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 -131 | $2.00 | $5.00 | 20% | 35% | 21,862 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) | $53.20 | $310 | n/a | S5810 -038 | 1,225 members | |||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $17.00 | $40.00 | 37% | tbd members | |||
-- This plan not offered in 2011 -- | S5768 -127 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $27.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 26% | 40% | 33% | tbd members | |||
2011 First Health Part D Premier (PDP) | $43.60 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -007 | $7.00 | 19% | 39% | 29% | 19,224 members | ||
2012 First Health Part D Premier (PDP) | $33.90 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $7.00 | 18% | 33% | 26% | tbd members | |||
2011 CVS Caremark Value (PDP) | $34.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -008 | $5.25 | $45.00 | $95.00 | 25% | 79,011 members | ||
2012 CVS Caremark Value (PDP) | $34.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $8.75 | $45.00 | $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 Medco Medicare Prescription Plan - Value (PDP) | $37.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -106 | 25% | 25% | 25% | 25% | 30,080 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $34.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | 25% | 40% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $34.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -004 | 25% | 25% | 25% | 25% | 15,947 members | ||
2012 EnvisionRxPlus Silver (PDP) | $34.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -075 | |||||||||||
2012 United American - Select (PDP) | $34.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
2011 BravoRx (PDP) | $39.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5998 -003 | 25% | 25% | 25% | 25% | 179 members | ||
2012 BravoRx (PDP) | $37.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | tbd members | ||||
2011 WellCare Classic (PDP) | $45.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -141 | $0.00 | $41.00 | $94.00 | 25% | 1,987 members | ||
2012 WellCare Classic (PDP) | $37.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $45.00 | $95.00 | 33% | tbd members | |||
2011 AARP MedicareRx Preferred (PDP) | $34.50 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5820 -003 | $7.00 | $45.00 | $74.00 | 33% | 249,627 members | ||
2012 AARP MedicareRx Preferred (PDP) | $38.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $42.00 | $93.00 | 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 Humana Enhanced (PDP) | $40.20 | $100 | Few Generics | No | S5884 -062 | $7.00 | $34.00 | $83.00 | 30% | 36,157 members | ||
2012 Humana Enhanced (PDP) | $39.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $34.00 | $83.00 | 33% | tbd members | |||
2011 Community CCRx Basic (PDP) | $42.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -073 | $2.00 | 30% | 62% | 25% | 1,875 members | ||
2012 Community CCRx Basic (PDP) | $42.40 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | 25% | 46% | 25% | tbd members | |||
2011 HealthSpring Prescription Drug Plan -Reg 4 (PDP) | $47.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5932 -005 | 25% | 25% | 1,015 members | ||||
2012 HealthSpring Prescription Drug Plan -Reg 4 (PDP) | $43.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | tbd members | |||||
2011 CIGNA Medicare Rx Plan One (PDP) | $38.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -018 | $3.00 | $28.00 | $75.00 | 25% | 4,348 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $44.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $20.00 | $35.00 | $82.00 | tbd members | |||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $47.20 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -007 | $10.00 | $45.00 | $95.00 | 30% | 2,616 members | ||
2012 United American - Preferred (PDP) | $48.90 | $130 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
2011 Horizon Medicare Blue Rx Standard (PDP) | $45.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5993 -001 | $9.00 | $38.00 | $76.00 | 25% | 8,290 members | ||
2012 Horizon Medicare Blue Rx Standard (PDP) | $50.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $39.00 | $78.00 | 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) | $40.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -005 | $4.00 | $34.00 | $75.00 | 25% | 1,147 members | ||
2012 Health Net Orange Option 1 (PDP) | $56.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $45.00 | $82.00 | 25% | tbd members | |||
2011 MedicareRx Rewards Standard (PDP) | $53.20 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -110 | $4.00 | $7.00 | $43.00 | 25% | 1,797 members | ||
2012 MedicareRx Rewards Standard (PDP) | $58.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $36.00 | $80.00 | tbd members | |||
-- This plan not offered in 2011 -- | S7694 -075 | |||||||||||
2012 Rite Aid EnvisionRxPlus (PDP) | $65.10 | $0 | Some Generics | No | $0.00 | 20% | 15% | 30% | tbd members | |||
2011 WellCare Signature (PDP) | $56.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -038 | $0.00 | $40.00 | $80.00 | 33% | 4,297 members | ||
2012 WellCare Signature (PDP) | $67.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $0.00 | $40.00 | $70.00 | tbd members | |||
2011 CVS Caremark Plus (PDP) | $67.70 | $0 | Many Generics | No | S5601 -009 | $2.00 | $5.00 | $35.00 | $90.00 | 2,965 members | ||
2012 CVS Caremark Plus (PDP) | $75.00 | $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) | $77.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -141 | $0.00 | $35.00 | $65.00 | 33% | 1,213 members | ||
2012 Community CCRx Choice (PDP) | $80.00 | $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 Horizon Medicare Blue Rx Enhanced (PDP) | $82.10 | $0 | Many Generics | No | S5993 -003 | $8.00 | $36.00 | $72.00 | 33% | 21,289 members | ||
2012 Horizon Medicare Blue Rx Enhanced (PDP) | $88.30 | $0 | Many Generics | No | $7.00 | $37.00 | $74.00 | 33% | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $101.10 | $0 | n/a | S5810 -174 | 864 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $89.90 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 AARP MedicareRx Enhanced (PDP) | $94.30 | $0 | Some Generics | No | S5921 -293 | $4.00 | $40.00 | $79.00 | 33% | 5,607 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $90.10 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $81.60 | $0 | Some Generics, Some Brands |
No | S5674 -017 | $0.00 | $25.00 | 30% | 58% | 2,505 members | ||
2012 First Health Part D Premier Plus (PDP) | $92.60 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2011 Health Net Orange Option 2 (PDP) | $86.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -011 | $2.00 | $34.00 | $68.00 | 33% | 548 members | ||
2012 Health Net Value Orange Option 2 (PDP) | $96.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | |||
2011 MedicareRx Rewards Plus (PDP) | $55.50 | $0 | Some Generics | No | S5960 -142 | $4.00 | $7.00 | $43.00 | $85.00 | 683 members | ||
2012 MedicareRx Rewards Plus (PDP) | $99.60 | $0 | Some Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | 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 Humana Complete (PDP) | $112.80 | $0 | Many Generics, Some Brands |
No | S5884 -032 | $6.00 | $40.00 | $74.00 | 33% | 1,664 members | ||
2012 Humana Complete (PDP) | $112.90 | $0 | Many Generics, Some Brands |
No | $6.00 | $40.00 | $71.00 | 33% | tbd members | |||
2011 CIGNA Medicare Rx Plan Two (PDP) | $86.90 | $0 | Few Generics | No | S5617 -174 | $0.00 | $3.00 | $33.00 | $78.00 | 223 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $100.30 | $250 | Many Generics | No | S5660 -174 | $6.00 | $40.00 | $95.00 | 26% | 652 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $33.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5644 -005 | $5.50 | 25% | $95.00 | 25% | 28,753 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Aetna Medicare Rx Plus (PDP) | $66.20 | $0 | n/a | S5810 -208 | 1,066 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $73.00 | $150 | Many Generics | No | S7694 -038 | $4.00 | 25% | $25.00 | 25% | 166 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 Sterling Rx (PDP) | $44.20 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -001 | $4.00 | $24.00 | $38.00 | 25% | 185 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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