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 -362 | ||||||||||||||
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 -107 | $1.00 | $5.00 | 20% | 35% | 61,589 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 | ||||||
-- This plan not offered in 2012 -- | S5601 -126 | ||||||||||||||
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 -051 | $3.00 | $10.00 | $35.00 | 40% | 15,085 members | |||||
2013 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $29.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $5.00 | $45.00 | 39% | tbd members | ||||||
-- This plan not offered in 2012 -- | S0064 -017 | ||||||||||||||
2013 SmartD Rx Saver (PDP) | $29.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $20.00 | $33.00 | $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 EnvisionRxPlus Silver (PDP) | $27.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -017 | 25% | 25% | 25% | 25% | 10,586 members | |||||
2013 EnvisionRxPlus Silver (PDP) | $29.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | ||||||
2012 United American - Select (PDP) | $28.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5755 -088 | $3.00 | $7.00 | $45.00 | $95.00 | 11,087 members | |||||
2013 United American - Select (PDP) | $30.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | $35.00 | $95.00 | tbd members | ||||||
-- This plan not offered in 2012 -- | S3618 -002 | ||||||||||||||
new | new | new | |||||||||||||
2013 Advantage Plus - Meridian (PDP) | $31.10 | $325 | No additional gap coverage, only the Donut Hole Discount | No | tbd | tbd members | |||||||||
2012 CVS Caremark Value (PDP) | $28.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -034 | $4.75 | $45.00 | $95.00 | 25% | 34,577 members | |||||
2013 SilverScript Basic (PDP) | $31.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 24% | 44% | 33% | tbd members | ||||||
2012 CIGNA Medicare Rx Plan One (PDP) | $26.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -224 | $3.00 | $20.00 | $38.00 | $83.00 | 37,604 members | |||||
2013 Cigna Medicare Rx Plan One (PDP) | $31.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $8.00 | $32.00 | $83.00 | tbd members | ||||||
2012 First Health Part D Value Plus (PDP) | $24.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -140 | $0.00 | 25% | 40% | 33% | 23,643 members | |||||
2013 First Health Part D Value Plus (PDP) | $32.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $70.00 | 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 | |||||||||
-- This plan not offered in 2012 -- | S0128 -018 | ||||||||||||||
new | new | new | |||||||||||||
2013 Reader's Digest Value Rx (PDP) | $32.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.50 | $35.00 | 27% | tbd members | ||||||
-- This plan not offered in 2012 -- | S2978 -006 | ||||||||||||||
new | new | new | |||||||||||||
2013 Destiny Health MedSaver Part D Plan (PDP) | $32.70 | $325 | No additional gap coverage, only the Donut Hole Discount | No | tbd | tbd members | |||||||||
2012 HealthSpring Prescription Drug Plan-Reg 17 (PDP) | $30.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -016 | 25% | 25% | 74,701 members | |||||||
2013 HealthSpring Prescription Drug Plan-Reg 17 (PDP) | $32.90 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | tbd members | |||||||||
2012 WellCare Classic (PDP) | $31.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -154 | $0.00 | $42.00 | $95.00 | 25% | 14,595 members | |||||
2013 WellCare Classic (PDP) | $33.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | $42.00 | $94.00 | 33% | tbd members | ||||||
2012 AARP MedicareRx Preferred (PDP) | $34.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -016 | $4.00 | $8.00 | $39.00 | $90.00 | 265,667 members | |||||
2013 AARP MedicareRx Preferred (PDP) | $35.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $5.00 | $40.00 | $85.00 | tbd members | ||||||
2012 Blue MedicareRx Value (PDP) | $38.00 | $125 | No additional gap coverage, only the Donut Hole Discount | No | S5715 -001 | $9.00 | $41.00 | $91.00 | 29% | 144,680 members | |||||
2013 Blue MedicareRx Value (PDP) | $39.00 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $11.00 | $44.00 | $95.00 | 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 - Value (PDP) | $32.90 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -119 | $4.00 | $8.00 | 25% | 40% | 8,746 members | |||||
2013 Express Scripts Medicare - Value (PDP) | $41.70 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $6.00 | 25% | 50% | tbd members | ||||||
2012 Humana Enhanced (PDP) | $38.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -015 | $7.00 | $38.00 | $70.00 | 33% | 36,957 members | |||||
2013 Humana Enhanced (PDP) | $42.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $41.00 | $90.00 | tbd members | ||||||
2012 First Health Part D Premier (PDP) | $26.70 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -042 | $6.00 | 19% | 35% | 26% | 35,596 members | |||||
2013 First Health Part D Premier (PDP) | $43.90 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | 25% | 42% | tbd members | |||||||
-- This plan not offered in 2012 -- | S5967 -188 | ||||||||||||||
2013 WellCare Extra (PDP) | $44.10 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | ||||||
