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 -144 | $2.00 | $5.00 | 20% | 35% | 17,273 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) | $33.30 | $310 | n/a | S5810 -057 | 2,977 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 | $34.00 | 38% | tbd members | |||
-- This plan not offered in 2011 -- | S5768 -146 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $27.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 25% | 40% | 33% | tbd members | |||
2011 CVS Caremark Value (PDP) | $32.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -046 | $5.00 | $41.75 | $95.00 | 25% | 5,066 members | ||
2012 CVS Caremark Value (PDP) | $28.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $45.00 | $95.00 | 25% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $34.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -023 | 25% | 25% | 25% | 25% | 180 members | ||
2012 EnvisionRxPlus Silver (PDP) | $29.70 | $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 Sterling Rx (PDP) | $41.40 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -014 | $4.00 | $22.00 | $37.00 | 25% | 531 members | ||
2012 Windsor Rx (PDP) | $29.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $38.00 | $90.00 | 25% | tbd members | |||
2011 Community CCRx Basic (PDP) | $32.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -092 | $2.00 | 31% | 62% | 25% | 39,287 members | ||
2012 Community CCRx Basic (PDP) | $31.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 46% | 25% | tbd members | |||
2011 Medco Medicare Prescription Plan - Value (PDP) | $34.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -125 | 25% | 25% | 25% | 25% | 12,989 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $31.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | 25% | 40% | tbd members | |||
2011 HealthSpring Prescription Drug Plan-Reg 23 (PDP) | $30.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -022 | 25% | 25% | 13,786 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 23 (PDP) | $31.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
-- This plan not offered in 2011 -- | S5755 -094 | |||||||||||
2012 United American - Select (PDP) | $32.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $8.00 | $45.00 | $95.00 | tbd members | |||
2011 BravoRx (PDP) | $33.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -027 | 25% | 25% | 25% | 25% | 2,887 members | ||
2012 BravoRx (PDP) | $33.00 | $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 Health Net Orange Option 1 (PDP) | $34.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -052 | $4.00 | $36.00 | $75.00 | 25% | 1,942 members | ||
2012 Health Net Orange Option 1 (PDP) | $34.30 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $45.00 | $95.00 | 25% | tbd members | |||
2011 WellCare Classic (PDP) | $34.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -160 | $0.00 | $43.00 | $93.00 | 25% | 4,146 members | ||
2012 WellCare Classic (PDP) | $34.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $43.00 | $93.00 | 25% | tbd members | |||
2011 Humana Enhanced (PDP) | $45.00 | $0 | Few Generics | No | S5884 -021 | $7.00 | $37.00 | $73.00 | 33% | 20,060 members | ||
2012 Humana Enhanced (PDP) | $38.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $37.00 | $73.00 | 33% | tbd members | |||
2011 First Health Part D Premier (PDP) | $42.80 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -046 | $8.00 | 18% | 36% | 29% | 9,269 members | ||
2012 First Health Part D Premier (PDP) | $42.00 | $250 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | 20% | 38% | 26% | tbd members | |||
2011 Blue MedicareRx Value (PDP) | $43.90 | $125 | No additional gap coverage, only the Donut Hole Discount | No | S5715 -010 | $9.00 | $38.00 | $84.00 | 29% | 28,222 members | ||
2012 Blue MedicareRx Value (PDP) | $43.20 | $125 | No additional gap coverage, only the Donut Hole Discount | No | $9.00 | $39.00 | $89.00 | 29% | tbd members | |||
2011 MedicareRx Rewards Standard (PDP) | $39.50 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -129 | $4.00 | $7.00 | $36.00 | 25% | 1,785 members | ||
2012 MedicareRx Rewards Standard (PDP) | $44.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $35.00 | $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 CIGNA Medicare Rx Plan One (PDP) | $52.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -113 | $3.00 | $28.00 | $85.00 | 25% | 1,005 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $46.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $20.00 | $30.00 | $83.00 | tbd members | |||
2011 AARP MedicareRx Preferred (PDP) | $41.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -022 | $7.00 | $45.00 | $76.00 | 33% | 37,793 members | ||
2012 AARP MedicareRx Preferred (PDP) | $47.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $38.00 | $95.00 | tbd members | |||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $55.40 | $60 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -026 | $10.00 | $45.00 | $95.00 | 31% | 1,178 members | ||
2012 United American - Preferred (PDP) | $57.40 | $80 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
2011 WellCare Signature (PDP) | $59.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -057 | $0.00 | $40.00 | $87.00 | 33% | 2,980 members | ||
2012 WellCare Signature (PDP) | $69.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $45.00 | $90.00 | tbd members | |||
2011 Health Net Value Orange Option 2 (PDP) | $81.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -051 | $0.00 | $32.00 | $64.00 | 33% | 378 members | ||
2012 Health Net Value Orange Option 2 (PDP) | $73.70 | $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 -093 | |||||||||||
2012 EnvisionRxPlus Gold (PDP) | $75.10 | $0 | Some Generics | No | $2.00 | 15% | 15% | 30% | 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 MedicareRx Rewards Plus (PDP) | $45.90 | $0 | Some Generics | No | S5960 -155 | $4.00 | $7.00 | $43.00 | $85.00 | 1,365 members | ||
2012 MedicareRx Rewards Plus (PDP) | $81.40 | $0 | Some Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $106.60 | $0 | n/a | S5810 -193 | 936 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $83.70 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 Community CCRx Choice (PDP) | $90.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -160 | $0.00 | $35.00 | $65.00 | 33% | 4,230 members | ||
2012 Community CCRx Choice (PDP) | $87.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $70.00 | 33% | tbd members | |||
2011 Blue MedicareRx Plus (PDP) | $85.40 | $0 | All Generics | No | S5715 -011 | $5.00 | $38.00 | $75.00 | 33% | 7,686 members | ||
2012 Blue MedicareRx Plus (PDP) | $92.60 | $0 | All Generics | No | $5.00 | $38.00 | $75.00 | 33% | tbd members | |||
2011 AARP MedicareRx Enhanced (PDP) | $101.30 | $0 | Some Generics | No | S5921 -235 | $4.00 | $40.00 | $80.00 | 33% | 1,292 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $94.40 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $101.30 | $0 | Some Generics, Some Brands |
No | S5670 -126 | $0.00 | $25.00 | 30% | 57% | 866 members | ||
2012 First Health Part D Premier Plus (PDP) | $112.40 | $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) | $114.80 | $0 | Many Generics, Some Brands |
No | S5884 -051 | $5.00 | $36.00 | $69.00 | 33% | 936 members | ||
2012 Humana Complete (PDP) | $114.90 | $0 | Many Generics, Some Brands |
No | $5.00 | $36.00 | $69.00 | 33% | tbd members | |||
2011 CVS Caremark Plus (PDP) | $82.60 | $0 | Many Generics | No | S5601 -047 | $2.00 | $5.00 | $35.00 | $90.00 | 324 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $130.30 | $250 | Many Generics | No | S5660 -193 | $6.00 | $40.00 | $95.00 | 26% | 194 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $29.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5644 -197 | $5.25 | 25% | $95.00 | 25% | 20,289 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Aetna Medicare Rx Plus (PDP) | $66.30 | $0 | n/a | S5810 -227 | 1,079 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $57.90 | $150 | Many Generics | No | S7694 -057 | $4.00 | 25% | $25.00 | 25% | 211 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) | $70.30 | $0 | Few Generics | No | S5617 -193 | $0.00 | $3.00 | $34.00 | $78.00 | 434 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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