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 -350 | |||||||||||
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 -103 | $1.00 | $5.00 | 20% | 35% | 23,703 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% | 34% | tbd members | |||
2012 First Health Part D Value Plus (PDP) | $23.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -128 | $0.00 | 25% | 40% | 33% | 9,686 members | ||
2013 First Health Part D Value Plus (PDP) | $25.40 | $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 -114 | |||||||||||
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 -039 | $3.00 | $12.00 | $38.00 | 36% | 8,084 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 | 39% | 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) | $34.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -142 | $0.00 | $42.00 | $95.00 | 25% | 21,513 members | ||
2013 WellCare Classic (PDP) | $34.50 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $7.00 | $42.00 | $92.00 | 33% | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -005 | |||||||||||
2013 SmartD Rx Saver (PDP) | $34.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $20.00 | $35.00 | $81.00 | tbd members | |||
-- This plan not offered in 2012 -- | S0128 -006 | |||||||||||
new | new | new | ||||||||||
2013 Reader's Digest Value Rx (PDP) | $35.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.50 | $37.00 | 27% | tbd members | |||
2012 EnvisionRxPlus Silver (PDP) | $28.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -005 | 25% | 25% | 25% | 25% | 3,862 members | ||
2013 EnvisionRxPlus Silver (PDP) | $35.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | |||
2012 CIGNA Medicare Rx Plan One (PDP) | $32.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -214 | $3.00 | $20.00 | $32.00 | $81.00 | 12,269 members | ||
2013 Cigna Medicare Rx Plan One (PDP) | $35.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $8.00 | $26.00 | $91.00 | tbd members | |||
2012 CVS Caremark Value (PDP) | $33.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -010 | $9.50 | $45.00 | $95.00 | 25% | 12,534 members | ||
2013 SilverScript Basic (PDP) | $35.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 23% | 45% | 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 United American - Select (PDP) | $33.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5755 -076 | $2.00 | $9.00 | $45.00 | $95.00 | 3,570 members | ||
2013 United American - Select (PDP) | $36.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | $40.00 | $95.00 | tbd members | |||
2012 Medco Medicare Prescription Plan - Value (PDP) | $33.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -107 | $4.00 | $8.00 | 25% | 40% | 19,128 members | ||
2013 Express Scripts Medicare - Value (PDP) | $36.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $7.00 | 25% | 44% | tbd members | |||
2012 HealthSpring Prescription Drug Plan -Reg 5 (PDP) | $33.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -034 | 25% | 25% | 16,949 members | ||||
2013 HealthSpring Prescription Drug Plan -Reg 5 (PDP) | $36.90 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | tbd members | ||||||
2012 First Health Part D Premier (PDP) | $32.30 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -008 | $5.00 | 20% | 38% | 26% | 29,959 members | ||
2013 First Health Part D Premier (PDP) | $37.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | 25% | 43% | tbd members | ||||
2012 AARP MedicareRx Preferred (PDP) | $37.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -004 | $4.00 | $8.00 | $43.00 | $95.00 | 122,037 members | ||
2013 AARP MedicareRx Preferred (PDP) | $38.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $5.00 | $40.00 | $85.00 | tbd members | |||
-- This plan not offered in 2012 -- | S5967 -177 | |||||||||||
2013 WellCare Extra (PDP) | $39.00 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | 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 Humana Enhanced (PDP) | $43.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -004 | $7.00 | $40.00 | $74.00 | 33% | 27,561 members | ||
2013 Humana Enhanced (PDP) | $48.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $43.00 | $90.00 | tbd members | |||
2012 United American - Preferred (PDP) | $43.00 | $120 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -008 | $3.00 | $9.00 | $45.00 | $95.00 | 5,733 members | ||
2013 United American - Enhanced (PDP) | $49.00 | $120 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $1.00 | $40.00 | $95.00 | tbd members | |||
