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 Humana Walmart-Preferred Rx Plan (PDP) | $15.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5884 -146 | $1.00 | $5.00 | 20% | 35% | 21,918 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 CVS Caremark Value (PDP) | $40.50 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -056 | $7.50 | $45.00 | $95.00 | 25% | 1,546 members | ||
2013 SilverScript Basic (PDP) | $22.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 22% | 44% | 33% | tbd members | |||
2012 WellCare Classic (PDP) | $26.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -165 | $0.00 | $45.00 | $95.00 | 25% | 8,314 members | ||
2013 WellCare Classic (PDP) | $25.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $8.00 | $41.00 | $92.00 | 33% | tbd members | |||
2012 HealthSpring Prescription Drug Plan-Reg 28 (PDP) | $46.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5932 -027 | 25% | 25% | 137 members | ||||
2013 HealthSpring Prescription Drug Plan-Reg 28 (PDP) | $26.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | tbd members | ||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5810 -062 | $3.00 | $24.00 | $35.00 | 41% | 1,268 members | ||
2013 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $28.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $5.00 | $40.00 | 50% | 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 EnvisionRxPlus Silver (PDP) | $25.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -028 | 25% | 25% | 25% | 25% | 1,851 members | ||
2013 EnvisionRxPlus Silver (PDP) | $28.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | |||
-- This plan not offered in 2012 -- | S0128 -029 | |||||||||||
new | new | new | ||||||||||
2013 Reader's Digest Value Rx (PDP) | $29.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.50 | $33.00 | 27% | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -028 | |||||||||||
2013 SmartD Rx Saver (PDP) | $29.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $20.00 | $32.00 | $79.00 | tbd members | |||
2012 United American - Select (PDP) | $26.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5755 -099 | $3.00 | $7.00 | $45.00 | $95.00 | 1,764 members | ||
2013 United American - Select (PDP) | $29.90 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | $31.00 | $95.00 | tbd members | |||
-- This plan not offered in 2012 -- | S5768 -162 | |||||||||||
2013 First Health Part D Essentials (PDP) | $30.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.15 | 20% | 29% | tbd members | ||||
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