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 EnvisionRxPlus Silver (PDP) | $50.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -018 | 25% | 25% | 25% | 25% | 386 members | ||
2013 EnvisionRxPlus Silver (PDP) | $41.90 | $325 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 23% | 28% | tbd members | |||
2012 EnvisionRxPlus Gold (PDP) | $67.40 | $0 | Some Generics | No | S7694 -088 | $2.00 | 15% | 15% | 30% | 189 members | ||
2013 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | tbd members | |||
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