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 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 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 -- | ||||||||||||
|