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 BlueRx Standard (PDP) | $87.10 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5766 -002 | $8.00 | $30.00 | $65.00 | 25% | 19,274 members | ||
2013 BlueRx Standard (PDP) | $105.80 | $250 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $16.00 | 20% | 37% | tbd members | |||
2012 BlueRx Enhanced (PDP) | $131.80 | $0 | Many Generics | No | S5766 -003 | $8.00 | $30.00 | $65.00 | 25% | 4,439 members | ||
2013 BlueRx Enhanced (PDP) | $165.40 | $0 | Many Generics | No | $5.00 | $16.00 | 20% | 37% | tbd members | |||
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