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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-- 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 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 | |||
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 -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 | |||
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) | $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 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 | |||
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 | |||
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) | $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 | |||
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