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 -142 | $2.00 | $5.00 | 20% | 35% | 11,437 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) | $33.60 | $310 | n/a | S5810 -054 | 10,748 members | |||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $7.00 | $27.00 | 43% | tbd members | |||
-- This plan not offered in 2011 -- | S5768 -143 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $26.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 26% | 40% | 33% | tbd members | |||
2011 Health Net Orange Option 1 (PDP) | $32.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -046 | $4.00 | $31.00 | $75.00 | 25% | 4,789 members | ||
2012 Health Net Orange Option 1 (PDP) | $29.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $40.00 | $84.00 | 25% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $33.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -020 | 25% | 25% | 25% | 25% | 117 members | ||
2012 EnvisionRxPlus Silver (PDP) | $30.40 | $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 Windsor Rx (PDP) | $31.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S2505 -005 | $3.00 | $35.00 | $70.00 | 25% | 10,761 members | ||
2012 Windsor Rx (PDP) | $30.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $41.00 | $80.00 | 25% | tbd members | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $32.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -226 | $3.00 | $30.00 | $76.00 | 25% | 20,323 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $30.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $30.00 | $83.00 | tbd members | |||
2011 Community CCRx Basic (PDP) | $30.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -089 | $2.00 | 30% | 65% | 25% | 35,273 members | ||
2012 Community CCRx Basic (PDP) | $31.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 48% | 25% | tbd members | |||
2011 CVS Caremark Value (PDP) | $32.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -040 | $5.00 | $34.00 | $95.00 | 25% | 4,137 members | ||
2012 CVS Caremark Value (PDP) | $31.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.50 | $45.00 | $95.00 | 25% | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -091 | |||||||||||
2012 United American - Select (PDP) | $32.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $7.00 | $45.00 | $95.00 | tbd members | |||
2011 BravoRx (PDP) | $31.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -025 | 25% | 25% | 25% | 25% | 1,478 members | ||
2012 BravoRx (PDP) | $33.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 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 HealthSpring Prescription Drug Plan-Reg 20 (PDP) | $33.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -019 | 25% | 25% | 16,484 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 20 (PDP) | $33.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2011 MedicareRx Rewards Standard (PDP) | $32.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5960 -126 | $4.00 | $7.00 | $33.00 | 25% | 9,708 members | ||
2012 MedicareRx Rewards Standard (PDP) | $34.50 | $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) | $32.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -157 | $0.00 | $40.00 | $90.00 | 25% | 6,887 members | ||
2012 WellCare Classic (PDP) | $35.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $39.00 | $90.00 | 25% | tbd members | |||
2011 AARP MedicareRx Preferred (PDP) | $31.30 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5820 -019 | $7.00 | $44.00 | $76.00 | 33% | 72,445 members | ||
2012 AARP MedicareRx Preferred (PDP) | $38.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $38.00 | $92.00 | tbd members | |||
2011 Medco Medicare Prescription Plan - Value (PDP) | $33.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -122 | 25% | 25% | 25% | 25% | 2,233 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $41.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | 25% | 40% | tbd members | |||
2011 Humana Enhanced (PDP) | $46.90 | $50 | Few Generics | No | S5884 -078 | $7.00 | $34.00 | $70.00 | 31% | 37,065 members | ||
2012 Humana Enhanced (PDP) | $45.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $34.00 | $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 First Health Part D Premier (PDP) | $42.80 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -120 | $10.00 | 17% | 34% | 29% | 8,909 members | ||
2012 First Health Part D Premier (PDP) | $46.40 | $250 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | 19% | 36% | 26% | tbd members | |||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $51.60 | $60 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -023 | $10.00 | $45.00 | $95.00 | 31% | 1,854 members | ||
2012 United American - Preferred (PDP) | $53.60 | $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) | $70.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -045 | $0.00 | $32.00 | $64.00 | 33% | 412 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 | |||
-- This plan not offered in 2011 -- | S7694 -090 | |||||||||||
2012 Rite Aid EnvisionRxPlus (PDP) | $65.30 | $0 | Some Generics | No | $0.00 | 20% | 15% | 30% | tbd members | |||
2011 CVS Caremark Plus (PDP) | $45.40 | $0 | Many Generics | No | S5601 -041 | $2.00 | $5.00 | $35.00 | $90.00 | 4,890 members | ||
2012 CVS Caremark Plus (PDP) | $68.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $90.00 | 33% | tbd members | |||
2011 WellCare Signature (PDP) | $62.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -054 | $0.00 | $40.00 | $73.00 | 33% | 3,126 members | ||
2012 WellCare Signature (PDP) | $71.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $45.00 | $85.00 | 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 Medco Medicare Prescription Plan - Choice (PDP) | $63.30 | $250 | Many Generics | No | S5660 -190 | $6.00 | $40.00 | $95.00 | 26% | 1,806 members | ||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $72.70 | $150 | Many Generics | No | $6.00 | $12.00 | $45.00 | $95.00 | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $101.50 | $0 | n/a | S5810 -190 | 669 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $74.60 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 MedicareRx Rewards Plus (PDP) | $39.40 | $0 | Some Generics | No | S5960 -152 | $4.00 | $7.00 | $43.00 | $85.00 | 2,065 members | ||
2012 MedicareRx Rewards Plus (PDP) | $76.40 | $0 | Some Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 Community CCRx Choice (PDP) | $89.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -157 | $0.00 | $35.00 | $65.00 | 33% | 5,237 members | ||
2012 Community CCRx Choice (PDP) | $82.20 | $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) | $88.40 | $0 | Some Generics | No | S5921 -323 | $4.00 | $40.00 | $76.00 | 33% | 1,725 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $84.50 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $97.80 | $0 | Some Generics, Some Brands |
No | S5670 -108 | $0.00 | $25.00 | 30% | 59% | 1,483 members | ||
2012 First Health Part D Premier Plus (PDP) | $106.90 | $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) | $108.90 | $0 | Many Generics, Some Brands |
No | S5884 -048 | $5.00 | $37.00 | $69.00 | 33% | 2,974 members | ||
2012 Humana Complete (PDP) | $109.00 | $0 | Many Generics, Some Brands |
No | $5.00 | $37.00 | $69.00 | 33% | tbd members | |||
2011 Sterling Rx (PDP) | $46.00 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -029 | $4.00 | $20.00 | $35.00 | 25% | 123 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $28.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5644 -195 | $4.25 | 25% | $95.00 | 25% | 1,392 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $64.50 | $150 | Many Generics | No | S7694 -054 | $4.00 | 25% | $25.00 | 25% | 83 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Aetna Medicare Rx Plus (PDP) | $60.60 | $0 | n/a | S5810 -224 | 1,916 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $74.60 | $0 | Few Generics | No | S5617 -190 | $0.00 | $3.00 | $35.00 | $78.00 | 376 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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