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 -145 | $2.00 | $5.00 | 20% | 35% | 75,942 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 -148 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $25.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 25% | 39% | 33% | tbd members | |||
2011 Aetna Medicare Rx Essentials (PDP) | $39.00 | $310 | n/a | S5810 -059 | 18,323 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 | $31.00 | 40% | tbd members | |||
2011 First Health Part D Premier (PDP) | $31.50 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -122 | $8.00 | 17% | 38% | 29% | 87,373 members | ||
2012 First Health Part D Premier (PDP) | $30.40 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | 20% | 36% | 26% | tbd members | |||
2011 Sterling Rx (PDP) | $38.80 | $100 | No additional gap coverage, only the Donut Hole Discount | Yes | S4802 -030 | $4.00 | $21.00 | $38.00 | 25% | 2,697 members | ||
2012 Windsor Rx (PDP) | $33.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $45.00 | $90.00 | 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 Community CCRx Basic (PDP) | $35.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -094 | $2.00 | 30% | 55% | 25% | 91,768 members | ||
2012 Community CCRx Basic (PDP) | $34.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 48% | 25% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $46.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -025 | 25% | 25% | 25% | 25% | 238 members | ||
2012 EnvisionRxPlus Silver (PDP) | $35.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -123 | $3.00 | $28.00 | $84.00 | 25% | 3,059 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $35.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $34.00 | $85.00 | tbd members | |||
2011 Humana Enhanced (PDP) | $36.30 | $100 | Few Generics | No | S5884 -083 | $7.00 | $35.00 | $74.00 | 30% | 179,196 members | ||
2012 Humana Enhanced (PDP) | $35.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $36.00 | $75.00 | 33% | tbd members | |||
2011 CVS Caremark Value (PDP) | $35.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -050 | $5.00 | $39.75 | $95.00 | 25% | 40,271 members | ||
2012 CVS Caremark Value (PDP) | $35.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.75 | $45.00 | $95.00 | 25% | tbd members | |||
2011 Medco Medicare Prescription Plan - Value (PDP) | $56.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -127 | 25% | 25% | 25% | 25% | 3,365 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $36.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | 25% | 40% | 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 25 (PDP) | $38.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -024 | 25% | 25% | 21,150 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 25 (PDP) | $38.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | tbd members | |||||
-- This plan not offered in 2011 -- | S5755 -096 | |||||||||||
2012 United American - Select (PDP) | $38.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $8.00 | $45.00 | $95.00 | tbd members | |||
2011 BravoRx (PDP) | $40.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5998 -029 | 25% | 25% | 2,500% | 25% | 978 members | ||
2012 BravoRx (PDP) | $39.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | tbd members | ||||
2011 WellCare Classic (PDP) | $36.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -162 | $0.00 | $45.00 | $95.00 | 25% | 13,618 members | ||
2012 WellCare Classic (PDP) | $39.40 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $45.00 | $95.00 | 25% | tbd members | |||
2011 MedicareBlue Rx Standard (PDP) | $39.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5743 -001 | $3.00 | 2,800% | 48% | 25% | 244,224 members | ||
2012 MedicareBlue Rx Standard (PDP) | $39.70 | $160 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $10.00 | $35.00 | 48% | tbd members | |||
2011 AARP MedicareRx Preferred (PDP) | $37.30 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5820 -024 | $7.00 | $45.00 | $74.00 | 33% | 133,064 members | ||
2012 AARP MedicareRx Preferred (PDP) | $41.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $40.00 | $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 | ||||||
2011 Health Net Orange Option 1 (PDP) | $47.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -056 | $4.00 | $37.00 | $75.00 | 25% | 624 members | ||
