) | $117.80 | $0 | Many Generics, Some Brands |
No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 Sterling Rx (PDP) | $42.50 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -015 | $4.00 | $21.00 | $37.00 | 25% | 231 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $35.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5644 -198 | $5.00 | 25% | $95.00 | 25% | 1,121 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Aetna Medicare Rx Plus (PDP) | $66.50 | $0 | n/a | S5810 -228 | 1,022 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $61.70 | $150 | Many Generics | No | S7694 -058 | $4.00 | 25% | $25.00 | 25% | 232 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 CIGNA Medicare Rx Plan Two (PDP) | $74.10 | $0 | Few Generics | No | S5617 -194 | $0.00 | $3.00 | $32.00 | $78.00 | 492 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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