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 -134 | $2.00 | $5.00 | 20% | 35% | 13,950 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 -132 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $24.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 25% | 40% | 33% | tbd members | |||
2011 Aetna Medicare Rx Essentials (PDP) | $36.80 | $310 | n/a | S5810 -043 | 7,661 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 | $36.00 | 41% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $38.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -009 | 25% | 25% | 25% | 25% | 269 members | ||
2012 EnvisionRxPlus Silver (PDP) | $30.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 Health Net Orange Option 1 (PDP) | $34.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -024 | $4.00 | $33.00 | $75.00 | 25% | 3,376 members | ||
2012 Health Net Orange Option 1 (PDP) | $31.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $42.00 | $89.00 | 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) | $36.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -218 | $3.00 | $30.00 | $77.00 | 25% | 14,859 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $33.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $31.00 | $83.00 | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -080 | |||||||||||
2012 United American - Select (PDP) | $34.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $8.00 | $45.00 | $95.00 | tbd members | |||
2011 Community CCRx Basic (PDP) | $32.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -078 | $2.00 | 31% | 61% | 25% | 27,571 members | ||
2012 Community CCRx Basic (PDP) | $34.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 48% | 25% | tbd members | |||
2011 Windsor Rx (PDP) | $34.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S2505 -007 | $3.00 | $37.00 | $70.00 | 25% | 7,105 members | ||
2012 Windsor Rx (PDP) | $34.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $45.00 | $80.00 | 25% | tbd members | |||
2011 First Health Part D Premier (PDP) | $36.50 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -012 | $8.00 | 18% | 35% | 29% | 32,114 members | ||
2012 First Health Part D Premier (PDP) | $35.60 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | 21% | 37% | 26% | tbd members | |||
2011 CVS Caremark Value (PDP) | $33.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -018 | $5.00 | $36.25 | $95.00 | 25% | 5,218 members | ||
2012 CVS Caremark Value (PDP) | $36.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $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 Medco Medicare Prescription Plan - Value (PDP) | $36.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -111 | 25% | 25% | 25% | 25% | 14,755 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 HealthSpring Prescription Drug Plan -Reg 9 (PDP) | $35.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -009 | 25% | 25% | 8,882 members | ||||
2012 HealthSpring Prescription Drug Plan -Reg 9 (PDP) | $37.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2011 BravoRx (PDP) | $35.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -018 | 25% | 25% | 25% | 25% | 6,080 members | ||
2012 BravoRx (PDP) | $38.30 | $320 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | tbd members | ||||
2011 WellCare Classic (PDP) | $35.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -146 | $0.00 | $42.00 | $79.00 | 25% | 11,611 members | ||
2012 WellCare Classic (PDP) | $39.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $90.00 | 25% | tbd members | |||
2011 MedicareRx Rewards Standard (PDP) | $36.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5960 -115 | $4.00 | $7.00 | $37.00 | 25% | 3,031 members | ||
2012 MedicareRx Rewards Standard (PDP) | $39.90 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $32.00 | $80.00 | tbd members | |||
2011 AARP MedicareRx Preferred (PDP) | $34.70 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5820 -008 | $7.00 | $45.00 | $78.00 | 33% | 74,952 members | ||
2012 AARP MedicareRx Preferred (PDP) | $40.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $41.00 | $94.00 | 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 MedBlue Rx (PDP) | $48.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5953 -001 | $9.00 | $45.00 | $85.00 | 33% | 16,798 members | ||
