2012 / 2013 Medicare Part D Plan Information Click here to jump to the Chart Legend | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
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 |
||||||
-- This plan not offered in 2012 -- | S5921 -371 | |||||||||||
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 CVS Caremark Value (PDP) | $15.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -052 | $4.75 | $45.00 | $95.00 | 25% | 18,622 members | ||
2013 SilverScript Basic (PDP) | $18.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 46% | 33% | tbd members | |||
2012 Humana Walmart-Preferred Rx Plan (PDP) | $15.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5884 -110 | $1.00 | $5.00 | 20% | 35% | 10,204 members | ||
2013 Humana Walmart-Preferred Rx Plan (PDP) | $18.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $5.00 | 20% | 30% | tbd members | |||
2012 WellCare Classic (PDP) | $24.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -163 | $0.00 | $45.00 | $95.00 | 25% | 2,350 members | ||
2013 WellCare Classic (PDP) | $22.10 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $7.00 | $42.00 | $94.00 | 33% | tbd members | |||
2012 First Health Part D Premier (PDP) | $21.10 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -048 | $6.00 | 19% | 35% | 26% | 4,073 members | ||
2013 First Health Part D Premier (PDP) | $23.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | 25% | 49% | 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 EnvisionRxPlus Silver (PDP) | $20.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -026 | 25% | 25% | 25% | 25% | 2,098 members | ||
2013 EnvisionRxPlus Silver (PDP) | $23.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | |||
2012 First Health Part D Value Plus (PDP) | $22.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -149 | $0.00 | 25% | 40% | 33% | 1,658 members | ||
2013 First Health Part D Value Plus (PDP) | $24.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $70.00 | 33% | tbd members | |||
2012 United American - Select (PDP) | $21.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -097 | $3.00 | $7.00 | $45.00 | $95.00 | 44 members | ||
2013 United American - Select (PDP) | $24.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | $36.00 | $95.00 | tbd members | |||
2012 CIGNA Medicare Rx Plan One (PDP) | $35.40 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -128 | $3.00 | $20.00 | $33.00 | $86.00 | 474 members | ||
2013 Cigna Medicare Rx Plan One (PDP) | $25.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $8.00 | $30.00 | $73.00 | tbd members | |||
-- This plan not offered in 2012 -- | S0128 -027 | |||||||||||
new | new | new | ||||||||||
2013 Reader's Digest Value Rx (PDP) | $26.20 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $2.50 | $35.00 | 27% | tbd members | |||
-- This plan not offered in 2012 -- | S5601 -135 | |||||||||||
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 | |||
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 -026 | |||||||||||
2013 SmartD Rx Saver (PDP) | $29.40 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $32.00 | $81.00 | tbd members | |||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5810 -060 | $3.00 | $20.00 | $35.00 | 39% | 303 members | ||
2013 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $32.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $40.00 | 49% | tbd members | |||
-- This plan not offered in 2012 -- | S5967 -197 | |||||||||||
2013 WellCare Extra (PDP) | $34.00 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | |||
2012 AARP MedicareRx Preferred (PDP) | $36.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -025 | $4.00 | $8.00 | $41.00 | $95.00 | 23,162 members | ||
2013 AARP MedicareRx Preferred (PDP) | $34.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $5.00 | $40.00 | $85.00 | tbd members | |||
2012 MedicareRx Rewards Standard (PDP) | $22.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5960 -132 | $4.00 | $7.00 | $37.00 | $90.00 | 8,427 members | ||
2013 MedicareRx Rewards Standard (PDP) | $35.00 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $7.00 | $33.00 | $85.00 | tbd members | |||
2012 Blue MedicareRx Value (PDP) | $23.10 | $125 | No additional gap coverage, only the Donut Hole Discount | No | S5715 -003 | $10.00 | $42.00 | $92.00 | 29% | 4,999 members | ||
2013 Blue MedicareRx Value (PDP) | $35.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $14.00 | $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 | ||||||
2012 Humana Enhanced (PDP) | $36.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -024 | $7.00 | $40.00 | $73.00 | 33% | 6,080 members | ||
