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 -358 | ||||||||||||||
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 -136 | $1.00 | $5.00 | 20% | 35% | 47,535 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 WellCare Classic (PDP) | $35.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -150 | $0.00 | $45.00 | $95.00 | 25% | 15,769 members | |||||
2013 WellCare Classic (PDP) | $25.70 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $7.00 | $45.00 | $95.00 | 33% | tbd members | ||||||
-- This plan not offered in 2012 -- | S5601 -122 | ||||||||||||||
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 First Health Part D Value Plus (PDP) | $24.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -136 | $0.00 | 25% | 39% | 33% | 17,404 members | |||||
2013 First Health Part D Value Plus (PDP) | $31.70 | $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 | |||||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5810 -047 | $3.00 | $10.00 | $33.00 | 37% | 23,416 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 | 36% | tbd members | ||||||
-- This plan not offered in 2012 -- | S5967 -185 | ||||||||||||||
2013 WellCare Extra (PDP) | $34.00 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | ||||||
2012 EnvisionRxPlus Silver (PDP) | $33.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -070 | 25% | 25% | 25% | 25% | 8,764 members | |||||
2013 EnvisionRxPlus Silver (PDP) | $34.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | ||||||
-- This plan not offered in 2012 -- | S0064 -013 | ||||||||||||||
2013 SmartD Rx Saver (PDP) | $34.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $20.00 | $33.00 | $85.00 | tbd members | ||||||
2012 CVS Caremark Value (PDP) | $33.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -026 | $7.25 | $45.00 | $95.00 | 25% | 18,304 members | |||||
2013 SilverScript Basic (PDP) | $34.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 24% | 45% | 33% | tbd members | ||||||
2012 CIGNA Medicare Rx Plan One (PDP) | $30.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -221 | $3.00 | $20.00 | $38.00 | $84.00 | 24,805 members | |||||
2013 Cigna Medicare Rx Plan One (PDP) | $35.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $8.00 | $33.00 | $83.00 | 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 United American - Select (PDP) | $34.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5755 -084 | $2.00 | $8.00 | $45.00 | $95.00 | 8,660 members | |||||
2013 United American - Select (PDP) | $35.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | $38.00 | $95.00 | tbd members | ||||||
-- This plan not offered in 2012 -- | S3618 -001 | ||||||||||||||
new | new | new | |||||||||||||
2013 Advantage Plus - Meridian (PDP) | $36.00 | $325 | No additional gap coverage, only the Donut Hole Discount | No | tbd | tbd members | |||||||||
2012 First Health Part D Premier (PDP) | $33.10 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -016 | $5.00 | 20% | 37% | 26% | 72,292 members | |||||
2013 First Health Part D Premier (PDP) | $36.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | 25% | 46% | tbd members | |||||||
-- This plan not offered in 2012 -- | S0128 -014 | ||||||||||||||
new | new | new | |||||||||||||
2013 Reader's Digest Value Rx (PDP) | $36.30 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $2.50 | $36.00 | 27% | tbd members | ||||||
2012 HealthSpring Prescription Drug Plan-Reg 13 (PDP) | $34.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -012 | 25% | 25% | 23,322 members | |||||||
2013 HealthSpring Prescription Drug Plan-Reg 13 (PDP) | $36.90 | $325 | No additional gap coverage, only the Donut Hole Discount | No | 25% | tbd members | |||||||||
2012 AARP MedicareRx Preferred (PDP) | $37.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -012 | $4.00 | $9.00 | $44.00 | $95.00 | 111,607 members | |||||
2013 AARP MedicareRx Preferred (PDP) | $38.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $5.00 | $40.00 | $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 Humana Enhanced (PDP) | $37.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -071 | $7.00 | $39.00 | $73.00 | 33% | 45,898 members | |||||
2013 Humana Enhanced (PDP) | $41.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $41.00 | $90.00 | tbd members | ||||||
2012 Medco Medicare Prescription Plan - Value (PDP) | $35.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -115 | $4.00 | $8.00 | 25% | 40% | 7,002 members | |||||
2013 Express Scripts Medicare - Value (PDP) | $42.80 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $6.00 | 25% | 48% | tbd members | ||||||
2012 United American - Preferred (PDP) | $41.80 | $130 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -016 | $3.00 | $9.00 | $45.00 | $95.00 | 3,235 members | |||||
2013 United American - Enhanced (PDP) | $47.80 | $130 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $1.00 | $40.00 | $95.00 | tbd members | ||||||
2012 Alliance Medicare RX (PDP) | $59.20 | $175 | No additional gap coverage, only the Donut Hole Discount | No | S3440 -001 | $5.00 | $15.00 | $45.00 | 28% | 1,188 members | |||||
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2013 Alliance Medicare RX (PDP) | $49.00 | $175 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $15.00 | $45.00 | 28% | tbd members | ||||||
