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 -104 | $2.00 | $5.00 | 20% | 35% | 38,962 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 -129 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $23.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 25% | 40% | 33% | tbd members | |||
2011 Aetna Medicare Rx Essentials (PDP) | $51.30 | $310 | n/a | S5810 -040 | 1,820 members | |||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $21.00 | $35.00 | 40% | tbd members | |||
2011 Community CCRx Basic (PDP) | $26.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -075 | $2.00 | 31% | 61% | 25% | 139,927 members | ||
2012 Community CCRx Basic (PDP) | $28.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 46% | 25% | tbd members | |||
2011 CVS Caremark Value (PDP) | $32.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -012 | $5.00 | $38.75 | $95.00 | 25% | 35,501 members | ||
2012 CVS Caremark Value (PDP) | $30.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $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 CIGNA Medicare Rx Plan One (PDP) | $34.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -215 | $3.00 | $29.00 | $84.00 | 25% | 23,509 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $31.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $31.00 | $82.00 | tbd members | |||
2011 First Health Part D Premier (PDP) | $38.60 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -009 | $8.00 | 17% | 39% | 29% | 41,189 members | ||
2012 First Health Part D Premier (PDP) | $32.70 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | 19% | 35% | 26% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $33.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -006 | 25% | 25% | 25% | 25% | 8,999 members | ||
2012 EnvisionRxPlus Silver (PDP) | $33.10 | $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 | S5660 -108 | 25% | 25% | 25% | 25% | 31,494 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $33.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | 25% | 40% | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -077 | |||||||||||
2012 United American - Select (PDP) | $33.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $7.00 | $45.00 | $95.00 | tbd members | |||
2011 Health Net Orange Option 1 (PDP) | $34.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -018 | $4.00 | $35.00 | $75.00 | 25% | 3,850 members | ||
2012 Health Net Orange Option 1 (PDP) | $34.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $44.00 | $81.00 | 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 WellCare Classic (PDP) | $31.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -143 | $0.00 | $40.00 | $85.00 | 25% | 41,844 members | ||
2012 WellCare Classic (PDP) | $34.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $40.00 | $92.00 | 25% | tbd members | |||
2011 HealthSpring Prescription Drug Plan -Reg 6 (PDP) | $33.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -006 | 25% | 25% | 8,549 members | ||||
2012 HealthSpring Prescription Drug Plan -Reg 6 (PDP) | $35.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2011 AARP MedicareRx Preferred (PDP) | $32.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5820 -005 | $7.00 | $45.00 | $82.00 | 33% | 242,553 members | ||
2012 AARP MedicareRx Preferred (PDP) | $36.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $42.00 | $93.00 | tbd members | |||
2011 BravoRx (PDP) | $33.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -005 | 25% | 25% | 25% | 25% | 13,662 members | ||
2012 BravoRx (PDP) | $36.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | tbd members | ||||
2011 Humana Enhanced (PDP) | $44.00 | $0 | Few Generics | No | S5884 -005 | $7.00 | $39.00 | $74.00 | 33% | 43,129 members | ||
2012 Humana Enhanced (PDP) | $38.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $39.00 | $74.00 | 33% | tbd members | |||
-- This plan not offered in 2011 -- | S2321 -005 | |||||||||||
2012 AmeriHealth Rx Option I (PDP) | $42.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | 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 SecureRx - Option 3 (PDP) | $51.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S8067 -001 | $9.00 | $52.00 | 33% | 4,392 members | |||
2012 SecureRx - Option 3 (PDP) | $45.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $51.00 | 33% | tbd members | ||||
2011 MedicareRx Rewards Standard (PDP) | $42.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -112 | $4.00 | $7.00 | $37.00 | 25% | 5,217 members | ||
2012 MedicareRx Rewards Standard (PDP) | $45.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $32.00 | $90.00 | tbd members | |||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $48.80 | $70 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -009 | $10.00 | $45.00 | $95.00 | 31% | 3,652 members | ||
2012 United American - Preferred (PDP) | $50.90 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
