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 -108 | $2.00 | $5.00 | 20% | 35% | 11,043 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 | |||
2011 Aetna Medicare Rx Essentials (PDP) | $48.60 | $310 | n/a | S5810 -055 | 443 members | |||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $13.00 | $33.00 | 41% | tbd members | |||
-- This plan not offered in 2011 -- | S5768 -144 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $28.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 25% | 40% | 33% | tbd members | |||
2011 CVS Caremark Value (PDP) | $29.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -042 | $5.00 | $35.75 | $95.00 | 25% | 32,054 members | ||
2012 CVS Caremark Value (PDP) | $29.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.25 | $45.00 | $95.00 | 25% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $33.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -021 | 25% | 25% | 25% | 25% | 2,474 members | ||
2012 EnvisionRxPlus Silver (PDP) | $31.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 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 CIGNA Medicare Rx Plan One (PDP) | $45.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -103 | $3.00 | $26.00 | $71.00 | 25% | 3,938 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $32.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $31.00 | $74.00 | tbd members | |||
2011 Community CCRx Basic (PDP) | $29.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -090 | $2.00 | 30% | 60% | 25% | 48,466 members | ||
2012 Community CCRx Basic (PDP) | $32.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 45% | 25% | tbd members | |||
2011 Sterling Rx (PDP) | $40.30 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -012 | $4.00 | $21.00 | $36.00 | 25% | 823 members | ||
2012 Windsor Rx (PDP) | $32.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $34.00 | $90.00 | 25% | tbd members | |||
2011 HealthSpring Prescription Drug Plan-Reg 21 (PDP) | $34.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -020 | 25% | 25% | 18,150 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 21 (PDP) | $33.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2011 Health Net Orange Option 1 (PDP) | $32.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -048 | $4.00 | $33.00 | $75.00 | 25% | 867 members | ||
2012 Health Net Orange Option 1 (PDP) | $34.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $38.00 | $83.00 | 25% | tbd members | |||
2011 Medco Medicare Prescription Plan - Value (PDP) | $34.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -123 | 25% | 25% | 25% | 25% | 17,695 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $34.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | 25% | 40% | 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 | ||||||
-- This plan not offered in 2011 -- | S5755 -092 | |||||||||||
2012 United American - Select (PDP) | $35.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $7.00 | $45.00 | $95.00 | tbd members | |||
2011 MedicareRx Rewards Standard (PDP) | $33.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5960 -127 | $4.00 | $7.00 | $36.00 | 25% | 16,154 members | ||
2012 MedicareRx Rewards Standard (PDP) | $36.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $7.00 | $29.00 | $90.00 | tbd members | |||
2011 WellCare Classic (PDP) | $33.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -158 | $0.00 | $40.00 | $79.00 | 25% | 7,346 members | ||
2012 WellCare Classic (PDP) | $36.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $40.00 | $91.00 | 25% | tbd members | |||
2011 RxBLUE (PDP) | $56.80 | $170 | No additional gap coverage, only the Donut Hole Discount | No | S5937 -001 | $3.00 | $34.00 | $70.00 | 28% | 14,291 members | ||
2012 RxBLUE BASIC (PDP) | $38.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $46.00 | 25% | tbd members | ||||
2011 Humana Enhanced (PDP) | $50.20 | $0 | Few Generics | No | S5884 -019 | $6.00 | $36.00 | $78.00 | 33% | 19,083 members | ||
2012 Humana Enhanced (PDP) | $43.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | $36.00 | $78.00 | 33% | tbd members | |||
2011 AARP MedicareRx Preferred (PDP) | $40.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -020 | $7.00 | $43.00 | $73.00 | 33% | 40,686 members | ||
2012 AARP MedicareRx Preferred (PDP) | $44.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $36.00 | $94.00 | 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 BravoRx (PDP) | $38.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5998 -026 | 25% | 25% | 25% | 25% | 290 members | ||
2012 BravoRx (PDP) | $45.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | tbd members | ||||
2011 First Health Part D Premier (PDP) | $52.10 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -044 | $7.00 | 21% | 36% | 29% | 6,094 members | ||
2012 First Health Part D Premier (PDP) | $48.30 | $250 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | 21% | 37% | 26% | tbd members | |||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $49.30 | $60 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -024 | $10.00 | $45.00 | $95.00 | 31% | 1,956 members | ||
2012 United American - Preferred (PDP) | $51.40 | $80 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
2011 Health Net Value Orange Option 2 (PDP) | $62.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -047 | $0.00 | $32.00 | $64.00 | 33% | 695 members | ||
2012 Health Net Value Orange Option 2 (PDP) | $64.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | |||
2011 WellCare Signature (PDP) | $60.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -055 | $0.00 | $37.00 | $72.00 | 33% | 3,505 members | ||
2012 WellCare Signature (PDP) | $65.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $45.00 | $85.00 | tbd members | |||
-- This plan not offered in 2011 -- | S7694 -091 | |||||||||||
2012 Rite Aid EnvisionRxPlus (PDP) | $67.50 | $0 | Some Generics | No | $0.00 | 20% | 15% | 30% | 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) | $46.10 | $0 | Some Generics | No | S5960 -153 | $4.00 | $7.00 | $43.00 | $85.00 | 1,124 members | ||
2012 MedicareRx Rewards Plus (PDP) | $70.00 | $0 | Some Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 Community CCRx Choice (PDP) | $85.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -158 | $0.00 | $35.00 | $65.00 | 33% | 3,974 members | ||
2012 Community CCRx Choice (PDP) | $79.40 | $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) | $102.10 | $0 | Some Generics | No | S5921 -333 | $3.50 | $40.00 | $79.00 | 33% | 1,066 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $90.40 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $107.20 | $0 | n/a | S5810 -191 | 826 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $91.30 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
-- This plan not offered in 2011 -- | S5937 -002 | |||||||||||
2012 RxBLUE PLUS (PDP) | $98.20 | $0 | Many Generics | No | $3.00 | $35.00 | $70.00 | 33% | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $92.50 | $0 | Some Generics, Some Brands |
No | S5670 -114 | $0.00 | $25.00 | 30% | 56% | 1,213 members | ||
2012 First Health Part D Premier Plus (PDP) | $102.10 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | 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 Humana Complete (PDP) | $107.60 | $0 | Many Generics, Some Brands |
No | S5884 -049 | $4.00 | $37.00 | $70.00 | 33% | 1,919 members | ||
2012 Humana Complete (PDP) | $107.70 | $0 | Many Generics, Some Brands |
No | $4.00 | $37.00 | $70.00 | 33% | tbd members | |||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $97.30 | $250 | Many Generics | No | S5660 -191 | $6.00 | $40.00 | $95.00 | 26% | 376 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 CVS Caremark Plus (PDP) | $70.20 | $0 | Many Generics | No | S5601 -043 | $2.00 | $5.00 | $35.00 | $90.00 | 682 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Aetna Medicare Rx Plus (PDP) | $65.60 | $0 | n/a | S5810 -225 | 586 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $28.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5644 -196 | $4.75 | 25% | $95.00 | 25% | 11,485 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $57.30 | $150 | Many Generics | No | S7694 -055 | $4.00 | 25% | $25.00 | 25% | 109 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) | $66.10 | $0 | Few Generics | No | S5617 -191 | $0.00 | $3.00 | $31.00 | $78.00 | 819 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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