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 | ||||
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