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 -140 | $2.00 | $5.00 | 20% | 35% | 38,045 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) | $38.70 | $310 | n/a | S5810 -052 | 2,732 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 | $37.00 | 40% | tbd members | |||
-- This plan not offered in 2011 -- | S5768 -141 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $26.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 25% | 39% | 33% | tbd members | |||
2011 First Health Part D Premier (PDP) | $38.00 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -021 | $8.00 | 14% | 41% | 29% | 32,413 members | ||
2012 First Health Part D Premier (PDP) | $29.80 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | 20% | 36% | 26% | tbd members | |||
2011 Community CCRx Basic (PDP) | $32.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -087 | $2.00 | 30% | 55% | 25% | 85,295 members | ||
2012 Community CCRx Basic (PDP) | $30.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 45% | 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) | $36.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -088 | $3.00 | $27.00 | $77.00 | 25% | 7,685 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $31.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $32.00 | $83.00 | tbd members | |||
2011 BravoRx (PDP) | $37.20 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5998 -023 | 25% | 25% | 25% | 25% | 474 members | ||
2012 BravoRx (PDP) | $32.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | tbd members | ||||
2011 CVS Caremark Value (PDP) | $34.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -036 | $5.00 | $35.75 | $95.00 | 25% | 19,630 members | ||
2012 CVS Caremark Value (PDP) | $32.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.75 | $45.00 | $95.00 | 25% | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -089 | |||||||||||
2012 United American - Select (PDP) | $32.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $8.00 | $45.00 | $95.00 | tbd members | |||
2011 HealthSpring Prescription Drug Plan-Reg 18 (PDP) | $39.20 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5932 -017 | 25% | 25% | 2,011 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 18 (PDP) | $33.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2011 WellCare Classic (PDP) | $37.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -155 | $0.00 | $40.00 | $86.00 | 25% | 3,511 members | ||
2012 WellCare Classic (PDP) | $35.30 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $90.00 | 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 Humana Enhanced (PDP) | $44.80 | $50 | Few Generics | No | S5884 -076 | $7.00 | $36.00 | $73.00 | 31% | 40,601 members | ||
2012 Humana Enhanced (PDP) | $36.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $36.00 | $73.00 | 33% | tbd members | |||
2011 Health Net Orange Option 1 (PDP) | $37.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -042 | $4.00 | $35.00 | $75.00 | 25% | 1,430 members | ||
2012 Health Net Orange Option 1 (PDP) | $38.50 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $42.00 | $89.00 | 25% | tbd members | |||
2011 Blue MedicareRx Value (PDP) | $35.80 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5596 -043 | $5.00 | $8.00 | $45.00 | 29% | 6,961 members | ||
2012 Blue MedicareRx Value (PDP) | $39.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $7.00 | $37.00 | $85.00 | tbd members | |||
2011 AARP MedicareRx Preferred (PDP) | $36.20 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5820 -017 | $7.00 | $45.00 | $79.00 | 33% | 120,587 members | ||
2012 AARP MedicareRx Preferred (PDP) | $42.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $40.00 | $95.00 | tbd members | |||
2011 Medco Medicare Prescription Plan - Value (PDP) | $37.20 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -120 | 25% | 25% | 25% | 25% | 3,906 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $46.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | 25% | 40% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $37.50 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -018 | 25% | 25% | 25% | 25% | 595 members | ||
2012 EnvisionRxPlus Silver (PDP) | $50.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | 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 UA Medicare Part D Prescription Drug Cov (PDP) | $52.60 | $50 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -021 | $10.00 | $45.00 | $95.00 | 31% | 1,774 members | ||
2012 United American - Preferred (PDP) | $54.50 | $70 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
2011 WellCare Signature (PDP) | $58.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -052 | $0.00 | $39.00 | $72.00 | 33% | 9,986 members | ||
2012 WellCare Signature (PDP) | $66.50 | $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 -088 | |||||||||||
2012 EnvisionRxPlus Gold (PDP) | $67.40 | $0 | Some Generics | No | $2.00 | 15% | 15% | 30% | tbd members | |||
2011 Blue MedicareRx Plus (PDP) | $60.30 | $0 | Some Generics | No | S5596 -044 | $4.00 | $7.00 | $43.00 | $85.00 | 10,353 members | ||
2012 Blue MedicareRx Plus (PDP) | $68.80 | $0 | Some Generics | No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 CIGNA Medicare Rx Plan Two (PDP) | $68.20 | $0 | Few Generics | No | S5617 -188 | $0.00 | $3.00 | $32.00 | $78.00 | 1,052 members | ||
2012 CIGNA Medicare Rx Plan Two (PDP) | $69.20 | $0 | Few Generics | No | $0.00 | $5.00 | $41.00 | $85.00 | tbd members | |||
2011 Health Net Orange Option 2 (PDP) | $86.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -041 | $2.00 | $34.00 | $68.00 | 33% | 152 members | ||
2012 Health Net Value Orange Option 2 (PDP) | $73.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 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 Aetna Medicare Rx Premier (PDP) | $108.00 | $0 | n/a | S5810 -188 | 769 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $78.00 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 CVS Caremark Plus (PDP) | $68.30 | $0 | Many Generics | No | S5601 -037 | $2.00 | $5.00 | $35.00 | $90.00 | 1,462 members | ||
2012 CVS Caremark Plus (PDP) | $78.00 | $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) | $85.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -155 | $0.00 | $35.00 | $65.00 | 33% | 3,855 members | ||
2012 Community CCRx Choice (PDP) | $83.00 | $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) | $87.60 | $0 | Some Generics | No | S5921 -303 | $4.50 | $40.00 | $74.00 | 33% | 3,001 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $87.50 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $95.10 | $0 | Some Generics, Some Brands |
No | S5670 -096 | $0.00 | $25.00 | 30% | 60% | 3,247 members | ||
2012 First Health Part D Premier Plus (PDP) | $102.80 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 41% | tbd members | |||
2011 Humana Complete (PDP) | $113.30 | $0 | Many Generics, Some Brands |
No | S5884 -046 | $5.00 | $39.00 | $72.00 | 33% | 2,463 members | ||
2012 Humana Complete (PDP) | $113.30 | $0 | Many Generics, Some Brands |
No | $5.00 | $39.00 | $72.00 | 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 Blue MedicareRx Premier (PDP) | $100.40 | $0 | Many Generics, Some Brands |
No | S5596 -045 | $6.00 | $43.00 | $85.00 | 33% | 7,179 members | ||
2012 Blue MedicareRx Premier (PDP) | $114.20 | $0 | Many Generics, Some Brands |
No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 Sterling Rx (PDP) | $37.90 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -010 | $4.00 | $22.00 | $38.00 | 25% | 709 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $36.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5644 -193 | $4.75 | 25% | $95.00 | 25% | 462 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $104.00 | $250 | Many Generics | No | S5660 -188 | $6.00 | $40.00 | $95.00 | 26% | 566 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Aetna Medicare Rx Plus (PDP) | $66.60 | $0 | n/a | S5810 -222 | 1,924 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $66.30 | $150 | Many Generics | No | S7694 -052 | $4.00 | 25% | $25.00 | 25% | 168 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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