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 -136 | $2.00 | $5.00 | 20% | 35% | 31,601 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 -136 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $24.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 25% | 39% | 33% | tbd members | |||
2011 Aetna Medicare Rx Essentials (PDP) | $35.70 | $310 | n/a | S5810 -047 | 20,904 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 | $33.00 | 37% | tbd members | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $36.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -221 | $3.00 | $31.00 | $74.00 | 25% | 17,567 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $30.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $38.00 | $84.00 | tbd members | |||
2011 Community CCRx Basic (PDP) | $32.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -082 | $2.00 | 31% | 56% | 25% | 47,154 members | ||
2012 Community CCRx Basic (PDP) | $33.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 46% | 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 First Health Part D Premier (PDP) | $34.70 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -016 | $8.00 | 17% | 36% | 29% | 75,419 members | ||
2012 First Health Part D Premier (PDP) | $33.10 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | 20% | 37% | 26% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $35.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -070 | 25% | 25% | 25% | 25% | 230 members | ||
2012 EnvisionRxPlus Silver (PDP) | $33.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 CVS Caremark Value (PDP) | $33.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -026 | $5.00 | $43.75 | $95.00 | 25% | 11,007 members | ||
2012 CVS Caremark Value (PDP) | $33.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $7.25 | $45.00 | $95.00 | 25% | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -084 | |||||||||||
2012 United American - Select (PDP) | $34.00 | $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 13 (PDP) | $32.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -012 | 25% | 25% | 25,074 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 13 (PDP) | $34.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2011 Medco Medicare Prescription Plan - Value (PDP) | $36.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -115 | 25% | 25% | 25% | 25% | 4,802 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $35.00 | $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 | ||||||
2011 WellCare Classic (PDP) | $35.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -150 | $0.00 | $44.00 | $94.00 | 25% | 15,116 members | ||
2012 WellCare Classic (PDP) | $35.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $45.00 | $95.00 | 25% | tbd members | |||
2011 BravoRx (PDP) | $34.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -009 | 25% | 25% | 25% | 25% | 22,672 members | ||
2012 BravoRx (PDP) | $36.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | tbd members | ||||
2011 Health Net Orange Option 1 (PDP) | $34.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -032 | $4.00 | $41.00 | $75.00 | 25% | 885 members | ||
2012 Health Net Orange Option 1 (PDP) | $36.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $44.00 | $87.00 | 25% | tbd members | |||
2011 AARP MedicareRx Preferred (PDP) | $31.70 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5820 -012 | $8.00 | $44.00 | $94.00 | 33% | 147,260 members | ||
2012 AARP MedicareRx Preferred (PDP) | $37.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $9.00 | $44.00 | $95.00 | tbd members | |||
2011 Humana Enhanced (PDP) | $45.50 | $50 | Few Generics | No | S5884 -071 | $7.00 | $39.00 | $73.00 | 31% | 45,057 members | ||
2012 Humana Enhanced (PDP) | $37.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $39.00 | $73.00 | 33% | tbd members | |||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $40.00 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -016 | $10.00 | $45.00 | $95.00 | 30% | 3,793 members | ||
2012 United American - Preferred (PDP) | $41.80 | $130 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $9.00 | $45.00 | $95.00 | 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 MedicareRx Rewards Standard (PDP) | $44.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -119 | $4.00 | $7.00 | $38.00 | 25% | 3,541 members | ||
2012 MedicareRx Rewards Standard (PDP) | $49.40 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $43.00 | $90.00 | tbd members | |||
2011 PriorityMedicare Rx (PDP) | $50.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5857 -001 | $9.00 | $45.00 | $95.00 | 33% | 3,171 members | ||
