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 -369 | ||||||||||||||
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 -109 | $1.00 | $5.00 | 20% | 35% | 23,853 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) | $25.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -147 | $0.00 | 25% | 39% | 33% | 14,649 members | |||||
2013 First Health Part D Value Plus (PDP) | $27.00 | $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 -133 | ||||||||||||||
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 -058 | $3.00 | $10.00 | $31.00 | 40% | 5,834 members | |||||
2013 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $32.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $5.00 | $45.00 | 35% | 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) | $37.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -161 | $0.00 | $41.00 | $95.00 | 25% | 4,099 members | |||||
2013 WellCare Classic (PDP) | $34.70 | $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 -024 | ||||||||||||||
2013 SmartD Rx Saver (PDP) | $36.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $16.00 | $30.00 | $80.00 | tbd members | ||||||
2012 CVS Caremark Value (PDP) | $48.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -048 | $5.25 | $45.00 | $95.00 | 25% | 1,881 members | |||||
2013 SilverScript Basic (PDP) | $36.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 47% | 33% | tbd members | ||||||
2012 EnvisionRxPlus Silver (PDP) | $35.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -024 | 25% | 25% | 25% | 25% | 2,116 members | |||||
2013 EnvisionRxPlus Silver (PDP) | $36.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | ||||||
2012 CIGNA Medicare Rx Plan One (PDP) | $48.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -118 | $3.00 | $20.00 | $30.00 | $72.00 | 1,226 members | |||||
2013 Cigna Medicare Rx Plan One (PDP) | $37.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $8.00 | $28.00 | $70.00 | tbd members | ||||||
2012 United American - Select (PDP) | $36.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5755 -095 | $2.00 | $8.00 | $45.00 | $95.00 | 1,761 members | |||||
2013 United American - Select (PDP) | $37.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | $37.00 | $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 | |||||||||
-- This plan not offered in 2012 -- | S5768 -161 | ||||||||||||||
2013 First Health Part D Essentials (PDP) | $37.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.15 | 20% | 30% | tbd members | |||||||
-- This plan not offered in 2012 -- | S0128 -025 | ||||||||||||||
new | new | new | |||||||||||||
2013 Reader's Digest Value Rx (PDP) | $38.30 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $2.50 | $36.00 | 27% | tbd members | ||||||
-- This plan not offered in 2012 -- | S2978 -010 | ||||||||||||||
new | new | new | |||||||||||||
2013 Destiny Health MedSaver Part D Plan (PDP) | $38.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | tbd | tbd members | |||||||||
2012 Medco Medicare Prescription Plan - Value (PDP) | $35.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -126 | $4.00 | $8.00 | 25% | 40% | 7,716 members | |||||
2013 Express Scripts Medicare - Value (PDP) | $38.60 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $6.00 | 25% | 45% | tbd members | ||||||
-- This plan not offered in 2012 -- | S5967 -195 | ||||||||||||||
2013 WellCare Extra (PDP) | $39.10 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | ||||||
2012 HealthSpring Prescription Drug Plan-Reg 24 (PDP) | $37.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -023 | 25% | 25% | 4,951 members | |||||||
2013 HealthSpring Prescription Drug Plan-Reg 24 (PDP) | $39.60 | $325 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 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 Preferred (PDP) | $42.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -023 | $4.00 | $8.00 | $39.00 | $95.00 | 36,529 members | |||||
2013 AARP MedicareRx Preferred (PDP) | $42.60 | $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) | $40.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5726 -013 | $4.00 | $7.00 | $33.00 | $85.00 | 7,739 members | |||||
2013 Blue MedicareRx Value (PDP) | $43.20 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $6.00 | $29.00 | $85.00 | tbd members | ||||||
2012 Humana Enhanced (PDP) | $40.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -022 | $7.00 | $35.00 | $71.00 | 33% | 29,690 members | |||||
2013 Humana Enhanced (PDP) | $44.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $38.00 | $90.00 | tbd members | ||||||
2012 EnvisionRxPlus Gold (PDP) | $68.60 | $0 | Some Generics | No | S7694 -094 | $2.00 | 15% | 15% | 30% | 208 members | |||||
2013 EnvisionRxPlus Gold (PDP) | $54.50 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | tbd members | ||||||
