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 -376 | |||||||||||
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 -114 | $1.00 | $5.00 | 20% | 30% | 226,314 members | ||
2013 Humana Walmart-Preferred Rx Plan (PDP) | $18.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $3.00 | 20% | 35% | tbd members | |||
2012 First Health Part D Value Plus (PDP) | $28.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -155 | $0.00 | 26% | 40% | 33% | 23,695 members | ||
2013 First Health Part D Value Plus (PDP) | $24.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $70.00 | 33% | tbd members | |||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5810 -066 | $3.00 | $24.00 | $39.00 | 38% | 16,995 members | ||
2013 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $28.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $5.00 | $45.00 | 47% | tbd members | |||
2012 EnvisionRxPlus Silver (PDP) | $29.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -032 | 25% | 25% | 25% | 25% | 76,053 members | ||
2013 EnvisionRxPlus Silver (PDP) | $29.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 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 | ||||||
-- This plan not offered in 2012 -- | S5601 -141 | |||||||||||
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 CVS Caremark Value (PDP) | $28.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -064 | $7.00 | $45.00 | $95.00 | 25% | 259,932 members | ||
2013 SilverScript Basic (PDP) | $30.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 21% | 43% | 33% | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -032 | |||||||||||
2013 SmartD Rx Saver (PDP) | $31.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $20.00 | $32.00 | $85.00 | tbd members | |||
-- This plan not offered in 2012 -- | S0128 -033 | |||||||||||
new | new | new | ||||||||||
2013 Reader's Digest Value Rx (PDP) | $32.30 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $2.50 | $37.00 | 27% | tbd members | |||
2012 WellCare Classic (PDP) | $31.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -169 | $0.00 | $42.00 | $95.00 | 25% | 248,105 members | ||
2013 WellCare Classic (PDP) | $33.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | $45.00 | $95.00 | 33% | tbd members | |||
2012 United American - Select (PDP) | $37.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -103 | $2.00 | $9.00 | $45.00 | $95.00 | 177 members | ||
2013 United American - Select (PDP) | $36.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $4.00 | $37.00 | $95.00 | 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 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 HealthSpring Prescription Drug Plan-Reg 32 (PDP) | $53.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5932 -031 | 25% | 25% | 2,547 members | ||||
2013 HealthSpring Prescription Drug Plan-Reg 32 (PDP) | $46.90 | $325 | No additional gap coverage, only the Donut Hole Discount | No | 25% | tbd members | ||||||
2012 Humana Enhanced (PDP) | $43.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -030 | $7.00 | $38.00 | $74.00 | 33% | 78,557 members | ||
2013 Humana Enhanced (PDP) | $47.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $44.00 | $90.00 | tbd members | |||
2012 AARP MedicareRx Preferred (PDP) | $48.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -031 | $4.00 | $8.00 | $43.00 | $94.00 | 269,091 members | ||
2013 AARP MedicareRx Preferred (PDP) | $47.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $5.00 | $40.00 | $85.00 | tbd members | |||
2012 First Health Part D Premier (PDP) | $38.70 | $250 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -082 | $6.00 | 19% | 36% | 26% | 31,166 members | ||
2013 First Health Part D Premier (PDP) | $47.90 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | 25% | 48% | tbd members | ||||
-- This plan not offered in 2012 -- | S5967 -203 | |||||||||||
2013 WellCare Extra (PDP) | $49.00 | $0 | Many Generics | No | $0.00 | 25% | 25% | 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 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 Rite Aid EnvisionRxPlus (PDP) | $78.60 | $0 | Some Generics | No | S7694 -102 | $0.00 | 20% | 15% | 30% | 206 members | ||
2013 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | tbd members | |||
