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 CIGNA Medicare Rx Plan One (PDP) | $31.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -222 | $3.00 | $20.00 | $35.00 | $79.00 | 37,503 members | ||
2013 Cigna Medicare Rx Plan One (PDP) | $36.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $8.00 | $33.00 | $81.00 | tbd members | |||
2012 CIGNA Medicare Rx Plan Two (PDP) | $67.40 | $0 | Few Generics | No | S5617 -185 | $0.00 | $5.00 | $41.00 | $85.00 | 2,768 members | ||
2013 Cigna Medicare Rx Plan Two (PDP) | $76.90 | $0 | Few Generics | No | $0.00 | $10.00 | $45.00 | $90.00 | tbd members | |||
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