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 -355 | |||||||||||
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 -135 | $1.00 | $5.00 | 20% | 35% | 30,026 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 First Health Part D Value Plus (PDP) | $25.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -133 | $0.00 | 25% | 41% | 33% | 11,283 members | ||
2013 First Health Part D Value Plus (PDP) | $28.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $70.00 | 33% | tbd members | |||
-- This plan not offered in 2012 -- | S5601 -119 | |||||||||||
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 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5810 -044 | $3.00 | $10.00 | $34.00 | 41% | 24,516 members | ||
2013 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $31.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $5.00 | $45.00 | 41% | 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 WellCare Classic (PDP) | $32.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -147 | $0.00 | $41.00 | $92.00 | 25% | 25,418 members | ||
2013 WellCare Classic (PDP) | $31.50 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $42.00 | $95.00 | 33% | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -010 | |||||||||||
2013 SmartD Rx Saver (PDP) | $32.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $20.00 | $35.00 | $80.00 | tbd members | |||
-- This plan not offered in 2012 -- | S0128 -011 | |||||||||||
new | new | new | ||||||||||
2013 Reader's Digest Value Rx (PDP) | $33.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.50 | $34.00 | 27% | tbd members | |||
2012 EnvisionRxPlus Silver (PDP) | $29.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -010 | 25% | 25% | 25% | 25% | 8,070 members | ||
2013 EnvisionRxPlus Silver (PDP) | $33.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | |||
2012 CVS Caremark Value (PDP) | $31.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -020 | $5.50 | $45.00 | $95.00 | 25% | 12,198 members | ||
2013 SilverScript Basic (PDP) | $33.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 47% | 33% | tbd members | |||
2012 CIGNA Medicare Rx Plan One (PDP) | $28.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -219 | $3.00 | $20.00 | $32.00 | $84.00 | 24,859 members | ||
2013 Cigna Medicare Rx Plan One (PDP) | $33.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $8.00 | $24.00 | $88.00 | 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 United American - Select (PDP) | $31.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5755 -081 | $3.00 | $7.00 | $45.00 | $95.00 | 3,360 members | ||
2013 United American - Select (PDP) | $34.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | $34.00 | $95.00 | tbd members | |||
2012 First Health Part D Premier (PDP) | $30.90 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -040 | $5.00 | 20% | 39% | 26% | 42,070 members | ||
2013 First Health Part D Premier (PDP) | $34.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | 25% | 45% | tbd members | ||||
2012 Blue MedicareRx Standard (PDP) | $32.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5596 -009 | $2.00 | $7.00 | $35.00 | $90.00 | 20,122 members | ||
2013 Blue MedicareRx Standard (PDP) | $35.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $6.00 | $34.00 | $85.00 | tbd members | |||
2012 Medco Medicare Prescription Plan - Value (PDP) | $31.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -112 | $4.00 | $8.00 | 25% | 40% | 10,666 members | ||
2013 Express Scripts Medicare - Value (PDP) | $35.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $6.00 | 25% | 50% | tbd members | |||
-- This plan not offered in 2012 -- | S5967 -182 | |||||||||||
2013 WellCare Extra (PDP) | $39.10 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | |||
2012 AARP MedicareRx Preferred (PDP) | $42.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -009 | $4.00 | $8.00 | $39.00 | $93.00 | 117,401 members | ||
2013 AARP MedicareRx Preferred (PDP) | $40.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $5.00 | $40.00 | $85.00 | 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 HealthSpring Prescription Drug Plan-Reg 10 (PDP) | $33.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5932 -010 | 25% | 25% | 1,441 members | ||||
2013 HealthSpring Prescription Drug Plan-Reg 10 (PDP) | $41.10 | $325 | No additional gap coverage, only the Donut Hole Discount | No | 25% | tbd members | ||||||
2012 Humana Enhanced (PDP) | $42.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -009 | $6.00 | $38.00 | $72.00 | 33% | 30,290 members | ||
