2012 / 2013 Medicare Part D Plan Information Click here to jump to the Chart Legend | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
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 |
||||||
-- This plan not offered in 2012 -- | S5967 -199 | |||||||||||
2013 WellCare Extra (PDP) | $39.10 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | |||
2012 Rite Aid EnvisionRxPlus (PDP) | $61.20 | $0 | Some Generics | No | S7694 -098 | $0.00 | 20% | 15% | 30% | 63 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 -063 | |||||||||||
2013 SmartD Rx Plus (PDP) | $65.80 | $0 | Some Generics | No | $0.00 | $20.00 | $32.00 | $79.00 | tbd members | |||
2012 CIGNA Medicare Rx Plan Two (PDP) | $69.80 | $0 | Few Generics | No | S5617 -198 | $0.00 | $5.00 | $41.00 | $85.00 | 641 members | ||
2013 Cigna Medicare Rx Plan Two (PDP) | $81.10 | $0 | Few Generics | No | $0.00 | $10.00 | $45.00 | $90.00 | tbd members | |||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $77.20 | $150 | Many Generics | No | S5660 -198 | $6.00 | $12.00 | $45.00 | $95.00 | 1,211 members | ||
2013 Express Scripts Medicare - Choice (PDP) | $86.20 | $200 | Many Generics | No | $8.00 | $45.00 | $95.00 | 28% | 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 MedicareRx Rewards Plus (PDP) | $71.80 | $0 | Some Generics | No | S5960 -158 | $4.00 | $7.00 | $45.00 | $90.00 | 855 members | ||
2013 MedicareRx Rewards Plus (PDP) | $89.90 | $0 | Few Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2012 CVS Caremark Plus (PDP) | $88.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -057 | $0.00 | $40.00 | $90.00 | 33% | 492 members | ||
2013 SilverScript Plus (PDP) | $90.40 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 33% | tbd members | |||
2012 First Health Part D Premier Plus (PDP) | $96.70 | $0 | Some Generics, Some Brands |
No | S5670 -144 | $0.00 | $20.00 | 25% | 44% | 1,095 members | ||
2013 First Health Part D Premier Plus (PDP) | $90.80 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 42% | tbd members | |||
2012 Aetna Medicare Rx Premier (PDP) | $70.00 | $0 | Many Generics | No | S5810 -198 | $4.00 | $25.00 | $35.00 | $80.00 | 1,651 members | ||
2013 Aetna Medicare Rx Premier (PDP) | $92.90 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | tbd members | |||
2012 AARP MedicareRx Enhanced (PDP) | $90.80 | $0 | Some Generics | No | S5921 -233 | $4.00 | $7.00 | $40.00 | $76.00 | 2,555 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $99.70 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $40.00 | $76.00 | tbd members | |||
2012 First Health Part D Premier (PDP) | $39.00 | $250 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -121 | $6.00 | 20% | 38% | 26% | 5,551 members | ||
-- Members will be assigned to First Health Part D Essentials S5768-162 -- | ||||||||||||
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 BravoRx (PDP) | $26.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -032 | 25% | 25% | 25% | 5,744 members | |||
-- Members will be assigned to HealthSpring Prescription Drug Plan S5932-027 -- | ||||||||||||
2012 Community CCRx Basic (PDP) | $25.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -097 | $2.00 | 25% | 47% | 25% | 7,852 members | ||
-- Members will be assigned to SilverScript Basic S5601-056 -- | ||||||||||||
2012 Health Net Orange Option 1 (PDP) | $25.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -001 | $4.00 | $45.00 | $95.00 | 25% | 25,426 members | ||
-- Members will be assigned to SilverScript Basic S5601-056 -- | ||||||||||||
2012 Health Net Orange Option 2 (PDP) | $82.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -007 | $0.00 | $38.00 | $75.00 | 33% | 1,662 members | ||
-- Members will be assigned to SilverScript Plus S5601-057 -- | ||||||||||||
2012 Community CCRx Choice (PDP) | $81.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -165 | $0.00 | $40.00 | $70.00 | 33% | 1,108 members | ||
-- Members will be assigned to SilverScript Plus S5601-057 -- | ||||||||||||
2012 WellCare Signature (PDP) | $55.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -062 | $0.00 | $20.00 | $45.00 | $95.00 | 2,686 members | ||
-- Members will be assigned to WellCare Classic S5967-165 -- | ||||||||||||
|