2012 MedicareRx Rewards Standard (PDP) | $43.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -111 | $4.00 | $7.00 | $34.00 | $90.00 | 3,904 members | ||
2013 MedicareRx Rewards Standard (PDP) | $52.40 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $7.00 | $36.00 | $85.00 | tbd members | |||
2012 Rite Aid EnvisionRxPlus (PDP) | $59.40 | $0 | Some Generics | No | S7694 -076 | $0.00 | 20% | 15% | 30% | 338 members | ||
2013 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -040 | |||||||||||
2013 SmartD Rx Plus (PDP) | $66.00 | $0 | Some Generics | No | $0.00 | $20.00 | $35.00 | $81.00 | tbd members | |||
2012 AARP MedicareRx Enhanced (PDP) | $89.70 | $0 | Some Generics | No | S5921 -239 | $4.00 | $7.00 | $40.00 | $76.00 | 3,932 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $88.90 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $40.00 | $76.00 | 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 First Health Part D Premier Plus (PDP) | $96.20 | $0 | Some Generics, Some Brands |
No | S5670 -030 | $0.00 | $20.00 | 25% | 43% | 1,719 members | ||
2013 First Health Part D Premier Plus (PDP) | $92.90 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2012 CVS Caremark Plus (PDP) | $82.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -011 | $0.00 | $40.00 | $90.00 | 33% | 1,155 members | ||
2013 SilverScript Plus (PDP) | $94.30 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 33% | tbd members | |||
2012 Aetna Medicare Rx Premier (PDP) | $83.70 | $0 | Many Generics | No | S5810 -175 | $4.00 | $25.00 | $35.00 | $80.00 | 2,323 members | ||
2013 Aetna Medicare Rx Premier (PDP) | $101.20 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | tbd members | |||
2012 BlueRx Standard (PDP) | $87.10 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5766 -002 | $8.00 | $30.00 | $65.00 | 25% | 19,274 members | ||
2013 BlueRx Standard (PDP) | $105.80 | $250 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $16.00 | 20% | 37% | tbd members | |||
2012 Humana Complete (PDP) | $109.40 | $0 | Many Generics, Some Brands |
No | S5884 -033 | $5.00 | $38.00 | $75.00 | 33% | 1,673 members | ||
2013 Humana Complete (PDP) | $113.20 | $0 | Some Generics, Some Brands |
No | $5.00 | $38.00 | $75.00 | 33% | tbd members | |||
2012 BlueRx Enhanced (PDP) | $131.80 | $0 | Many Generics | No | S5766 -003 | $8.00 | $30.00 | $65.00 | 25% | 4,439 members | ||
2013 BlueRx Enhanced (PDP) | $165.40 | $0 | Many Generics | No | $5.00 | $16.00 | 20% | 37% | 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 - Choice (PDP) | $89.70 | $150 | Many Generics | No | S5660 -175 | $6.00 | $12.00 | $45.00 | $95.00 | 793 members | ||
-- Members will be assigned to Express Scripts Medicare - Value S5660-107 -- | ||||||||||||
2012 BravoRx (PDP) | $35.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -037 | 25% | 25% | 25% | 1,176 members | |||
-- Members will be assigned to HealthSpring Prescription Drug Plan S5932-034 -- | ||||||||||||
2012 Community CCRx Basic (PDP) | $32.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -074 | $2.00 | 25% | 48% | 25% | 27,482 members | ||
-- Members will be assigned to SilverScript Basic S5601-010 -- | ||||||||||||
2012 Health Net Orange Option 1 (PDP) | $34.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -016 | $5.00 | $44.00 | $84.00 | 25% | 2,073 members | ||
-- Members will be assigned to SilverScript Basic S5601-010 -- | ||||||||||||
2012 Community CCRx Choice (PDP) | $89.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -142 | $0.00 | $40.00 | $70.00 | 33% | 1,328 members | ||
-- Members will be assigned to SilverScript Plus S5601-011 -- | ||||||||||||
2012 Health Net Value Orange Option 2 (PDP) | $63.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -015 | $0.00 | $32.00 | $64.00 | 33% | 2,753 members | ||
-- Members will be assigned to SilverScript Plus S5601-011 -- | ||||||||||||
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 Signature (PDP) | $56.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -039 | $0.00 | $20.00 | $45.00 | $90.00 | 5,955 members | ||
-- Members will be assigned to WellCare Classic S5967-142 -- | ||||||||||||
2012 MedicareRx Rewards Plus (PDP) | $105.80 | $0 | Some Generics | No | S5960 -143 | $4.00 | $7.00 | $45.00 | $90.00 | 320 members | ||
-- This plan not offered in 2013 -- | ||||||||||||
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