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 Humana Walmart-Preferred Rx Plan (PDP) | $15.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5884 -115 | $1.00 | $5.00 | 20% | 35% | 1,774 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% | 30% | tbd members | |||
2012 WellCare Classic (PDP) | $32.30 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -170 | $6.00 | $41.00 | $95.00 | 33% | 187 members | ||
2013 WellCare Classic (PDP) | $27.70 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $43.00 | $95.00 | 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 -067 | $3.00 | $28.00 | $40.00 | 35% | 108 members | ||
2013 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $30.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $5.00 | $45.00 | 44% | tbd members | |||
2012 EnvisionRxPlus Silver (PDP) | $27.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -033 | 25% | 25% | 25% | 25% | 421 members | ||
2013 EnvisionRxPlus Silver (PDP) | $30.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | |||
2012 CVS Caremark Value (PDP) | $27.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -066 | $7.25 | $45.00 | $95.00 | 25% | 2,516 members | ||
2013 SilverScript Basic (PDP) | $31.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 23% | 43% | 33% | 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 33 (PDP) | $28.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -032 | 25% | 25% | 3,781 members | ||||
2013 HealthSpring Prescription Drug Plan-Reg 33 (PDP) | $32.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | tbd members | ||||||
-- This plan not offered in 2012 -- | S0128 -034 | |||||||||||
new | new | new | ||||||||||
2013 Reader's Digest Value Rx (PDP) | $32.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.50 | $36.00 | 27% | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -033 | |||||||||||
2013 SmartD Rx Saver (PDP) | $32.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $21.00 | $30.00 | $85.00 | tbd members | |||
-- This plan not offered in 2012 -- | S5768 -163 | |||||||||||
2013 First Health Part D Essentials (PDP) | $34.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.15 | 20% | 29% | tbd members | ||||
2012 United American - Select (PDP) | $30.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5755 -038 | $4.00 | $9.00 | $45.00 | $95.00 | 430 members | ||
2013 United American - Select (PDP) | $34.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | $40.00 | $95.00 | tbd members | |||
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