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 -377 | |||||||||||
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 -116 | $1.00 | $5.00 | 20% | 35% | 3,906 members | ||
2013 Humana Walmart-Preferred Rx Plan (PDP) | $18.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $3.00 | 20% | 35% | tbd members | |||
2012 EnvisionRxPlus Silver (PDP) | $37.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -034 | 25% | 25% | 25% | 25% | 23 members | ||
2013 EnvisionRxPlus Silver (PDP) | $32.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | |||
-- This plan not offered in 2012 -- | S0128 -035 | |||||||||||
new | new | new | ||||||||||
2013 Reader's Digest Value Rx (PDP) | $34.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.50 | $29.00 | 27% | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -034 | |||||||||||
2013 SmartD Rx Saver (PDP) | $34.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $10.00 | $34.00 | $55.00 | 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 HealthSpring Prescription Drug Plan-Reg 34 (PDP) | $27.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -033 | 25% | 25% | 4,417 members | ||||
2013 HealthSpring Prescription Drug Plan-Reg 34 (PDP) | $35.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | tbd members | ||||||
2012 First Health Part D Premier (PDP) | $28.60 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -117 | $6.00 | 18% | 34% | 26% | 4,668 members | ||
2013 First Health Part D Premier (PDP) | $36.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | 25% | 50% | tbd members | ||||
2012 WellCare Classic (PDP) | $37.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -171 | $0.00 | $39.00 | $89.00 | 25% | 2,069 members | ||
2013 WellCare Classic (PDP) | $37.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $8.00 | $35.00 | $82.00 | 33% | tbd members | |||
-- This plan not offered in 2012 -- | S5967 -205 | |||||||||||
2013 WellCare Extra (PDP) | $39.00 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | |||
2012 AARP MedicareRx Preferred (PDP) | $40.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -033 | $6.00 | $11.00 | $35.00 | $94.00 | 7,693 members | ||
2013 AARP MedicareRx Preferred (PDP) | $41.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $5.00 | $40.00 | $85.00 | tbd members | |||
2012 CVS Caremark Value (PDP) | $46.50 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -068 | $2.00 | $45.00 | $95.00 | 25% | 485 members | ||
2013 SilverScript Basic (PDP) | $42.70 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | 21% | 41% | 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 CIGNA Medicare Rx Plan One (PDP) | $46.90 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -227 | $3.00 | $20.00 | $27.00 | $48.00 | 358 members | ||
2013 Cigna Medicare Rx Plan One (PDP) | $43.20 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $8.00 | $22.00 | $52.00 | tbd members | |||
2012 United American - Preferred (PDP) | $59.80 | $90 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -039 | $3.00 | $11.00 | $45.00 | $95.00 | 26 members | ||
2013 United American - Select (PDP) | $46.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $4.00 | $25.00 | $95.00 | tbd members | |||
2012 Medco Medicare Prescription Plan - Value (PDP) | $39.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -136 | $4.00 | $8.00 | 25% | 40% | 194 members | ||
2013 Express Scripts Medicare - Value (PDP) | $50.90 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $6.00 | 25% | 45% | tbd members | |||
2012 EnvisionRxPlus Gold (PDP) | $82.50 | $0 | Some Generics | No | S7694 -104 | $2.00 | 15% | 15% | 30% | < 10 members | ||
2013 EnvisionRxPlus Gold (PDP) | $54.50 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | tbd members | |||
2012 MedicareRx Rewards Standard (PDP) | $46.50 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -140 | $4.00 | $8.00 | $39.00 | $80.00 | 260 members | ||
2013 MedicareRx Rewards Standard (PDP) | $55.40 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $6.00 | $32.00 | $85.00 | tbd members | |||
2012 Humana Enhanced (PDP) | $51.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -094 | $7.00 | $37.00 | $82.00 | 33% | 473 members | ||
2013 Humana Enhanced (PDP) | $55.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $41.00 | $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 | ||||||
2012 Aetna Medicare Rx Essentials (PDP) | $70.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5810 -068 | $3.00 | $13.00 | $39.00 | 40% | 52 members | ||
2013 Aetna Medicare Rx Essentials (PDP) | $57.70 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $7.00 | $45.00 | 50% | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -069 | |||||||||||
2013 SmartD Rx Plus (PDP) | $68.50 | $0 | Some Generics | No | $0.00 | $10.00 | $25.00 | $55.00 | tbd members | |||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $74.00 | $150 | Many Generics | No | S5660 -204 | $6.00 | $12.00 | $45.00 | $95.00 | 220 members | ||
2013 Express Scripts Medicare - Choice (PDP) | $81.40 | $200 | Many Generics | No | $8.00 | $45.00 | $95.00 | 28% | tbd members | |||
2012 First Health Part D Premier Plus (PDP) | $88.10 | $0 | Some Generics, Some Brands |
No | S5674 -071 | $0.00 | $25.00 | 33% | 50% | 31 members | ||
2013 First Health Part D Premier Plus (PDP) | $89.70 | $0 | Some Generics, Some Brands |
No | $0.00 | $25.00 | 25% | 50% | tbd members | |||
2012 Aetna Medicare Rx Premier (PDP) | $89.00 | $0 | Many Generics | No | S5810 -204 | $4.00 | $25.00 | $35.00 | $80.00 | 271 members | ||
2013 Aetna Medicare Rx Premier (PDP) | $100.00 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | tbd members | |||
2012 AARP MedicareRx Enhanced (PDP) | $98.90 | $0 | Some Generics | No | S5921 -013 | $4.00 | $7.00 | $40.00 | $76.00 | 242 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $108.50 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $40.00 | $76.00 | 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 CVS Caremark Plus (PDP) | $82.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -069 | $0.00 | $40.00 | $90.00 | 33% | 62 members | ||
-- Members will be assigned to SilverScript Basic S5601-068 -- | ||||||||||||
2012 Community CCRx Choice (PDP) | $95.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -171 | $0.00 | $40.00 | $70.00 | 33% | 74 members | ||
-- Members will be assigned to SilverScript Basic S5601-068 -- | ||||||||||||
2012 Community CCRx Basic (PDP) | $53.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -103 | $2.00 | 24% | 45% | 25% | 934 members | ||
-- Members will be assigned to SilverScript Basic S5601-068 -- | ||||||||||||
2012 Health Net Value Orange Option 2 (PDP) | $78.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -067 | $0.00 | $32.00 | $64.00 | 33% | 68 members | ||
-- Members will be assigned to SilverScript Basic S5601-068 -- | ||||||||||||
2012 Health Net Orange Option 1 (PDP) | $63.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -068 | $4.00 | $39.00 | $95.00 | 25% | 27 members | ||
-- Members will be assigned to SilverScript Basic S5601-068 -- | ||||||||||||
2012 WellCare Signature (PDP) | $60.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -068 | $0.00 | $20.00 | $45.00 | $85.00 | 497 members | ||
-- Members will be assigned to WellCare Classic S5967-171 -- | ||||||||||||
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 MedicareRx Rewards Plus (PDP) | $95.30 | $0 | Some Generics | No | S5960 -162 | $4.00 | $7.00 | $45.00 | $90.00 | 28 members | ||
-- This plan not offered in 2013 -- | ||||||||||||
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