2012 / 2013 Medicare Part D Plan Information Click here to jump to the Chart Legend | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
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 |
||||||
-- This plan not offered in 2012 -- | S5967 -204 | |||||||||||
2013 WellCare Extra (PDP) | $39.00 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | |||
2012 EnvisionRxPlus Gold (PDP) | $54.50 | $0 | Some Generics | No | S7694 -103 | $2.00 | 15% | 15% | 30% | 16 members | ||
2013 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -068 | |||||||||||
2013 SmartD Rx Plus (PDP) | $59.80 | $0 | Some Generics | No | $0.00 | $21.00 | $30.00 | $85.00 | tbd members | |||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $66.10 | $150 | Many Generics | No | S5660 -203 | $6.00 | $12.00 | $45.00 | $95.00 | 201 members | ||
2013 Express Scripts Medicare - Choice (PDP) | $74.10 | $200 | Many Generics | No | $8.00 | $45.00 | $95.00 | 28% | tbd members | |||
2012 First Health Part D Premier Plus (PDP) | $79.30 | $0 | Some Generics, Some Brands |
No | S5674 -065 | $0.00 | $25.00 | 33% | 50% | 45 members | ||
2013 First Health Part D Premier Plus (PDP) | $81.70 | $0 | Some Generics, Some Brands |
No | $0.00 | $25.00 | 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 AARP MedicareRx Enhanced (PDP) | $82.00 | $0 | Some Generics | No | S5921 -043 | $4.00 | $7.00 | $40.00 | $76.00 | 181 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $85.40 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $33.00 | $65.00 | tbd members | |||
2012 CVS Caremark Plus (PDP) | $80.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -067 | $0.00 | $40.00 | $90.00 | 33% | 95 members | ||
2013 SilverScript Plus (PDP) | $100.70 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 33% | tbd members | |||
2012 Aetna Medicare Rx Premier (PDP) | $93.10 | $0 | Many Generics | No | S5810 -203 | $4.00 | $25.00 | $35.00 | $80.00 | 71 members | ||
-- Members will be assigned to Aetna CVS/pharmacy Prescription Drug Plan S5810-67 -- | ||||||||||||
2012 First Health Part D Premier (PDP) | $35.40 | $250 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -124 | $7.00 | 20% | 35% | 26% | 510 members | ||
-- Members will be assigned to First Health Part D Essentials S5768-163 -- | ||||||||||||
2012 Health Net Orange Option 1 (PDP) | $30.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -066 | $8.00 | $45.00 | $95.00 | 25% | 229 members | ||
-- Members will be assigned to SilverScript Basic S5601-066 -- | ||||||||||||
2012 Community CCRx Basic (PDP) | $39.30 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -102 | $2.00 | 25% | 48% | 25% | 376 members | ||
-- Members will be assigned to SilverScript Basic S5601-066 -- | ||||||||||||
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 Value Orange Option 2 (PDP) | $47.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -065 | $0.00 | $32.00 | $64.00 | 33% | 185 members | ||
-- Members will be assigned to SilverScript Plus S5601-067 -- | ||||||||||||
2012 Community CCRx Choice (PDP) | $83.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -170 | $0.00 | $40.00 | $70.00 | 33% | 41 members | ||
-- Members will be assigned to SilverScript Plus S5601-067 -- | ||||||||||||
2012 WellCare Signature (PDP) | $65.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -067 | $0.00 | $0.00 | $40.00 | $70.00 | 228 members | ||
-- Members will be assigned to WellCare Classic S5967-170 -- | ||||||||||||
2012 MedicareRx Rewards Plus (PDP) | $104.80 | $0 | Some Generics | No | S5960 -161 | $4.00 | $7.00 | $45.00 | $90.00 | 29 members | ||
-- This plan not offered in 2013 -- | ||||||||||||
|