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 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 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 | |||
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