2012 / 2013 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 2012 -- | S5921 -370 | |||||||||||
2013 AARP MedicareRx Saver Plus (PDP) | $15.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.00 | $25.00 | $45.00 | tbd members | |||
2012 Humana Walmart-Preferred Rx Plan (PDP) | $15.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5884 -145 | $1.00 | $5.00 | 20% | 35% | 107,302 members | ||
2013 Humana Walmart-Preferred Rx Plan (PDP) | $18.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | 20% | 35% | tbd members | |||
2012 First Health Part D Value Plus (PDP) | $25.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -148 | $0.00 | 25% | 39% | 33% | 42,550 members | ||
2013 First Health Part D Value Plus (PDP) | $27.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $70.00 | 33% | tbd members | |||
-- This plan not offered in 2012 -- | S5601 -134 | |||||||||||
2013 SilverScript Choice (PDP) | $29.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $34.00 | 35% | 33% | tbd members | |||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5810 -059 | $3.00 | $10.00 | $31.00 | 40% | 22,088 members | ||
2013 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $32.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $5.00 | $45.00 | 36% | 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 | ||||||
2012 Windsor Rx (PDP) | $33.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S4802 -030 | $6.00 | $45.00 | $90.00 | 25% | 13,242 members | ||
2013 Windsor Rx (PDP) | $33.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $40.00 | $80.00 | 25% | tbd members | |||
2012 CVS Caremark Value (PDP) | $35.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -050 | $5.75 | $45.00 | $95.00 | 25% | 45,405 members | ||
2013 SilverScript Basic (PDP) | $34.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 45% | 33% | tbd members | |||
2012 CIGNA Medicare Rx Plan One (PDP) | $35.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -123 | $3.00 | $20.00 | $34.00 | $85.00 | 16,036 members | ||
2013 Cigna Medicare Rx Plan One (PDP) | $35.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $8.00 | $35.00 | $84.00 | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -025 | |||||||||||
2013 SmartD Rx Saver (PDP) | $35.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $15.00 | $30.00 | $80.00 | tbd members | |||
2012 EnvisionRxPlus Silver (PDP) | $35.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -025 | 25% | 25% | 25% | 25% | 13,150 members | ||
2013 EnvisionRxPlus Silver (PDP) | $35.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | |||
2012 United American - Select (PDP) | $38.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -096 | $3.00 | $8.00 | $45.00 | $95.00 | 53 members | ||
2013 United American - Select (PDP) | $37.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $4.00 | $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 | ||||||
2012 First Health Part D Premier (PDP) | $30.40 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -122 | $5.00 | 20% | 36% | 26% | 82,845 members | ||
2013 First Health Part D Premier (PDP) | $37.60 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | 25% | 45% | tbd members | ||||
-- This plan not offered in 2012 -- | S0128 -026 | |||||||||||
new | new | new | ||||||||||
2013 Reader's Digest Value Rx (PDP) | $37.90 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $2.50 | $37.00 | 27% | tbd members | |||
2012 Medco Medicare Prescription Plan - Value (PDP) | $36.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -127 | $4.00 | $8.00 | 25% | 40% | 7,616 members | ||
2013 Express Scripts Medicare - Value (PDP) | $38.40 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $6.00 | 25% | 50% | tbd members | |||
2012 WellCare Classic (PDP) | $39.40 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -162 | $0.00 | $45.00 | $95.00 | 25% | 8,193 members | ||
2013 WellCare Classic (PDP) | $38.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $43.00 | $95.00 | 33% | tbd members | |||
2012 Humana Enhanced (PDP) | $35.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -083 | $7.00 | $36.00 | $75.00 | 33% | 175,486 members | ||
2013 Humana Enhanced (PDP) | $39.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $38.00 | $90.00 | tbd members | |||
2012 MedicareBlue Rx Standard (PDP) | $39.70 | $160 | No additional gap coverage, only the Donut Hole Discount | No | S5743 -001 | $4.00 | $10.00 | $35.00 | 48% | 246,264 members | ||
2013 MedicareBlue Rx Standard (PDP) | $39.60 | $160 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $18.00 | $40.00 | 48% | 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 | ||||||
2012 HealthSpring Prescription Drug Plan-Reg 25 (PDP) | $38.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5932 -024 | 25% | 25% | 4,289 members | ||||
2013 HealthSpring Prescription Drug Plan-Reg 25 (PDP) | $40.60 | $325 | No additional gap coverage, only the Donut Hole Discount | No | 25% | tbd members | ||||||
2012 AARP MedicareRx Preferred (PDP) | $41.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -024 | $4.00 | $8.00 | $40.00 | $95.00 | 88,261 members | ||
