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 Blue Cross MedicareRx Standard (PDP) | $39.30 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5596 -033 | $2.00 | $7.00 | $40.00 | $90.00 | 41,694 members | ||
2013 Blue Cross MedicareRx Standard (PDP) | $41.30 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $6.00 | $39.00 | $85.00 | tbd members | |||
2012 Blue Shield Medicare Basic Plan (PDP) | $41.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S2468 -003 | $4.00 | $35.00 | $75.00 | 25% | 1,145 members | ||
2013 Blue Shield Medicare Basic Plan (PDP) | $53.40 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $37.00 | $76.00 | 25% | tbd members | |||
2012 Blue Shield Medicare Enhanced Plan (PDP) | $55.60 | $0 | Many Generics | No | S2468 -004 | $7.00 | $45.00 | $75.00 | 33% | 38,524 members | ||
2013 Blue Shield Medicare Enhanced Plan (PDP) | $72.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $45.00 | $90.00 | 25% | tbd members | |||
2012 Blue Cross MedicareRx Plus (PDP) | $62.80 | $0 | Some Generics | No | S5596 -034 | $2.00 | $7.00 | $45.00 | $90.00 | 48,041 members | ||
2013 Blue Cross MedicareRx Plus (PDP) | $76.80 | $0 | Few Generics | No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2012 Blue Cross MedicareRx Gold (PDP) | $107.30 | $0 | Many Generics, Some Brands |
No | S5596 -035 | $2.00 | $7.00 | $45.00 | $90.00 | 47,615 members | ||
2013 Blue Cross MedicareRx Gold (PDP) | $113.00 | $0 | Many Generics, Some Brands |
No | $2.00 | $7.00 | $45.00 | $90.00 | 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 Blue Shield Medicare Premium Plan (PDP) | $108.20 | $0 | Many Generics, Some Brands |
No | S2468 -002 | $7.00 | $45.00 | $75.00 | 33% | 3,858 members | ||
-- This plan not offered in 2013 -- | ||||||||||||
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