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 Blue MedicareRx Value (PDP) | $39.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5596 -043 | $2.00 | $7.00 | $37.00 | $85.00 | 6,117 members | ||
2013 Blue MedicareRx Value (PDP) | $42.30 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $6.00 | $31.00 | $85.00 | tbd members | |||
2012 Blue MedicareRx Plus (PDP) | $68.80 | $0 | Some Generics | No | S5596 -044 | $2.00 | $7.00 | $45.00 | $90.00 | 8,954 members | ||
2013 Blue MedicareRx Plus (PDP) | $74.60 | $0 | Few Generics | No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2012 Blue MedicareRx Premier (PDP) | $114.20 | $0 | Many Generics, Some Brands |
No | S5596 -045 | $2.00 | $7.00 | $45.00 | $90.00 | 5,980 members | ||
2013 Blue MedicareRx Premier (PDP) | $110.00 | $0 | Many Generics, Some Brands |
No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
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