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