2013 Humana Enhanced (PDP) | $40.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $42.00 | $90.00 | tbd members | |||
2012 Medco Medicare Prescription Plan - Value (PDP) | $33.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -128 | $4.00 | $8.00 | 25% | 40% | 198 members | ||
2013 Express Scripts Medicare - Value (PDP) | $43.90 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | 25% | 50% | tbd members | |||
2012 HealthSpring Prescription Drug Plan-Reg 26 (PDP) | $38.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5932 -025 | 25% | 25% | 172 members | ||||
2013 HealthSpring Prescription Drug Plan-Reg 26 (PDP) | $45.00 | $325 | No additional gap coverage, only the Donut Hole Discount | No | 25% | tbd members | ||||||
2012 United American - Preferred (PDP) | $41.80 | $110 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -029 | $3.00 | $9.00 | $45.00 | $95.00 | 1,629 members | ||
2013 United American - Enhanced (PDP) | $47.80 | $110 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $1.00 | $40.00 | $95.00 | tbd members | |||
2012 EnvisionRxPlus Gold (PDP) | $60.00 | $0 | Some Generics | No | S7694 -096 | $2.00 | 15% | 15% | 30% | 27 members | ||
2013 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -061 | |||||||||||
2013 SmartD Rx Plus (PDP) | $70.70 | $0 | Some Generics | No | $0.00 | $20.00 | $32.00 | $81.00 | 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 Medco Medicare Prescription Plan - Choice (PDP) | $73.80 | $150 | Many Generics | No | S5660 -196 | $6.00 | $12.00 | $45.00 | $95.00 | 227 members | ||
2013 Express Scripts Medicare - Choice (PDP) | $82.20 | $200 | Many Generics | No | $8.00 | $45.00 | $95.00 | 28% | tbd members | |||
2012 AARP MedicareRx Enhanced (PDP) | $87.40 | $0 | Some Generics | No | S5921 -263 | $4.00 | $7.00 | $40.00 | $76.00 | 634 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $84.30 | $0 | Some Generics, Some Brands | No | $2.00 | $5.00 | $40.00 | $76.00 | tbd members | |||
2012 MedicareRx Rewards Plus (PDP) | $69.50 | $0 | Some Generics | No | S5960 -157 | $4.00 | $7.00 | $45.00 | $90.00 | 210 members | ||
2013 MedicareRx Rewards Plus (PDP) | $85.40 | $0 | Few Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2012 Blue MedicareRx Plus (PDP) | $89.60 | $0 | All Generics | No | S5715 -004 | $5.00 | $38.00 | $75.00 | 33% | 1,004 members | ||
2013 Blue MedicareRx Plus (PDP) | $88.90 | $0 | All Generics | No | $3.00 | $10.00 | $38.00 | $86.00 | tbd members | |||
2012 First Health Part D Premier Plus (PDP) | $95.60 | $0 | Some Generics, Some Brands | No | S5674 -041 | $0.00 | $20.00 | 25% | 43% | 389 members | ||
2013 First Health Part D Premier Plus (PDP) | $91.20 | $0 | Some Generics, Some Brands | No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2012 CVS Caremark Plus (PDP) | $71.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -053 | $0.00 | $40.00 | $90.00 | 33% | 186 members | ||
2013 SilverScript Plus (PDP) | $96.30 | $0 | Many Generics, Some Brands | No | $0.00 | $34.00 | 35% | 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 | ||||||
2012 Aetna Medicare Rx Premier (PDP) | $75.80 | $0 | Many Generics | No | S5810 -241 | $4.00 | $25.00 | $35.00 | $80.00 | 164 members | ||
2013 Aetna Medicare Rx Premier (PDP) | $98.60 | $0 | Many Generics, Some Brands | No | $5.00 | $33.00 | $45.00 | tbd | tbd members | |||
2012 BravoRx (PDP) | $40.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5998 -030 | 25% | 25% | 25% | < 10 members | |||
-- Members will be assigned to HealthSpring Prescription Drug Plan S5932-025 -- | ||||||||||||
2012 Health Net Orange Option 1 (PDP) | $24.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -058 | $5.00 | $45.00 | $85.00 | 25% | 531 members | ||
-- Members will be assigned to SilverScript Basic S5601-052 -- | ||||||||||||
2012 Community CCRx Basic (PDP) | $20.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -095 | $2.00 | 25% | 47% | 25% | 14,424 members | ||
-- Members will be assigned to SilverScript Basic S5601-052 -- | ||||||||||||
2012 Community CCRx Choice (PDP) | $76.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -163 | $0.00 | $40.00 | $70.00 | 33% | 878 members | ||
-- Members will be assigned to SilverScript Plus S5601-053 -- | ||||||||||||
2012 Health Net Value Orange Option 2 (PDP) | $66.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -057 | $0.00 | $32.00 | $64.00 | 33% | 193 members | ||
-- Members will be assigned to SilverScript Plus S5601-053 -- | ||||||||||||
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 WellCare Signature (PDP) | $48.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -060 | $0.00 | $20.00 | $45.00 | $95.00 | 1,262 members | ||
-- Members will be assigned to WellCare Classic S5967-163 -- | ||||||||||||
|