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 -113 | $2.00 | $5.00 | 20% | 35% | 39,737 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 | |||
-- This plan not offered in 2011 -- | S5768 -153 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $25.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 25% | 39% | 33% | tbd members | |||
2011 Sterling Rx (PDP) | $40.10 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -020 | $4.00 | $23.00 | $38.00 | 25% | 2,574 members | ||
2012 Windsor Rx (PDP) | $31.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $37.00 | $90.00 | 25% | tbd members | |||
2011 First Health Part D Premier (PDP) | $30.30 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -123 | $7.00 | 18% | 36% | 29% | 54,672 members | ||
2012 First Health Part D Premier (PDP) | $31.20 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | 20% | 37% | 26% | tbd members | |||
2011 CVS Caremark Value (PDP) | $33.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -060 | $5.00 | $39.00 | $95.00 | 25% | 42,212 members | ||
2012 CVS Caremark Value (PDP) | $32.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.25 | $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) | $45.30 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -030 | 25% | 25% | 25% | 25% | 116 members | ||
2012 EnvisionRxPlus Silver (PDP) | $32.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 Community CCRx Basic (PDP) | $33.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -099 | $2.00 | 31% | 59% | 25% | 46,539 members | ||
2012 Community CCRx Basic (PDP) | $33.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 50% | 25% | tbd members | |||
2011 Humana Enhanced (PDP) | $42.90 | $0 | Few Generics | No | S5884 -028 | $7.00 | $40.00 | $70.00 | 33% | 51,367 members | ||
2012 Humana Enhanced (PDP) | $35.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $40.00 | $70.00 | 33% | tbd members | |||
2011 Health Net Orange Option 1 (PDP) | $37.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -006 | $4.00 | $38.00 | $75.00 | 25% | 3,746 members | ||
2012 Health Net Orange Option 1 (PDP) | $35.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $44.00 | $81.00 | 25% | tbd members | |||
2011 HealthSpring Prescription Drug Plan-Reg 30 (PDP) | $30.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -029 | 25% | 25% | 24,340 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 30 (PDP) | $35.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2011 WellCare Classic (PDP) | $34.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -167 | $0.00 | $45.00 | $95.00 | 25% | 11,408 members | ||
2012 WellCare Classic (PDP) | $36.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $44.00 | $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 AARP MedicareRx Preferred (PDP) | $35.10 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5820 -029 | $7.00 | $45.00 | $83.00 | 33% | 156,728 members | ||
2012 AARP MedicareRx Preferred (PDP) | $41.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $40.00 | $95.00 | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -101 | |||||||||||
2012 United American - Select (PDP) | $42.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $8.00 | $45.00 | $95.00 | tbd members | |||
2011 Medco Medicare Prescription Plan - Value (PDP) | $38.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -132 | 25% | 25% | 25% | 25% | 4,739 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $43.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | 25% | 40% | tbd members | |||
2011 MedicareRx Rewards Standard (PDP) | $38.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -136 | $4.00 | $7.00 | $39.00 | 25% | 2,826 members | ||
2012 MedicareRx Rewards Standard (PDP) | $48.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $37.00 | $90.00 | tbd members | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $51.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -148 | $3.00 | $29.00 | $82.00 | 25% | 1,431 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $49.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $20.00 | $34.00 | $81.00 | tbd members | |||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $49.60 | $50 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -033 | $10.00 | $45.00 | $95.00 | 31% | 2,171 members | ||