2012 MedicareRx Rewards Standard (PDP) | $41.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -130 | $4.00 | $7.00 | $31.00 | $90.00 | 2,378 members | |||||
2013 MedicareRx Rewards Standard (PDP) | $57.00 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $7.00 | $29.00 | $85.00 | tbd members | ||||||
2012 United American - Preferred (PDP) | $53.40 | $60 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -027 | $3.00 | $9.00 | $45.00 | $95.00 | 1,018 members | |||||
2013 United American - Enhanced (PDP) | $59.40 | $60 | 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 Blue MedicareRx Plus (PDP) | $67.00 | $0 | Some Generics | No | S5726 -014 | $2.00 | $7.00 | $45.00 | $90.00 | 13,874 members | |||||
2013 Blue MedicareRx Plus (PDP) | $71.70 | $0 | Few Generics | No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | ||||||
-- This plan not offered in 2012 -- | S0064 -059 | ||||||||||||||
2013 SmartD Rx Plus (PDP) | $76.70 | $0 | Some Generics | No | $0.00 | $16.00 | $30.00 | $80.00 | tbd members | ||||||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $77.20 | $150 | Many Generics | No | S5660 -194 | $6.00 | $12.00 | $45.00 | $95.00 | 1,283 members | |||||
2013 Express Scripts Medicare - Choice (PDP) | $85.00 | $200 | Many Generics | No | $8.00 | $45.00 | $95.00 | 28% | tbd members | ||||||
2012 First Health Part D Premier Plus (PDP) | $107.60 | $0 | Some Generics, Some Brands |
No | S5670 -132 | $0.00 | $20.00 | 25% | 41% | 1,293 members | |||||
2013 First Health Part D Premier Plus (PDP) | $102.50 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 41% | tbd members | ||||||
2012 Humana Complete (PDP) | $101.20 | $0 | Many Generics, Some Brands |
No | S5884 -052 | $5.00 | $37.00 | $74.00 | 33% | 1,409 members | |||||
2013 Humana Complete (PDP) | $104.90 | $0 | Some Generics, Some Brands |
No | $4.00 | $37.00 | $74.00 | 33% | tbd members | ||||||
2012 Aetna Medicare Rx Premier (PDP) | $79.40 | $0 | Many Generics | No | S5810 -194 | $4.00 | $25.00 | $35.00 | $80.00 | 1,480 members | |||||
2013 Aetna Medicare Rx Premier (PDP) | $105.60 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | 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 CVS Caremark Plus (PDP) | $83.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -049 | $0.00 | $40.00 | $90.00 | 33% | 390 members | |||||
2013 SilverScript Plus (PDP) | $108.20 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 33% | tbd members | ||||||
2012 Blue MedicareRx Premier (PDP) | $117.80 | $0 | Many Generics, Some Brands |
No | S5726 -015 | $2.00 | $7.00 | $45.00 | $90.00 | 5,674 members | |||||
2013 Blue MedicareRx Premier (PDP) | $116.40 | $0 | Many Generics, Some Brands |
No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | ||||||
2012 AARP MedicareRx Enhanced (PDP) | $97.40 | $0 | Some Generics | No | S5921 -283 | $4.00 | $7.00 | $40.00 | $76.00 | 978 members | |||||
-- Members will be assigned to AARP MedicareRx Preferred S5820-023 -- | |||||||||||||||
2012 First Health Part D Premier (PDP) | $34.30 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -047 | $6.00 | 18% | 34% | 26% | 20,485 members | |||||
-- Members will be assigned to First Health Part D Essentials S5768-161 -- | |||||||||||||||
2012 BravoRx (PDP) | $33.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -028 | 25% | 25% | 25% | 2,851 members | ||||||
-- Members will be assigned to HealthSpring Prescription Drug Plan S5932-023 -- | |||||||||||||||
2012 Community CCRx Basic (PDP) | $34.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -093 | $2.00 | 25% | 48% | 25% | 26,213 members | |||||
-- Members will be assigned to SilverScript Basic S5601-048 -- | |||||||||||||||
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 Orange Option 1 (PDP) | $39.40 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -054 | $4.00 | $40.00 | $84.00 | 25% | 648 members | |||||
-- Members will be assigned to SilverScript Basic S5601-048 -- | |||||||||||||||
2012 Community CCRx Choice (PDP) | $92.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -161 | $0.00 | $40.00 | $70.00 | 33% | 1,564 members | |||||
-- Members will be assigned to SilverScript Plus S5601-049 -- | |||||||||||||||
2012 Health Net Value Orange Option 2 (PDP) | $73.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -053 | $0.00 | $32.00 | $64.00 | 33% | 1,508 members | |||||
-- Members will be assigned to SilverScript Plus S5601-049 -- | |||||||||||||||
2012 WellCare Signature (PDP) | $66.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -058 | $0.00 | $20.00 | $45.00 | $85.00 | 5,223 members | |||||
-- Members will be assigned to WellCare Classic S5967-161 -- | |||||||||||||||
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