2012 Rite Aid EnvisionRxPlus (PDP) | $72.50 | $0 | Some Generics | No | S7694 -071 | $0.00 | 20% | 15% | 30% | 68 members | |||||
2013 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | tbd members | ||||||
2012 Prescription Blue Option A (PDP) | $59.60 | $270 | No additional gap coverage, only the Donut Hole Discount | No | S5584 -001 | $4.00 | $45.00 | $85.00 | 25% | 7,694 members | |||||
2013 Prescription Blue Option A (PDP) | $54.30 | $125 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $15.00 | $45.00 | $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) | $49.40 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -119 | $4.00 | $7.00 | $43.00 | $90.00 | 2,799 members | |||||
2013 MedicareRx Rewards Standard (PDP) | $56.70 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $7.00 | $45.00 | $85.00 | tbd members | ||||||
2012 CIGNA Medicare Rx Plan Two (PDP) | $61.00 | $0 | Few Generics | No | S5617 -183 | $0.00 | $5.00 | $41.00 | $85.00 | 2,232 members | |||||
2013 Cigna Medicare Rx Plan Two (PDP) | $66.30 | $0 | Few Generics | No | $0.00 | $10.00 | $45.00 | $90.00 | tbd members | ||||||
-- This plan not offered in 2012 -- | S3440 -004 | ||||||||||||||
-- | |||||||||||||||
2013 Alliance Medicare RX (PDP) | $67.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $40.00 | 33% | tbd members | ||||||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $59.90 | $150 | Many Generics | No | S5660 -183 | $6.00 | $12.00 | $45.00 | $95.00 | 7,238 members | |||||
2013 Express Scripts Medicare - Choice (PDP) | $67.90 | $200 | Many Generics | No | $8.00 | $45.00 | $95.00 | 28% | tbd members | ||||||
-- This plan not offered in 2012 -- | S0064 -048 | ||||||||||||||
2013 SmartD Rx Plus (PDP) | $72.50 | $0 | Some Generics | No | $0.00 | $20.00 | $33.00 | $85.00 | tbd members | ||||||
2012 AARP MedicareRx Enhanced (PDP) | $84.00 | $0 | Some Generics | No | S5921 -163 | $4.00 | $7.00 | $40.00 | $76.00 | 3,251 members | |||||
2013 AARP MedicareRx Enhanced (PDP) | $86.20 | $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 Aetna Medicare Rx Premier (PDP) | $68.50 | $0 | Many Generics | No | S5810 -183 | $4.00 | $25.00 | $35.00 | $80.00 | 4,203 members | |||||
2013 Aetna Medicare Rx Premier (PDP) | $86.20 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | tbd members | ||||||
2012 Prescription Blue Option B (PDP) | $85.90 | $0 | Many Generics | No | S5584 -002 | $4.00 | $45.00 | $85.00 | 25% | 42,093 members | |||||
2013 Prescription Blue Option B (PDP) | $87.30 | $0 | Many Generics | No | $4.00 | $10.00 | $45.00 | $85.00 | tbd members | ||||||
2012 First Health Part D Premier Plus (PDP) | $94.80 | $0 | Some Generics, Some Brands |
No | S5670 -072 | $0.00 | $20.00 | 25% | 41% | 4,218 members | |||||
2013 First Health Part D Premier Plus (PDP) | $91.20 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 41% | tbd members | ||||||
2012 CVS Caremark Plus (PDP) | $78.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -027 | $0.00 | $40.00 | $90.00 | 33% | 2,614 members | |||||
2013 SilverScript Plus (PDP) | $94.60 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 33% | tbd members | ||||||
2012 Humana Complete (PDP) | $111.90 | $0 | Many Generics, Some Brands |
No | S5884 -041 | $6.00 | $39.00 | $70.00 | 33% | 2,152 members | |||||
2013 Humana Complete (PDP) | $115.70 | $0 | Some Generics, Some Brands |
No | $5.00 | $39.00 | $70.00 | 33% | tbd members | ||||||
2012 BravoRx (PDP) | $36.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -009 | 25% | 25% | 25% | 21,103 members | ||||||
-- Members will be assigned to HealthSpring Prescription Drug Plan S5932-012 -- | |||||||||||||||
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) | $33.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -082 | $2.00 | 25% | 46% | 25% | 49,043 members | |||||
-- Members will be assigned to SilverScript Basic S5601-026 -- | |||||||||||||||
2012 Health Net Orange Option 1 (PDP) | $36.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -032 | $5.00 | $44.00 | $87.00 | 25% | 1,401 members | |||||
-- Members will be assigned to SilverScript Basic S5601-026 -- | |||||||||||||||
2012 Community CCRx Choice (PDP) | $82.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -150 | $0.00 | $40.00 | $70.00 | 33% | 2,569 members | |||||
-- Members will be assigned to SilverScript Plus S5601-027 -- | |||||||||||||||
2012 Health Net Value Orange Option 2 (PDP) | $61.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -031 | $0.00 | $32.00 | $64.00 | 33% | 3,555 members | |||||
-- Members will be assigned to SilverScript Plus S5601-027 -- | |||||||||||||||
2012 WellCare Signature (PDP) | $58.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -047 | $0.00 | $20.00 | $45.00 | $95.00 | 11,587 members | |||||
-- Members will be assigned to WellCare Classic S5967-150 -- | |||||||||||||||
2012 MedicareRx Rewards Plus (PDP) | $91.40 | $0 | Some Generics | No | S5960 -149 | $4.00 | $7.00 | $45.00 | $90.00 | 716 members | |||||
-- This plan not offered in 2013 -- | |||||||||||||||
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 PriorityMedicare Rx (PDP) | $52.10 | $205 | No additional gap coverage, only the Donut Hole Discount | No | S5857 -001 | $9.00 | $45.00 | $95.00 | 27% | 2,930 members | |||||
-- | -- | -- | |||||||||||||
-- This plan not offered in 2013 -- | |||||||||||||||
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