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 -- | 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 | |||
-- 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 | |||
-- 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 | |||
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 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 -- | ||||||||||||
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 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 -- | ||||||||||||
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