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 | S5552 -004 | $2.00 | $5.00 | 20% | 35% | 23,684 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) | $58.10 | $310 | n/a | S5810 -037 | 1,676 members | |||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $13.00 | $37.00 | 39% | tbd members | |||
-- This plan not offered in 2011 -- | S5569 -006 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $30.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 26% | 40% | 33% | tbd members | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $33.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -013 | $3.00 | $31.00 | $78.00 | 25% | 102,033 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $34.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $34.00 | $85.00 | tbd members | |||
2011 CVS Caremark Value (PDP) | $33.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -006 | $5.00 | $42.00 | $95.00 | 25% | 79,005 members | ||
2012 CVS Caremark Value (PDP) | $35.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $8.00 | $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 EnvisionRxPlus Silver (PDP) | $34.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -003 | 25% | 25% | 25% | 25% | 26,111 members | ||
2012 EnvisionRxPlus Silver (PDP) | $36.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 Medco Medicare Prescription Plan - Value (PDP) | $34.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5983 -004 | 25% | 25% | 25% | 25% | 64,418 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $36.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | 25% | 40% | tbd members | |||
2011 Community CCRx Basic (PDP) | $30.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5825 -045 | $2.00 | 31% | 59% | 25% | 109,734 members | ||
2012 Community CCRx Basic (PDP) | $37.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 46% | 25% | tbd members | |||
-- This plan not offered in 2011 -- | S5580 -006 | |||||||||||
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2012 First United American - Select (PDP) | $37.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
2011 WellCare Classic (PDP) | $33.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -140 | $0.00 | $41.00 | $90.00 | 25% | 29,564 members | ||
2012 WellCare Classic (PDP) | $39.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $44.00 | $95.00 | 33% | tbd members | |||
2011 HealthSpring Prescription Drug Plan -Reg 3 (PDP) | $35.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -004 | 25% | 25% | 11,451 members | ||||
2012 HealthSpring Prescription Drug Plan -Reg 3 (PDP) | $39.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 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 AARP MedicareRx Preferred (PDP) | $38.60 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5805 -001 | $7.00 | $45.00 | $82.00 | 33% | 237,445 members | ||
2012 AARP MedicareRx Preferred (PDP) | $40.30 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | $42.00 | $91.00 | tbd members | |||
2011 BravoRx (PDP) | $36.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -001 | 25% | 25% | 25% | 25% | 56,434 members | ||
2012 BravoRx (PDP) | $40.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | tbd members | ||||
2011 GHI Medicare Prescription Drug Plan (PDP) | $55.50 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5966 -001 | $4.00 | 25% | 30% | 25% | 17,790 members | ||
2012 GHI Medicare Prescription Drug Plan (PDP) | $44.50 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | 25% | 30% | 25% | tbd members | |||
2011 Humana Enhanced (PDP) | $45.50 | $0 | Few Generics | No | S5552 -003 | $8.00 | $44.00 | 34% | 30,367 members | |||
2012 Humana Enhanced (PDP) | $44.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $40.00 | $74.00 | 33% | tbd members | |||
2011 MedicareRx Rewards Standard (PDP) | $44.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -109 | $4.00 | $7.00 | $44.00 | 25% | 8,262 members | ||
2012 MedicareRx Rewards Standard (PDP) | $44.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $35.00 | $90.00 | tbd members | |||
2011 First Health Part D Premier (PDP) | $48.10 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5569 -003 | $8.00 | 20% | 36% | 29% | 12,243 members | ||
2012 First Health Part D Premier (PDP) | $46.80 | $250 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | 20% | 35% | 26% | 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 Simply Prescriptions Rx 1 (PDP) | $45.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S3521 -001 | 25% | 25% | 4,971 members | ||||
2012 Simply Prescriptions Rx 1 (PDP) | $50.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | tbd members | |||||
2011 First UA Medicare Part D Prescription Drug (PDP) | $49.80 | $110 | No additional gap coverage, only the Donut Hole Discount | No | S5580 -003 | $10.00 | $45.00 | $95.00 | 30% | 6,329 members | ||
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2012 First United American - Preferred (PDP) | $51.50 | $140 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
-- This plan not offered in 2011 -- | S7694 -074 | |||||||||||
2012 Rite Aid EnvisionRxPlus (PDP) | $65.50 | $0 | Some Generics | No | $0.00 | 20% | 15% | 30% | tbd members | |||
2011 WellCare Signature (PDP) | $58.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -037 | $0.00 | $40.00 | $76.00 | 33% | 6,489 members | ||
2012 WellCare Signature (PDP) | $65.90 | $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) | $55.50 | $0 | Many Generics | No | S5601 -007 | $2.00 | $5.00 | $35.00 | $90.00 | 6,975 members | ||
2012 CVS Caremark Plus (PDP) | $70.20 | $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) | $74.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5825 -017 | $0.00 | $35.00 | $65.00 | 33% | 4,079 members | ||
2012 Community CCRx Choice (PDP) | $79.00 | $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 AARP MedicareRx Enhanced (PDP) | $92.70 | $0 | Some Generics | No | S5921 -213 | $4.50 | $40.00 | $77.00 | 33% | 6,915 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $89.70 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 MedicareRx Rewards Plus (PDP) | $64.60 | $0 | Some Generics | No | S5960 -141 | $4.00 | $7.00 | $43.00 | $85.00 | 586 members | ||
2012 MedicareRx Rewards Plus (PDP) | $94.20 | $0 | Some Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $103.80 | $0 | n/a | S5810 -239 | < 10 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $95.20 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $86.70 | $0 | Some Generics, Some Brands |
No | S0197 -005 | $0.00 | $25.00 | 33% | 53% | 1,098 members | ||
2012 First Health Part D Premier Plus (PDP) | $99.00 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2011 Humana Complete (PDP) | $107.80 | $0 | Many Generics, Some Brands |
No | S5552 -002 | $7.00 | $44.00 | $75.00 | 33% | 1,874 members | ||
2012 Humana Complete (PDP) | $107.90 | $0 | Many Generics, Some Brands |
No | $6.00 | $42.00 | $74.00 | 33% | tbd members | |||
2011 Simply Prescriptions Rx 3 (PDP) | $76.90 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S3521 -003 | $5.00 | $25.00 | $65.00 | 25% | 3,428 members | ||
2012 Simply Prescriptions Rx 3 (PDP) | $109.70 | $300 | Many Generics | No | $5.00 | $45.00 | $95.00 | 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 Sterling Rx (PDP) | $54.50 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -024 | $4.00 | $21.00 | $38.00 | 25% | 68 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $31.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5644 -004 | $5.75 | 25% | $95.00 | 25% | 55,312 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 SmartHealth Rx PDP (PDP) | $44.70 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S5585 -001 | $6.75 | $40.00 | 40% | 25% | 277 members | ||
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-- This plan not offered in 2012 -- | ||||||||||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $98.00 | $250 | Many Generics | No | S5983 -005 | $6.00 | $40.00 | $95.00 | 26% | 704 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Aetna Medicare Rx Costco Plus Plan (PDP) | $58.10 | $0 | n/a | S5810 -207 | 1,276 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $66.90 | $150 | Many Generics | No | S7694 -037 | $4.00 | 25% | $25.00 | 25% | 228 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 CIGNA Medicare Rx Plan Two (PDP) | $71.20 | $0 | Few Generics | No | S5617 -173 | $0.00 | $3.00 | $36.00 | $78.00 | 505 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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