2013 AARP MedicareRx Preferred (PDP) | $42.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $5.00 | $40.00 | $85.00 | tbd members | |||
-- This plan not offered in 2012 -- | S5967 -196 | |||||||||||
2013 WellCare Extra (PDP) | $44.10 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | |||
2012 EnvisionRxPlus Gold (PDP) | $70.80 | $0 | Some Generics | No | S7694 -095 | $2.00 | 15% | 15% | 30% | 291 members | ||
2013 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | tbd members | |||
2012 United American - Preferred (PDP) | $56.30 | $40 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -028 | $3.00 | $9.00 | $45.00 | $95.00 | 1,672 members | ||
2013 United American - Enhanced (PDP) | $62.30 | $40 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $1.00 | $40.00 | $95.00 | tbd members | |||
2012 MedicareRx Rewards Standard (PDP) | $52.50 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -131 | $4.00 | $7.00 | $33.00 | $90.00 | 2,971 members | ||
2013 MedicareRx Rewards Standard (PDP) | $64.10 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $7.00 | $29.00 | $85.00 | 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 2012 -- | S0064 -060 | |||||||||||
2013 SmartD Rx Plus (PDP) | $73.60 | $0 | Some Generics | No | $0.00 | $15.00 | $30.00 | $80.00 | tbd members | |||
2012 CIGNA Medicare Rx Plan Two (PDP) | $69.40 | $0 | Few Generics | No | S5617 -195 | $0.00 | $5.00 | $41.00 | $85.00 | 2,314 members | ||
2013 Cigna Medicare Rx Plan Two (PDP) | $80.60 | $0 | Few Generics | No | $0.00 | $10.00 | $45.00 | $90.00 | tbd members | |||
2012 AARP MedicareRx Enhanced (PDP) | $91.30 | $0 | Some Generics | No | S5921 -249 | $4.00 | $7.00 | $40.00 | $76.00 | 3,025 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $92.30 | $0 | Some Generics, Some Brands | No | $2.00 | $5.00 | $40.00 | $76.00 | tbd members | |||
2012 First Health Part D Premier Plus (PDP) | $100.90 | $0 | Some Generics, Some Brands | No | S5674 -035 | $0.00 | $20.00 | 25% | 41% | 5,229 members | ||
2013 First Health Part D Premier Plus (PDP) | $99.50 | $0 | Some Generics, Some Brands | No | $0.00 | $20.00 | 25% | 41% | tbd members | |||
2012 Aetna Medicare Rx Premier (PDP) | $75.50 | $0 | Many Generics | No | S5810 -195 | $4.00 | $25.00 | $35.00 | $80.00 | 3,608 members | ||
2013 Aetna Medicare Rx Premier (PDP) | $100.20 | $0 | Many Generics, Some Brands | No | $5.00 | $33.00 | $45.00 | tbd | tbd members | |||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $97.80 | $150 | Many Generics | No | S5660 -195 | $6.00 | $12.00 | $45.00 | $95.00 | 1,003 members | ||
2013 Express Scripts Medicare - Choice (PDP) | $102.70 | $200 | Many Generics | No | $8.00 | $45.00 | $95.00 | 28% | 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 | ||||||
2012 CVS Caremark Plus (PDP) | $78.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -051 | $0.00 | $40.00 | $90.00 | 33% | 1,656 members | ||
2013 SilverScript Plus (PDP) | $106.90 | $0 | Many Generics, Some Brands | No | $0.00 | $34.00 | 35% | 33% | tbd members | |||
2012 MedicareBlue Rx Premier (PDP) | $104.60 | $0 | All Generics | No | S5743 -004 | $4.00 | $6.00 | $35.00 | 48% | 19,729 members | ||
2013 MedicareBlue Rx Premier (PDP) | $107.00 | $0 | All Generics | No | $4.00 | $12.00 | $40.00 | 48% | tbd members | |||
2012 Humana Complete (PDP) | $106.50 | $0 | Many Generics, Some Brands | No | S5884 -053 | $6.00 | $39.00 | $72.00 | 33% | 3,576 members | ||
2013 Humana Complete (PDP) | $110.20 | $0 | Some Generics, Some Brands | No | $4.00 | $39.00 | $72.00 | 33% | tbd members | |||
2012 BravoRx (PDP) | $39.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5998 -029 | 25% | 25% | 25% | 795 members | |||
-- Members will be assigned to HealthSpring Prescription Drug Plan S5932-024 -- | ||||||||||||
2012 Health Net Orange Option 1 (PDP) | $50.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -056 | $4.00 | $45.00 | $93.00 | 25% | 1,045 members | ||
-- Members will be assigned to SilverScript Basic S5601-050 -- | ||||||||||||
2012 Community CCRx Basic (PDP) | $34.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -094 | $2.00 | 25% | 48% | 25% | 95,144 members | ||
-- Members will be assigned to SilverScript Basic S5601-050 -- | ||||||||||||
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 | ||||||
2012 Health Net Value Orange Option 2 (PDP) | $75.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -055 | $0.00 | $32.00 | $64.00 | 33% | 3,342 members | ||
-- Members will be assigned to SilverScript Plus S5601-051 -- | ||||||||||||
2012 Community CCRx Choice (PDP) | $87.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -162 | $0.00 | $40.00 | $70.00 | 33% | 4,586 members | ||
-- Members will be assigned to SilverScript Plus S5601-051 -- | ||||||||||||
2012 WellCare Signature (PDP) | $72.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -059 | $0.00 | $20.00 | $45.00 | $95.00 | 6,431 members | ||
-- Members will be assigned to WellCare Classic S5967-162 -- | ||||||||||||
2012 MedicareRx Rewards Plus (PDP) | $95.10 | $0 | Some Generics | No | S5960 -156 | $4.00 | $7.00 | $45.00 | $90.00 | 621 members | ||
-- This plan not offered in 2013 -- | ||||||||||||
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