2012 Health Net Orange Option 1 (PDP) | $50.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $45.00 | $93.00 | 25% | tbd members | |||
2011 MedicareRx Rewards Standard (PDP) | $47.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -131 | $4.00 | $7.00 | $38.00 | 25% | 4,084 members | ||
2012 MedicareRx Rewards Standard (PDP) | $52.50 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $33.00 | $90.00 | tbd members | |||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $54.40 | $20 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -028 | $10.00 | $45.00 | $95.00 | 32% | 2,040 members | ||
2012 United American - Preferred (PDP) | $56.30 | $40 | 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) | $68.30 | $0 | Few Generics | No | S5617 -195 | $0.00 | $3.00 | $34.00 | $78.00 | 1,560 members | ||
2012 CIGNA Medicare Rx Plan Two (PDP) | $69.40 | $0 | Few Generics | No | $0.00 | $5.00 | $41.00 | $85.00 | tbd members | |||
-- This plan not offered in 2011 -- | S7694 -095 | |||||||||||
2012 EnvisionRxPlus Gold (PDP) | $70.80 | $0 | Some Generics | No | $2.00 | 15% | 15% | 30% | tbd members | |||
2011 WellCare Signature (PDP) | $62.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -059 | $0.00 | $40.00 | $95.00 | 33% | 9,867 members | ||
2012 WellCare Signature (PDP) | $72.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $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 | ||||||
2011 Health Net Value Orange Option 2 (PDP) | $80.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -055 | $0.00 | $32.00 | $64.00 | 33% | 857 members | ||
2012 Health Net Value Orange Option 2 (PDP) | $75.30 | $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) | $108.30 | $0 | n/a | S5810 -195 | 846 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $75.50 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 CVS Caremark Plus (PDP) | $67.00 | $0 | Many Generics | No | S5601 -051 | $2.00 | $5.00 | $35.00 | $90.00 | 2,582 members | ||
2012 CVS Caremark Plus (PDP) | $78.60 | $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) | $91.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -162 | $0.00 | $35.00 | $65.00 | 33% | 5,587 members | ||
2012 Community CCRx Choice (PDP) | $87.60 | $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) | $89.70 | $0 | Some Generics | No | S5921 -249 | $4.00 | $40.00 | $79.00 | 33% | 3,307 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $91.30 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 MedicareRx Rewards Plus (PDP) | $51.80 | $0 | Some Generics | No | S5960 -156 | $4.00 | $7.00 | $43.00 | $85.00 | 2,017 members | ||
2012 MedicareRx Rewards Plus (PDP) | $95.10 | $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 Medco Medicare Prescription Plan - Choice (PDP) | $101.80 | $250 | Many Generics | No | S5660 -195 | $6.00 | $40.00 | $95.00 | 26% | 1,104 members | ||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $97.80 | $150 | Many Generics | No | $6.00 | $12.00 | $45.00 | $95.00 | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $93.10 | $0 | Some Generics, Some Brands | No | S5674 -035 | $0.00 | $25.00 | 30% | 59% | 6,068 members | ||
2012 First Health Part D Premier Plus (PDP) | $100.90 | $0 | Some Generics, Some Brands | No | $0.00 | $20.00 | 25% | 41% | tbd members | |||
2011 MedicareBlue Rx Premier (PDP) | $104.30 | $0 | Many Generics | No | S5743 -004 | $4.00 | $38.00 | 50% | 33% | 21,970 members | ||
2012 MedicareBlue Rx Premier (PDP) | $104.60 | $0 | All Generics | No | $4.00 | $6.00 | $35.00 | 48% | tbd members | |||
2011 Humana Complete (PDP) | $106.40 | $0 | Many Generics, Some Brands | No | S5884 -053 | $6.00 | $39.00 | $72.00 | 33% | 4,428 members | ||
2012 Humana Complete (PDP) | $106.50 | $0 | Many Generics, Some Brands | No | $6.00 | $39.00 | $72.00 | 33% | tbd members | |||
2011 Advantage Star Plan by RxAmerica (PDP) | $53.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5644 -080 | $5.75 | 25% | $95.00 | 25% | 2,210 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Aetna Medicare Rx Plus (PDP) | $66.60 | $0 | n/a | S5810 -229 | 2,695 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) | $69.50 | $150 | Many Generics | No | S7694 -059 | $4.00 | 25% | $25.00 | 25% | 385 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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