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 -139 | $2.00 | $5.00 | 20% | 35% | 19,610 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) | $38.20 | $310 | n/a | S5810 -050 | 8,811 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 | $28.00 | 39% | tbd members | |||
-- This plan not offered in 2011 -- | S5768 -139 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $28.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 25% | 39% | 33% | tbd members | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $38.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -223 | $3.00 | $34.00 | $84.00 | 25% | 11,717 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $32.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $38.00 | $84.00 | tbd members | |||
2011 First Health Part D Premier (PDP) | $35.40 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -083 | $8.00 | 17% | 37% | 29% | 31,605 members | ||
2012 First Health Part D Premier (PDP) | $34.50 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | 21% | 36% | 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 Community CCRx Basic (PDP) | $35.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -085 | $2.00 | 30% | 58% | 25% | 31,872 members | ||
2012 Community CCRx Basic (PDP) | $34.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 47% | 25% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $47.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -016 | 25% | 25% | 25% | 25% | 164 members | ||
2012 EnvisionRxPlus Silver (PDP) | $35.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 CVS Caremark Value (PDP) | $35.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -032 | $5.00 | $41.50 | $95.00 | 25% | 22,239 members | ||
2012 CVS Caremark Value (PDP) | $35.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.50 | $45.00 | $95.00 | 25% | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -087 | |||||||||||
2012 United American - Select (PDP) | $35.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $8.00 | $45.00 | $95.00 | tbd members | |||
2011 Health Net Orange Option 1 (PDP) | $38.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -038 | $4.00 | $39.00 | $75.00 | 25% | 7,416 members | ||
2012 Health Net Orange Option 1 (PDP) | $36.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $45.00 | $95.00 | 25% | tbd members | |||
2011 Humana Enhanced (PDP) | $42.20 | $150 | Few Generics | No | S5884 -074 | $7.00 | $35.00 | $75.00 | 29% | 26,691 members | ||
2012 Humana Enhanced (PDP) | $37.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $38.00 | $76.00 | 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 HealthSpring Prescription Drug Plan-Reg 16 (PDP) | $36.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -015 | 25% | 25% | 11,989 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 16 (PDP) | $38.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2011 AARP MedicareRx Preferred (PDP) | $34.90 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5820 -015 | $7.00 | $45.00 | $94.00 | 33% | 62,349 members | ||
2012 AARP MedicareRx Preferred (PDP) | $41.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $9.00 | $42.00 | $95.00 | tbd members | |||
-- This plan not offered in 2011 -- | S5596 -056 | |||||||||||
2012 Blue MedicareRx Standard (PDP) | $45.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $8.00 | $43.00 | $90.00 | tbd members | |||
2011 Medco Medicare Prescription Plan - Value (PDP) | $44.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -118 | 25% | 25% | 25% | 25% | 803 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $47.30 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | 25% | 40% | tbd members | |||
2011 WPS MedicareRx Plan 1 (PDP) | $48.50 | $85 | No additional gap coverage, only the Donut Hole Discount | No | S5753 -006 | $6.00 | $13.00 | $39.00 | $89.00 | 20,636 members | ||
2012 WPS MedicareRx Plan 1 (PDP) | $51.60 | $200 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | $13.00 | $39.00 | 50% | tbd members | |||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $51.20 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -019 | $10.00 | $45.00 | $95.00 | 30% | 845 members | ||
2012 United American - Preferred (PDP) | $53.20 | $130 | 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 | ||||||
-- This plan not offered in 2011 -- | S5596 -057 | |||||||||||
2012 Blue MedicareRx Plus (PDP) | $64.60 | $0 | Some Generics | No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 Health Net Value Orange Option 2 (PDP) | $84.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -037 | $0.00 | $32.00 | $64.00 | 33% | 642 members | ||
2012 Health Net Value Orange Option 2 (PDP) | $75.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $99.30 | $0 | n/a | S5810 -186 | 966 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $76.60 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
-- This plan not offered in 2011 -- | S7694 -086 | |||||||||||
2012 EnvisionRxPlus Gold (PDP) | $78.20 | $0 | Some Generics | No | $2.00 | 15% | 15% | 30% | tbd members | |||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $74.70 | $250 | Many Generics | No | S5660 -186 | $6.00 | $40.00 | $95.00 | 26% | 1,615 members | ||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $81.70 | $150 | Many Generics | No | $6.00 | $12.00 | $45.00 | $95.00 | tbd members | |||
2011 Community CCRx Choice (PDP) | $84.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -153 | $0.00 | $35.00 | $65.00 | 33% | 1,918 members | ||
2012 Community CCRx Choice (PDP) | $84.70 | $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 CVS Caremark Plus (PDP) | $77.90 | $0 | Many Generics | No | S5601 -033 | $2.00 | $5.00 | $35.00 | $90.00 | 862 members | ||
2012 CVS Caremark Plus (PDP) | $87.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $90.00 | 33% | tbd members | |||
2011 AARP MedicareRx Enhanced (PDP) | $92.00 | $0 | Some Generics | No | S5921 -073 | $5.00 | $40.00 | $77.00 | 33% | 1,452 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $93.20 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $91.50 | $0 | Some Generics, Some Brands |
No | S5670 -084 | $0.00 | $25.00 | 30% | 57% | 3,107 members | ||
2012 First Health Part D Premier Plus (PDP) | $103.70 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 41% | tbd members | |||
2011 Humana Complete (PDP) | $109.10 | $0 | Many Generics, Some Brands |
No | S5884 -044 | $6.00 | $41.00 | $73.00 | 33% | 1,280 members | ||
2012 Humana Complete (PDP) | $109.20 | $0 | Many Generics, Some Brands |
No | $6.00 | $41.00 | $73.00 | 33% | tbd members | |||
2011 WPS MedicareRx Plan 2 (PDP) | $93.50 | $0 | Many Generics | No | S5753 -007 | $3.00 | $8.00 | $39.00 | $89.00 | 7,821 members | ||
2012 WPS MedicareRx Plan 2 (PDP) | $111.20 | $0 | Many Generics | No | $6.00 | $15.00 | $39.00 | 50% | tbd members | |||
-- This plan not offered in 2011 -- | S5596 -058 | |||||||||||
2012 Blue MedicareRx Premier (PDP) | $114.70 | $0 | Many Generics, Some Brands |
No | $2.00 | $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 Blue MedicareRx Standard (PDP) | $41.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5596 -021 | $4.00 | $7.00 | $36.00 | 25% | 3,673 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Sterling Rx (PDP) | $50.70 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -027 | $4.00 | $23.00 | $38.00 | 25% | 86 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Blue MedicareRx Plus (PDP) | $56.10 | $0 | Some Generics | No | S5596 -022 | $4.00 | $7.00 | $43.00 | $85.00 | 5,199 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Blue MedicareRx Premier (PDP) | $96.50 | $0 | Many Generics, Some Brands |
No | S5596 -023 | $6.00 | $43.00 | $85.00 | 33% | 2,485 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $73.70 | $0 | Few Generics | No | S5617 -186 | $0.00 | $3.00 | $39.00 | $78.00 | 345 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Aetna Medicare Rx Plus (PDP) | $66.30 | $0 | n/a | S5810 -220 | 1,242 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 EnvisionRxPlus Gold (PDP) | $65.30 | $150 | Many Generics | No | S7694 -050 | $4.00 | 25% | $25.00 | 25% | 238 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 BravoRx (PDP) | $38.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -022 | 25% | 25% | 25% | 25% | 5,703 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $38.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5644 -191 | $5.00 | 25% | $95.00 | 25% | 698 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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