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 -364 | ||||||||||||||
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 -141 | $1.00 | $5.00 | 20% | 35% | 18,778 members | |||||
2013 Humana Walmart-Preferred Rx Plan (PDP) | $18.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $5.00 | 20% | 35% | tbd members | ||||||
2012 First Health Part D Value Plus (PDP) | $21.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -142 | $0.00 | 25% | 40% | 33% | 8,918 members | |||||
2013 First Health Part D Value Plus (PDP) | $26.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $70.00 | 33% | tbd members | ||||||
2012 EnvisionRxPlus Silver (PDP) | $28.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -019 | 25% | 25% | 25% | 25% | 2,711 members | |||||
2013 EnvisionRxPlus Silver (PDP) | $27.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | ||||||
2012 WellCare Classic (PDP) | $33.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -156 | $0.00 | $41.00 | $95.00 | 25% | 10,676 members | |||||
2013 WellCare Classic (PDP) | $28.80 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $42.00 | $94.00 | 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 | |||||||||
-- This plan not offered in 2012 -- | S5601 -128 | ||||||||||||||
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 Windsor Rx (PDP) | $20.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S2505 -003 | $6.00 | $41.00 | $80.00 | 25% | 5,071 members | |||||
2013 Windsor Rx (PDP) | $30.90 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $40.00 | $80.00 | 25% | tbd members | ||||||
2012 AR Blue Cross - Medi-Pak Rx Basic (PDP) | $34.40 | $255 | No additional gap coverage, only the Donut Hole Discount | No | S5795 -003 | $6.00 | $45.00 | $84.00 | 25% | 26,354 members | |||||
2013 AR Blue Cross - Medi-Pak Rx Basic (PDP) | $31.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $11.00 | 20% | 31% | tbd members | ||||||
-- This plan not offered in 2012 -- | S0064 -019 | ||||||||||||||
2013 SmartD Rx Saver (PDP) | $32.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $20.00 | $30.00 | $77.00 | tbd members | ||||||
2012 HealthSpring Prescription Drug Plan-Reg 19 (PDP) | $32.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -018 | 25% | 25% | 2,788 members | |||||||
2013 HealthSpring Prescription Drug Plan-Reg 19 (PDP) | $32.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | tbd members | |||||||||
2012 Aetna Medicare Rx Essentials (PDP) | $33.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5810 -053 | $3.00 | $15.00 | $39.00 | 40% | 5,291 members | |||||
2013 Aetna Medicare Rx Essentials (PDP) | $32.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $20.00 | $45.00 | 41% | 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 -- | S0128 -020 | ||||||||||||||
new | new | new | |||||||||||||
2013 Reader's Digest Value Rx (PDP) | $33.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.50 | $34.00 | 27% | tbd members | ||||||
2012 CVS Caremark Value (PDP) | $30.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -038 | $5.00 | $45.00 | $95.00 | 25% | 4,046 members | |||||
2013 SilverScript Basic (PDP) | $33.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 50% | 33% | tbd members | ||||||
2012 CIGNA Medicare Rx Plan One (PDP) | $30.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -225 | $3.00 | $20.00 | $30.00 | $78.00 | 7,024 members | |||||
2013 Cigna Medicare Rx Plan One (PDP) | $33.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $8.00 | $28.00 | $71.00 | tbd members | ||||||
2012 United American - Preferred (PDP) | $30.90 | $145 | No additional gap coverage, only the Donut Hole Discount | Yes | S5755 -022 | $5.00 | $12.00 | $45.00 | $95.00 | 9,095 members | |||||
2013 United American - Select (PDP) | $33.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | $35.00 | $95.00 | tbd members | ||||||
-- 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 Medco Medicare Prescription Plan - Value (PDP) | $30.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -121 | $4.00 | $8.00 | 25% | 40% | 10,986 members | |||||
2013 Express Scripts Medicare - Value (PDP) | $34.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $6.00 | 25% | 48% | 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 First Health Part D Premier (PDP) | $31.50 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -043 | $5.00 | 20% | 38% | 26% | 12,894 members | |||||
2013 First Health Part D Premier (PDP) | $35.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | 25% | 45% | tbd members | |||||||
-- This plan not offered in 2012 -- | S2978 -007 | ||||||||||||||
new | new | new | |||||||||||||
2013 Destiny Health MedSaver Part D Plan (PDP) | $35.80 | $325 | No additional gap coverage, only the Donut Hole Discount | No | tbd | tbd members | |||||||||
2012 AARP MedicareRx Preferred (PDP) | $42.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -018 | $4.00 | $8.00 | $37.00 | $95.00 | 28,632 members | |||||
2013 AARP MedicareRx Preferred (PDP) | $40.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $40.00 | $85.00 | tbd members | ||||||
2012 Humana Enhanced (PDP) | $37.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -077 | $7.00 | $35.00 | $69.00 | 33% | 30,199 members | |||||
2013 Humana Enhanced (PDP) | $42.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $38.00 | $90.00 | tbd members | ||||||
2012 MedicareRx Rewards Standard (PDP) | $32.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5960 -125 | $4.00 | $7.00 | $29.00 | $90.00 | 5,602 members | |||||
2013 MedicareRx Rewards Standard (PDP) | $46.00 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $7.00 | $29.00 | $85.00 | 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 | ||||||
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 -- | S5755 -106 | ||||||||||||||
2013 United American - Enhanced (PDP) | $55.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $7.00 | $40.00 | $95.00 | 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 | ||||||
-- 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 | ||||||
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 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 -- | |||||||||||||||
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 -- | |||||||||||||||
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 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 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 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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