2012 United American - Preferred (PDP) | $51.30 | $70 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $9.00 | $45.00 | $95.00 | 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 Aetna Medicare Rx Essentials (PDP) | $37.30 | $310 | n/a | S5810 -064 | 2,750 members | |||||||
2012 Aetna Medicare Rx Essentials (PDP) | $52.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $16.00 | $40.00 | 39% | tbd members | |||
-- This plan not offered in 2011 -- | S7694 -100 | |||||||||||
2012 Rite Aid EnvisionRxPlus (PDP) | $66.70 | $0 | Some Generics | No | $0.00 | 20% | 15% | 30% | tbd members | |||
2011 WellCare Signature (PDP) | $61.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -064 | $0.00 | $40.00 | $95.00 | 33% | 3,667 members | ||
2012 WellCare Signature (PDP) | $70.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $45.00 | $95.00 | tbd members | |||
2011 Asuris Medicare Script (PDP) | $76.50 | $130 | No additional gap coverage, only the Donut Hole Discount | No | S5609 -001 | $5.00 | $35.00 | $35.00 | $75.00 | 8,324 members | ||
2012 Asuris Medicare Script Basic (PDP) | $74.50 | $195 | No additional gap coverage, only the Donut Hole Discount | No | $7.50 | $33.00 | $40.00 | $85.00 | tbd members | |||
2011 CVS Caremark Plus (PDP) | $75.60 | $0 | Many Generics | No | S5601 -061 | $2.00 | $5.00 | $35.00 | $90.00 | 1,241 members | ||
2012 CVS Caremark Plus (PDP) | $78.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $90.00 | 33% | tbd members | |||
2011 Health Net Orange Option 2 (PDP) | $79.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -012 | $2.00 | $34.00 | $68.00 | 33% | 1,465 members | ||
2012 Health Net Orange Option 2 (PDP) | $82.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $38.00 | $75.00 | 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 Community CCRx Choice (PDP) | $79.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -167 | $0.00 | $35.00 | $65.00 | 33% | 3,953 members | ||
2012 Community CCRx Choice (PDP) | $83.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $70.00 | 33% | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $112.90 | $0 | n/a | S5810 -200 | 736 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $87.10 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 AARP MedicareRx Enhanced (PDP) | $93.20 | $0 | Some Generics | No | S5921 -023 | $4.50 | $40.00 | $78.00 | 33% | 3,737 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $91.90 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 MedicareRx Rewards Plus (PDP) | $61.70 | $0 | Some Generics | No | S5960 -159 | $4.00 | $7.00 | $43.00 | $85.00 | 350 members | ||
2012 MedicareRx Rewards Plus (PDP) | $92.90 | $0 | Some Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $94.10 | $0 | Some Generics, Some Brands |
No | S5674 -047 | $0.00 | $25.00 | 30% | 55% | 5,017 members | ||
2012 First Health Part D Premier Plus (PDP) | $102.00 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 41% | tbd members | |||
2011 Asuris Medicare Script Enhanced (PDP) | $104.50 | $0 | Many Generics | No | S5609 -002 | $4.00 | $30.00 | $30.00 | $70.00 | 2,130 members | ||
2012 Asuris Medicare Script Enhanced (PDP) | $106.50 | $0 | Many Generics | No | $5.00 | $33.00 | $40.00 | $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 Humana Complete (PDP) | $118.60 | $0 | Many Generics, Some Brands |
No | S5884 -058 | $5.00 | $37.00 | $71.00 | 33% | 2,420 members | ||
2012 Humana Complete (PDP) | $118.70 | $0 | Many Generics, Some Brands |
No | $5.00 | $37.00 | $71.00 | 33% | tbd members | |||
2011 Advantage Star Plan by RxAmerica (PDP) | $48.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5644 -083 | $5.25 | 25% | $95.00 | 25% | 2,320 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $77.00 | $150 | Many Generics | No | S7694 -064 | $4.00 | 25% | $25.00 | 25% | 216 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $108.20 | $250 | Many Generics | No | S5660 -200 | $6.00 | $40.00 | $95.00 | 26% | 686 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Aetna Medicare Rx Costco Plus Plan (PDP) | $61.40 | $0 | n/a | S5810 -234 | 1,664 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $75.10 | $0 | Few Generics | No | S5617 -200 | $0.00 | $3.00 | $34.00 | $78.00 | 527 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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