2012 CIGNA Medicare Rx Plan One (PDP) | $56.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -158 | $3.00 | $20.00 | $34.00 | $86.00 | 3,235 members | ||
2013 Cigna Medicare Rx Plan One (PDP) | $55.80 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $8.00 | $28.00 | $70.00 | tbd members | |||
2012 United American - Preferred (PDP) | $54.80 | $80 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -035 | $3.00 | $9.00 | $45.00 | $95.00 | 6,750 members | ||
2013 United American - Enhanced (PDP) | $60.80 | $80 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $1.00 | $40.00 | $95.00 | tbd members | |||
2012 Medco Medicare Prescription Plan - Value (PDP) | $34.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -134 | $4.00 | $8.00 | 25% | 35% | 6,129 members | ||
2013 Express Scripts Medicare - Value (PDP) | $61.00 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | 25% | 50% | 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 | |||
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 -- | S0064 -067 | |||||||||||
2013 SmartD Rx Plus (PDP) | $73.00 | $0 | Some Generics | No | $0.00 | $20.00 | $32.00 | $85.00 | 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 Medco Medicare Prescription Plan - Choice (PDP) | $82.50 | $150 | Many Generics | No | S5660 -202 | $6.00 | $12.00 | $45.00 | $95.00 | 4,074 members | ||
2013 Express Scripts Medicare - Choice (PDP) | $91.60 | $200 | Many Generics | No | $8.00 | $45.00 | $95.00 | 28% | tbd members | |||
2012 AARP MedicareRx Enhanced (PDP) | $96.10 | $0 | Some Generics | No | S5921 -003 | $4.00 | $7.00 | $40.00 | $76.00 | 9,841 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $98.00 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $40.00 | $76.00 | tbd members | |||
2012 First Health Part D Premier Plus (PDP) | $107.30 | $0 | Some Generics, Some Brands |
No | S5674 -059 | $0.00 | $20.00 | 25% | 43% | 2,649 members | ||
2013 First Health Part D Premier Plus (PDP) | $102.40 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | 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 CVS Caremark Plus (PDP) | $81.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -065 | $0.00 | $40.00 | $90.00 | 33% | 3,596 members | ||
2013 SilverScript Plus (PDP) | $113.10 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 33% | tbd members | |||
2012 Aetna Medicare Rx Premier (PDP) | $92.20 | $0 | Many Generics | No | S5810 -202 | $4.00 | $25.00 | $35.00 | $80.00 | 4,181 members | ||
2013 Aetna Medicare Rx Premier (PDP) | $118.40 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | tbd members | |||
2012 Humana Complete (PDP) | $114.90 | $0 | Many Generics, Some Brands |
No | S5884 -060 | $5.00 | $37.00 | $69.00 | 33% | 3,647 members | ||
2013 Humana Complete (PDP) | $118.60 | $0 | Some Generics, Some Brands |
No | $5.00 | $37.00 | $69.00 | 33% | tbd members | |||
2012 BravoRx (PDP) | $37.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5998 -013 | 25% | 25% | 25% | 16,400 members | |||
-- Members will be assigned to HealthSpring Prescription Drug Plan S5932-031 -- | ||||||||||||
2012 Health Net Orange Option 1 (PDP) | $31.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -002 | $4.00 | $41.00 | $85.00 | 25% | 190,389 members | ||
-- Members will be assigned to SilverScript Basic S5601-064 -- | ||||||||||||
2012 Community CCRx Basic (PDP) | $48.90 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -101 | $2.00 | 25% | 46% | 25% | 11,515 members | ||
-- Members will be assigned to SilverScript Basic S5601-064 -- | ||||||||||||
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 Orange Option 2 (PDP) | $87.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -008 | $0.00 | $38.00 | $75.00 | 33% | 11,277 members | ||
-- Members will be assigned to SilverScript Plus S5601-065 -- | ||||||||||||
2012 Community CCRx Choice (PDP) | $91.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -169 | $0.00 | $40.00 | $70.00 | 33% | 2,939 members | ||
-- Members will be assigned to SilverScript Plus S5601-065 -- | ||||||||||||
2012 WellCare Signature (PDP) | $55.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -066 | $0.00 | $20.00 | $45.00 | $90.00 | 19,876 members | ||
-- Members will be assigned to WellCare Classic S5967-169 -- | ||||||||||||
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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