2012 MedBlue Rx (PDP) | $42.80 | $280 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $40.00 | $80.00 | 25% | tbd members | |||
2011 Humana Enhanced (PDP) | $48.70 | $0 | Few Generics | No | S5884 -008 | $7.00 | $38.00 | $73.00 | 33% | 20,621 members | ||
2012 Humana Enhanced (PDP) | $47.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $38.00 | $73.00 | 33% | tbd members | |||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $50.30 | $90 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -012 | $10.00 | $45.00 | $95.00 | 30% | 2,282 members | ||
2012 United American - Preferred (PDP) | $52.20 | $120 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
2011 CIGNA Medicare Rx Plan Two (PDP) | $62.70 | $0 | Few Generics | No | S5617 -179 | $0.00 | $3.00 | $35.00 | $78.00 | 1,131 members | ||
2012 CIGNA Medicare Rx Plan Two (PDP) | $61.60 | $0 | Few Generics | No | $0.00 | $5.00 | $41.00 | $85.00 | tbd members | |||
2011 WellCare Signature (PDP) | $61.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -043 | $0.00 | $39.00 | $72.00 | 33% | 3,436 members | ||
2012 WellCare Signature (PDP) | $63.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $45.00 | $85.00 | tbd members | |||
-- This plan not offered in 2011 -- | S7694 -080 | |||||||||||
2012 Rite Aid EnvisionRxPlus (PDP) | $66.20 | $0 | Some Generics | No | $0.00 | 20% | 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 Health Net Value Orange Option 2 (PDP) | $70.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -023 | $0.00 | $32.00 | $64.00 | 33% | 411 members | ||
2012 Health Net Value Orange Option 2 (PDP) | $66.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | |||
2011 MedBlue Rx Plus (PDP) | $93.30 | $0 | Many Generics | No | S5953 -002 | $2.00 | $7.00 | $33.00 | $74.00 | 6,979 members | ||
2012 MedBlue Rx Plus (PDP) | $76.50 | $0 | Many Generics | No | $2.00 | $7.00 | $33.00 | $74.00 | tbd members | |||
2011 CVS Caremark Plus (PDP) | $67.90 | $0 | Many Generics | No | S5601 -019 | $2.00 | $5.00 | $35.00 | $90.00 | 1,489 members | ||
2012 CVS Caremark Plus (PDP) | $76.70 | $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) | $85.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -146 | $0.00 | $35.00 | $65.00 | 33% | 4,307 members | ||
2012 Community CCRx Choice (PDP) | $77.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $70.00 | 33% | tbd members | |||
2011 AARP MedicareRx Enhanced (PDP) | $92.10 | $0 | Some Generics | No | S5921 -123 | $4.00 | $40.00 | $80.00 | 33% | 1,874 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $86.50 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 MedicareRx Rewards Plus (PDP) | $48.00 | $0 | Some Generics | No | S5960 -146 | $4.00 | $7.00 | $43.00 | $85.00 | 1,280 members | ||
2012 MedicareRx Rewards Plus (PDP) | $86.70 | $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 Aetna Medicare Rx Premier (PDP) | $118.70 | $0 | n/a | S5810 -179 | 486 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $89.00 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $95.80 | $0 | Some Generics, Some Brands |
No | S5670 -054 | $0.00 | $25.00 | 30% | 56% | 1,814 members | ||
2012 First Health Part D Premier Plus (PDP) | $104.60 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2011 Humana Complete (PDP) | $111.90 | $0 | Many Generics, Some Brands |
No | S5884 -037 | $5.00 | $37.00 | $69.00 | 33% | 1,571 members | ||
2012 Humana Complete (PDP) | $112.00 | $0 | Many Generics, Some Brands |
No | $5.00 | $37.00 | $69.00 | 33% | tbd members | |||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $108.60 | $250 | Many Generics | No | S5660 -179 | $6.00 | $40.00 | $95.00 | 26% | 408 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Sterling Rx (PDP) | $43.30 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -006 | $4.00 | $21.00 | $37.00 | 25% | 320 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $35.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5644 -075 | $4.50 | 25% | $95.00 | 25% | 3,069 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 Aetna Medicare Rx Plus (PDP) | $64.00 | $0 | n/a | S5810 -213 | 1,641 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $64.90 | $150 | Many Generics | No | S7694 -043 | $4.00 | 25% | $25.00 | 25% | 154 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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