2011 BlueRx Plus (PDP) | $51.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5593 -002 | $8.00 | $44.00 | $90.00 | 33% | 38,835 members | ||
2012 BlueRx Plus (PDP) | $58.70 | $150 | No additional gap coverage, only the Donut Hole Discount | No | $8.00 | $45.00 | $95.00 | 29% | tbd members | |||
2011 WellCare Signature (PDP) | $55.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -040 | $0.00 | $39.00 | $71.00 | 33% | 10,298 members | ||
2012 WellCare Signature (PDP) | $58.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $45.00 | $85.00 | tbd members | |||
2011 CIGNA Medicare Rx Plan Two (PDP) | $65.90 | $0 | Few Generics | No | S5617 -176 | $0.00 | $3.00 | $35.00 | $78.00 | 1,232 members | ||
2012 CIGNA Medicare Rx Plan Two (PDP) | $65.40 | $0 | Few Generics | No | $0.00 | $5.00 | $41.00 | $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 Health Net Value Orange Option 2 (PDP) | $71.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -017 | $0.00 | $32.00 | $64.00 | 33% | 861 members | ||
2012 Health Net Value Orange Option 2 (PDP) | $69.00 | $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 -077 | |||||||||||
2012 Rite Aid EnvisionRxPlus (PDP) | $69.70 | $0 | Some Generics | No | $0.00 | 20% | 15% | 30% | tbd members | |||
2011 Community CCRx Choice (PDP) | $80.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -143 | $0.00 | $35.00 | $65.00 | 33% | 3,820 members | ||
2012 Community CCRx Choice (PDP) | $78.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $70.00 | 33% | tbd members | |||
2011 CVS Caremark Plus (PDP) | $71.30 | $0 | Many Generics | No | S5601 -013 | $2.00 | $5.00 | $35.00 | $90.00 | 2,248 members | ||
2012 CVS Caremark Plus (PDP) | $82.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $90.00 | 33% | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $103.20 | $0 | n/a | S5810 -176 | 1,811 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $86.10 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 AmeriHealth Rx Option II (PDP) | $103.20 | $0 | Many Generics | No | S2321 -002 | $5.00 | $10.00 | $30.00 | $65.00 | 3,124 members | ||
2012 AmeriHealth Rx Option II (PDP) | $87.10 | $0 | Many Generics | No | $5.00 | $10.00 | $30.00 | $65.00 | 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 AARP MedicareRx Enhanced (PDP) | $87.30 | $0 | Some Generics | No | S5921 -093 | $4.50 | $40.00 | $77.00 | 33% | 4,748 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $87.50 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $92.70 | $250 | Many Generics | No | S5660 -176 | $6.00 | $40.00 | $95.00 | 26% | 1,516 members | ||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $88.90 | $150 | Many Generics | No | $6.00 | $12.00 | $45.00 | $95.00 | tbd members | |||
2011 MedicareRx Rewards Plus (PDP) | $46.10 | $0 | Some Generics | No | S5960 -144 | $4.00 | $7.00 | $43.00 | $85.00 | 2,332 members | ||
2012 MedicareRx Rewards Plus (PDP) | $90.50 | $0 | Some Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $87.30 | $0 | Some Generics, Some Brands |
No | S5670 -036 | $0.00 | $25.00 | 30% | 60% | 5,636 members | ||
2012 First Health Part D Premier Plus (PDP) | $98.70 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2011 Humana Complete (PDP) | $109.40 | $0 | Many Generics, Some Brands |
No | S5884 -034 | $5.00 | $37.00 | $72.00 | 33% | 3,509 members | ||
2012 Humana Complete (PDP) | $109.40 | $0 | Many Generics, Some Brands |
No | $5.00 | $37.00 | $72.00 | 33% | tbd members | |||
2011 BlueRx Complete (PDP) | $98.30 | $0 | Many Generics | No | S5593 -003 | $7.00 | $35.00 | $70.00 | 33% | 16,588 members | ||
2012 BlueRx Complete (PDP) | $114.40 | $0 | Many Generics | No | $7.00 | $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 SecureRx - Option 1 (PDP) | $120.30 | $0 | Many Generics | No | S8067 -003 | $7.00 | $35.00 | $85.00 | 33% | 2,231 members | ||
2012 SecureRx - Option 1 (PDP) | $115.60 | $0 | Many Generics | No | $7.00 | $40.00 | $85.00 | 33% | tbd members | |||
2011 UPMC for Life (PDP) | $84.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S3389 -005 | $5.00 | $38.00 | $86.00 | 33% | 422 members | ||
-- | -- | |||||||||||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Sterling Rx (PDP) | $41.20 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -003 | $4.00 | $23.00 | $40.00 | 25% | 263 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $30.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5644 -072 | $4.75 | 25% | $95.00 | 25% | 31,448 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Aetna Medicare Rx Plus (PDP) | $65.70 | $0 | n/a | S5810 -210 | 2,651 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $67.30 | $150 | Many Generics | No | S7694 -040 | $4.00 | 25% | $25.00 | 25% | 257 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 AmeriHealth Advantage (PDP) | $41.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S2770 -001 | 25% | 25% | 25% | 25% | 9,185 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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