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 -- | S5967 -190 | |||||||||||
2013 WellCare Extra (PDP) | $34.00 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | |||
2012 EnvisionRxPlus Gold (PDP) | $59.60 | $0 | Some Generics | No | S7694 -089 | $2.00 | 15% | 15% | 30% | 229 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 -054 | |||||||||||
2013 SmartD Rx Plus (PDP) | $69.60 | $0 | Some Generics | No | $0.00 | $20.00 | $30.00 | $77.00 | tbd members | |||
2012 CIGNA Medicare Rx Plan Two (PDP) | $63.20 | $0 | Few Generics | No | S5617 -189 | $0.00 | $5.00 | $41.00 | $85.00 | 733 members | ||
2013 Cigna Medicare Rx Plan Two (PDP) | $70.30 | $0 | Few Generics | No | $0.00 | $10.00 | $45.00 | $90.00 | tbd members | |||
2012 AR Blue Cross - Medi-Pak Rx Premier (PDP) | $90.80 | $0 | Many Generics | No | S5795 -002 | $6.00 | $45.00 | $84.00 | 25% | 14,439 members | ||
2013 AR Blue Cross - Medi-Pak Rx Premier (PDP) | $88.80 | $0 | Many Generics, Few Brands |
No | $6.00 | $45.00 | $84.00 | 25% | 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 -- | S5601 -107 | |||||||||||
2013 SilverScript Plus (PDP) | $91.20 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 33% | tbd members | |||
2012 Aetna Medicare Rx Premier (PDP) | $73.10 | $0 | Many Generics | No | S5810 -189 | $4.00 | $25.00 | $35.00 | $80.00 | 1,298 members | ||
2013 Aetna Medicare Rx Premier (PDP) | $93.20 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | tbd members | |||
2012 First Health Part D Premier Plus (PDP) | $103.00 | $0 | Some Generics, Some Brands |
No | S5670 -102 | $0.00 | $20.00 | 25% | 43% | 763 members | ||
2013 First Health Part D Premier Plus (PDP) | $98.80 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2012 Humana Complete (PDP) | $110.20 | $0 | Many Generics, Some Brands |
No | S5884 -047 | $5.00 | $37.00 | $72.00 | 33% | 1,292 members | ||
2013 Humana Complete (PDP) | $113.90 | $0 | Some Generics, Some Brands |
No | $5.00 | $36.00 | $71.00 | 33% | tbd members | |||
2012 AARP MedicareRx Enhanced (PDP) | $85.10 | $0 | Some Generics | No | S5921 -313 | $4.00 | $7.00 | $40.00 | $76.00 | 659 members | ||
-- Members will be assigned to AARP MedicareRx Preferred S5820-018 -- | ||||||||||||
2012 BravoRx (PDP) | $29.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -024 | 25% | 25% | 25% | 2,321 members | |||
-- Members will be assigned to HealthSpring Prescription Drug Plan S5932-018 -- | ||||||||||||
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 Community CCRx Basic (PDP) | $29.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -088 | $2.00 | 25% | 47% | 25% | 37,707 members | ||
-- Members will be assigned to SilverScript Basic S5601-038 -- | ||||||||||||
2012 Health Net Orange Option 1 (PDP) | $25.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -044 | $4.00 | $44.00 | $84.00 | 25% | 1,731 members | ||
-- Members will be assigned to SilverScript Basic S5601-038 -- | ||||||||||||
2012 Community CCRx Choice (PDP) | $78.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -156 | $0.00 | $40.00 | $70.00 | 33% | 5,585 members | ||
-- Members will be assigned to SilverScript Plus S5601-107 -- | ||||||||||||
2012 Health Net Value Orange Option 2 (PDP) | $60.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -043 | $0.00 | $32.00 | $64.00 | 33% | 1,687 members | ||
-- Members will be assigned to SilverScript Plus S5601-107 -- | ||||||||||||
2012 WellCare Signature (PDP) | $63.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -053 | $0.00 | $20.00 | $45.00 | $85.00 | 2,912 members | ||
-- Members will be assigned to WellCare Classic S5967-156 -- | ||||||||||||
2012 MedicareRx Rewards Plus (PDP) | $67.60 | $0 | Some Generics | No | S5960 -151 | $4.00 | $7.00 | $45.00 | $90.00 | 596 members | ||
-- This plan not offered in 2013 -- | ||||||||||||
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