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 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 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 -- | ||||||||||||
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