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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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 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 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 | |||
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 -- | S5967 -196 | |||||||||||
2013 WellCare Extra (PDP) | $44.10 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | |||
-- 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 | |||
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 | |||
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