2012 EnvisionRxPlus Gold (PDP) | $68.20 | $0 | Some Generics | No | S7694 -087 | $2.00 | 15% | 15% | 30% | 149 members | |||||
2013 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | tbd members | ||||||
2012 United American - Preferred (PDP) | $53.80 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -020 | $3.00 | $9.00 | $45.00 | $95.00 | 2,257 members | |||||
2013 United American - Enhanced (PDP) | $59.80 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $1.00 | $40.00 | $95.00 | 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 MedicareRx Rewards Standard (PDP) | $45.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -123 | $4.00 | $7.00 | $35.00 | $90.00 | 2,310 members | |||||
2013 MedicareRx Rewards Standard (PDP) | $64.80 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $7.00 | $34.00 | $85.00 | tbd members | ||||||
2012 Health Alliance Medicare Prescription Plan - Basic (PDP) | $46.60 | $200 | No additional gap coverage, only the Donut Hole Discount | No | S4219 -001 | $0.00 | $30.00 | $44.00 | $95.00 | 2,891 members | |||||
-- | |||||||||||||||
2013 Health Alliance Medicare Prescription Plan - Basic (PDP) | $71.10 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $25.00 | $45.00 | $95.00 | tbd members | ||||||
-- This plan not offered in 2012 -- | S0064 -052 | ||||||||||||||
2013 SmartD Rx Plus (PDP) | $72.50 | $0 | Some Generics | No | $0.00 | $20.00 | $33.00 | $85.00 | tbd members | ||||||
2012 CIGNA Medicare Rx Plan Two (PDP) | $73.00 | $0 | Few Generics | No | S5617 -187 | $0.00 | $5.00 | $41.00 | $85.00 | 1,407 members | |||||
2013 Cigna Medicare Rx Plan Two (PDP) | $79.20 | $0 | Few Generics | No | $0.00 | $10.00 | $45.00 | $90.00 | tbd members | ||||||
2012 AARP MedicareRx Enhanced (PDP) | $84.50 | $0 | Some Generics | No | S5921 -083 | $4.00 | $7.00 | $40.00 | $76.00 | 3,515 members | |||||
2013 AARP MedicareRx Enhanced (PDP) | $86.60 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $40.00 | $76.00 | tbd members | ||||||
2012 CVS Caremark Plus (PDP) | $78.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -035 | $0.00 | $40.00 | $90.00 | 33% | 2,199 members | |||||
2013 SilverScript Plus (PDP) | $95.50 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 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 Blue MedicareRx Plus (PDP) | $94.90 | $0 | All Generics | No | S5715 -002 | $5.00 | $38.00 | $75.00 | 33% | 29,508 members | |||||
2013 Blue MedicareRx Plus (PDP) | $95.90 | $0 | All Generics | No | $3.00 | $10.00 | $38.00 | $86.00 | tbd members | ||||||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $90.70 | $150 | Many Generics | No | S5660 -187 | $6.00 | $12.00 | $45.00 | $95.00 | 1,011 members | |||||
2013 Express Scripts Medicare - Choice (PDP) | $99.20 | $200 | Many Generics | No | $8.00 | $45.00 | $95.00 | 28% | tbd members | ||||||
2012 First Health Part D Premier Plus (PDP) | $101.00 | $0 | Some Generics, Some Brands |
No | S5670 -090 | $0.00 | $20.00 | 25% | 43% | 3,551 members | |||||
2013 First Health Part D Premier Plus (PDP) | $99.70 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | ||||||
2012 Aetna Medicare Rx Premier (PDP) | $80.50 | $0 | Many Generics | No | S5810 -187 | $4.00 | $25.00 | $35.00 | $80.00 | 3,420 members | |||||
2013 Aetna Medicare Rx Premier (PDP) | $101.10 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | tbd members | ||||||
2012 Humana Complete (PDP) | $115.20 | $0 | Many Generics, Some Brands |
No | S5884 -045 | $5.00 | $36.00 | $68.00 | 33% | 2,212 members | |||||
2013 Humana Complete (PDP) | $118.90 | $0 | Some Generics, Some Brands |
No | $5.00 | $36.00 | $68.00 | 33% | tbd members | ||||||
2012 BravoRx (PDP) | $34.40 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5998 -038 | 25% | 25% | 25% | 2,903 members | ||||||
-- Members will be assigned to HealthSpring Prescription Drug Plan S5932-016 -- | |||||||||||||||
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 Community CCRx Basic (PDP) | $27.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -086 | $2.00 | 25% | 47% | 25% | 57,426 members | |||||
-- Members will be assigned to SilverScript Basic S5601-034 -- | |||||||||||||||
2012 Health Net Orange Option 1 (PDP) | $40.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -040 | $4.00 | $44.00 | $90.00 | 25% | 1,192 members | |||||
-- Members will be assigned to SilverScript Basic S5601-034 -- | |||||||||||||||
2012 Community CCRx Choice (PDP) | $79.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -154 | $0.00 | $40.00 | $70.00 | 33% | 3,697 members | |||||
-- Members will be assigned to SilverScript Plus S5601-035 -- | |||||||||||||||
2012 Health Net Value Orange Option 2 (PDP) | $77.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -039 | $0.00 | $32.00 | $64.00 | 33% | 1,006 members | |||||
-- Members will be assigned to SilverScript Plus S5601-035 -- | |||||||||||||||
2012 WellCare Signature (PDP) | $60.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -051 | $0.00 | $20.00 | $45.00 | $90.00 | 8,878 members | |||||
-- Members will be assigned to WellCare Classic S5967-154 -- | |||||||||||||||
2012 MedicareRx Rewards Plus (PDP) | $93.10 | $0 | Some Generics | No | S5960 -150 | $4.00 | $7.00 | $45.00 | $90.00 | 393 members | |||||
-- This plan not offered in 2013 -- | |||||||||||||||
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