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 -366 | |||||||||||
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 -108 | $1.00 | $5.00 | 20% | 35% | 15,176 members | ||
2013 Humana Walmart-Preferred Rx Plan (PDP) | $18.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | 20% | 35% | tbd members | |||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5810 -055 | $3.00 | $13.00 | $33.00 | 41% | 1,592 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 | $40.00 | 47% | tbd members | |||
2012 CVS Caremark Value (PDP) | $29.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -042 | $5.25 | $45.00 | $95.00 | 25% | 39,506 members | ||
2013 SilverScript Basic (PDP) | $33.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 23% | 45% | 33% | tbd members | |||
2012 Windsor Rx (PDP) | $32.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S4802 -012 | $6.00 | $34.00 | $90.00 | 25% | 2,255 members | ||
2013 Windsor Rx (PDP) | $35.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $35.00 | $79.00 | 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 | ||||||
-- This plan not offered in 2012 -- | S0064 -021 | |||||||||||
2013 SmartD Rx Saver (PDP) | $36.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $20.00 | $30.00 | $77.00 | tbd members | |||
2012 WellCare Classic (PDP) | $36.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -158 | $0.00 | $40.00 | $91.00 | 25% | 7,516 members | ||
2013 WellCare Classic (PDP) | $36.60 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $43.00 | $93.00 | 33% | tbd members | |||
-- This plan not offered in 2012 -- | S0128 -022 | |||||||||||
new | new | new | ||||||||||
2013 Reader's Digest Value Rx (PDP) | $37.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.50 | $34.00 | 27% | tbd members | |||
2012 CIGNA Medicare Rx Plan One (PDP) | $32.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -103 | $3.00 | $20.00 | $31.00 | $74.00 | 5,799 members | ||
2013 Cigna Medicare Rx Plan One (PDP) | $37.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $8.00 | $28.00 | $75.00 | tbd members | |||
2012 EnvisionRxPlus Silver (PDP) | $31.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -021 | 25% | 25% | 25% | 25% | 4,301 members | ||
2013 EnvisionRxPlus Silver (PDP) | $37.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | |||
2012 United American - Select (PDP) | $35.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -092 | $3.00 | $7.00 | $45.00 | $95.00 | 41 members | ||
2013 United American - Select (PDP) | $38.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | $32.00 | $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 HealthSpring Prescription Drug Plan-Reg 21 (PDP) | $33.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -020 | 25% | 25% | 18,401 members | ||||
2013 HealthSpring Prescription Drug Plan-Reg 21 (PDP) | $38.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | tbd members | ||||||
-- This plan not offered in 2012 -- | S5768 -159 | |||||||||||
2013 First Health Part D Essentials (PDP) | $39.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.15 | 20% | 30% | tbd members | ||||
2012 Medco Medicare Prescription Plan - Value (PDP) | $34.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -123 | $4.00 | $8.00 | 25% | 40% | 18,930 members | ||
2013 Express Scripts Medicare - Value (PDP) | $39.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $6.00 | 25% | 50% | tbd members | |||
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