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2012 PriorityMedicare Rx (PDP) | $52.10 | $205 | No additional gap coverage, only the Donut Hole Discount | No | $9.00 | $45.00 | $95.00 | 27% | tbd members | |||
2011 WellCare Signature (PDP) | $54.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -047 | $0.00 | $40.00 | $92.00 | 33% | 13,658 members | ||
2012 WellCare Signature (PDP) | $58.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $45.00 | $95.00 | tbd members | |||
2011 Alliance Medicare RX (PDP) | $57.50 | $110 | No additional gap coverage, only the Donut Hole Discount | No | S3440 -001 | $6.00 | $10.00 | $45.00 | 30% | 1,523 members | ||
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2012 Alliance Medicare RX (PDP) | $59.20 | $175 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $15.00 | $45.00 | 28% | tbd members | |||
2011 Prescription Blue Option A (PDP) | $72.00 | $145 | No additional gap coverage, only the Donut Hole Discount | No | S5584 -001 | $5.00 | $35.00 | $70.00 | 25% | 8,060 members | ||
2012 Prescription Blue Option A (PDP) | $59.60 | $270 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $45.00 | $85.00 | 25% | tbd members | |||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $62.90 | $250 | Many Generics | No | S5660 -183 | $6.00 | $40.00 | $95.00 | 26% | 7,807 members | ||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $59.90 | $150 | Many Generics | No | $6.00 | $12.00 | $45.00 | $95.00 | 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 CIGNA Medicare Rx Plan Two (PDP) | $61.20 | $0 | Few Generics | No | S5617 -183 | $0.00 | $3.00 | $36.00 | $78.00 | 1,771 members | ||
2012 CIGNA Medicare Rx Plan Two (PDP) | $61.00 | $0 | Few Generics | No | $0.00 | $5.00 | $41.00 | $85.00 | tbd members | |||
2011 Health Net Value Orange Option 2 (PDP) | $68.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -031 | $0.00 | $32.00 | $64.00 | 33% | 1,144 members | ||
2012 Health Net Value Orange Option 2 (PDP) | $61.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $105.60 | $0 | n/a | S5810 -183 | 774 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $68.50 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 EnvisionRxPlus Gold (PDP) | $72.50 | $150 | Many Generics | No | S7694 -071 | $4.00 | 25% | $25.00 | 25% | 46 members | ||
2012 Rite Aid EnvisionRxPlus (PDP) | $72.50 | $0 | Some Generics | No | $0.00 | 20% | 15% | 30% | tbd members | |||
2011 CVS Caremark Plus (PDP) | $68.80 | $0 | Many Generics | No | S5601 -027 | $2.00 | $5.00 | $35.00 | $90.00 | 3,631 members | ||
2012 CVS Caremark Plus (PDP) | $78.60 | $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) | $81.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -150 | $0.00 | $35.00 | $65.00 | 33% | 3,045 members | ||
2012 Community CCRx Choice (PDP) | $82.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $70.00 | 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 AARP MedicareRx Enhanced (PDP) | $82.40 | $0 | Some Generics | No | S5921 -163 | $5.00 | $40.00 | $80.00 | 33% | 3,043 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $84.00 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 Prescription Blue Option B (PDP) | $88.00 | $0 | Many Generics | No | S5584 -002 | $4.00 | $35.00 | $70.00 | 25% | 44,394 members | ||
2012 Prescription Blue Option B (PDP) | $85.90 | $0 | Many Generics | No | $4.00 | $45.00 | $85.00 | 25% | tbd members | |||
2011 MedicareRx Rewards Plus (PDP) | $49.50 | $0 | Some Generics | No | S5960 -149 | $4.00 | $7.00 | $43.00 | $85.00 | 1,586 members | ||
2012 MedicareRx Rewards Plus (PDP) | $91.40 | $0 | Some Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $89.20 | $0 | Some Generics, Some Brands |
No | S5670 -072 | $0.00 | $25.00 | 30% | 56% | 4,758 members | ||
2012 First Health Part D Premier Plus (PDP) | $94.80 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 41% | tbd members | |||
2011 Humana Complete (PDP) | $111.80 | $0 | Many Generics, Some Brands |
No | S5884 -041 | $6.00 | $39.00 | $70.00 | 33% | 2,641 members | ||
2012 Humana Complete (PDP) | $111.90 | $0 | Many Generics, Some Brands |
No | $6.00 | $39.00 | $70.00 | 33% | tbd members | |||
2011 Sterling Rx (PDP) | $48.20 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -025 | $4.00 | $21.00 | $37.00 | 25% | 97 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 Advantage Star Plan by RxAmerica (PDP) | $35.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5644 -078 | $5.00 | 25% | $95.00 | 25% | 3,407 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Aetna Medicare Rx Costco Plus Plan (PDP) | $58.00 | $0 | n/a | S5810 -217 | 3,911 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
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