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 Blue Medicare Rx Standard (PDP) | $68.30 | $120 | No additional gap coverage, only the Donut Hole Discount | No | S5540 -002 | $10.00 | $45.00 | $95.00 | 30% | 10,074 members | ||
2012 Blue Medicare Rx Standard (PDP) | $66.10 | $50 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $25.00 | $45.00 | $95.00 | tbd members | |||
2011 Blue Medicare Rx Enhanced (PDP) | $100.50 | $0 | Many Generics | No | S5540 -004 | $7.00 | $35.00 | $75.00 | 33% | 44,056 members | ||
2012 Blue Medicare Rx Enhanced (PDP) | $92.50 | $0 | Many Generics | No | $7.00 | $25.00 | $35.00 | $75.00 | tbd members | |||
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