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 -103 | $2.00 | $5.00 | 20% | 35% | 16,319 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) | $34.50 | $310 | n/a | S5810 -039 | 6,183 members | |||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $12.00 | $38.00 | 36% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $35.30 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -005 | 25% | 25% | 25% | 25% | 313 members | ||
2012 EnvisionRxPlus Silver (PDP) | $28.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $35.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -214 | $3.00 | $29.00 | $80.00 | 25% | 8,308 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $32.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $32.00 | $81.00 | tbd members | |||
2011 First Health Part D Premier (PDP) | $36.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -008 | $9.00 | 16% | 35% | 29% | 31,494 members | ||
2012 First Health Part D Premier (PDP) | $32.30 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | 20% | 38% | 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) | $30.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -074 | $2.00 | 29% | 60% | 25% | 26,877 members | ||
2012 Community CCRx Basic (PDP) | $32.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 48% | 25% | tbd members | |||
2011 Medco Medicare Prescription Plan - Value (PDP) | $35.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -107 | 25% | 25% | 25% | 25% | 14,679 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $33.00 | $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 -076 | |||||||||||
2012 United American - Select (PDP) | $33.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
2011 CVS Caremark Value (PDP) | $34.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -010 | $5.50 | $45.00 | $95.00 | 25% | 5,629 members | ||
2012 CVS Caremark Value (PDP) | $33.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $9.50 | $45.00 | $95.00 | 25% | tbd members | |||
2011 HealthSpring Prescription Drug Plan -Reg 5 (PDP) | $30.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -034 | 25% | 25% | 13,944 members | ||||
2012 HealthSpring Prescription Drug Plan -Reg 5 (PDP) | $33.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2011 WellCare Classic (PDP) | $33.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -142 | $0.00 | $43.00 | $94.00 | 25% | 17,774 members | ||
2012 WellCare Classic (PDP) | $34.30 | $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 Health Net Orange Option 1 (PDP) | $31.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -016 | $4.00 | $37.00 | $75.00 | 25% | 825 members | ||
2012 Health Net Orange Option 1 (PDP) | $34.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $44.00 | $84.00 | 25% | tbd members | |||
2011 BravoRx (PDP) | $35.50 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5998 -037 | 25% | 25% | 25% | 25% | 990 members | ||
2012 BravoRx (PDP) | $35.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | tbd members | ||||
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