2013 Humana Enhanced (PDP) | $46.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $42.00 | $90.00 | tbd members | |||
2012 Rite Aid EnvisionRxPlus (PDP) | $67.10 | $0 | Some Generics | No | S7694 -081 | $0.00 | 20% | 15% | 30% | 150 members | ||
2013 EnvisionRxPlus Gold (PDP) | $54.50 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | tbd members | |||
2012 United American - Preferred (PDP) | $52.20 | $80 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -013 | $3.00 | $9.00 | $45.00 | $95.00 | 4,941 members | ||
2013 United American - Enhanced (PDP) | $58.20 | $80 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $1.00 | $40.00 | $95.00 | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -045 | |||||||||||
2013 SmartD Rx Plus (PDP) | $70.20 | $0 | Some Generics | No | $0.00 | $20.00 | $35.00 | $80.00 | tbd members | |||
2012 Blue MedicareRx Plus (PDP) | $61.50 | $0 | Some Generics | No | S5596 -010 | $2.00 | $7.00 | $45.00 | $90.00 | 9,438 members | ||
2013 Blue MedicareRx Plus (PDP) | $74.90 | $0 | Few Generics | 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 Medco Medicare Prescription Plan - Choice (PDP) | $68.70 | $150 | Many Generics | No | S5660 -180 | $6.00 | $12.00 | $45.00 | $95.00 | 4,150 members | ||
2013 Express Scripts Medicare - Choice (PDP) | $76.50 | $200 | Many Generics | No | $8.00 | $45.00 | $95.00 | 28% | tbd members | |||
2012 AARP MedicareRx Enhanced (PDP) | $89.40 | $0 | Some Generics | No | S5921 -133 | $4.00 | $7.00 | $40.00 | $76.00 | 3,340 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $88.40 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $40.00 | $76.00 | tbd members | |||
2012 CVS Caremark Plus (PDP) | $78.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -021 | $0.00 | $40.00 | $90.00 | 33% | 1,016 members | ||
2013 SilverScript Plus (PDP) | $95.80 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 33% | tbd members | |||
2012 Aetna Medicare Rx Premier (PDP) | $80.30 | $0 | Many Generics | No | S5810 -180 | $4.00 | $25.00 | $35.00 | $80.00 | 3,163 members | ||
2013 Aetna Medicare Rx Premier (PDP) | $97.10 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | tbd members | |||
2012 First Health Part D Premier Plus (PDP) | $100.00 | $0 | Some Generics, Some Brands |
No | S5670 -060 | $0.00 | $20.00 | 25% | 44% | 3,004 members | ||
2013 First Health Part D Premier Plus (PDP) | $98.70 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 44% | tbd members | |||
2012 Blue MedicareRx Premier (PDP) | $108.00 | $0 | Many Generics, Some Brands |
No | S5596 -011 | $2.00 | $7.00 | $45.00 | $90.00 | 6,310 members | ||
2013 Blue MedicareRx Premier (PDP) | $106.10 | $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 Humana Complete (PDP) | $117.50 | $0 | Many Generics, Some Brands |
No | S5884 -038 | $4.00 | $37.00 | $69.00 | 33% | 1,420 members | ||
2013 Humana Complete (PDP) | $121.20 | $0 | Some Generics, Some Brands |
No | $4.00 | $37.00 | $69.00 | 33% | tbd members | |||
2012 BravoRx (PDP) | $32.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -019 | 25% | 25% | 25% | 7,032 members | |||
-- Members will be assigned to HealthSpring Prescription Drug Plan S5932-010 -- | ||||||||||||
2012 Health Net Orange Option 1 (PDP) | $34.50 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -026 | $4.00 | $40.00 | $83.00 | 25% | 1,371 members | ||
-- Members will be assigned to SilverScript Basic S5601-020 -- | ||||||||||||
2012 Community CCRx Basic (PDP) | $28.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -079 | $2.00 | 25% | 47% | 25% | 92,430 members | ||
-- Members will be assigned to SilverScript Basic S5601-020 -- | ||||||||||||
2012 Health Net Value Orange Option 2 (PDP) | $71.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -025 | $0.00 | $32.00 | $64.00 | 33% | 1,362 members | ||
-- Members will be assigned to SilverScript Plus S5601-021 -- | ||||||||||||
2012 Community CCRx Choice (PDP) | $75.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -147 | $0.00 | $40.00 | $70.00 | 33% | 9,160 members | ||
-- Members will be assigned to SilverScript Plus S5601-021 -- | ||||||||||||
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 WellCare Signature (PDP) | $61.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -044 | $0.00 | $20.00 | $45.00 | $85.00 | 6,459 members | ||
-- Members will be assigned to WellCare Classic S5967-147 -- | ||||||||||||
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