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 -- | S5967 -180 | |||||||||||
2013 WellCare Extra (PDP) | $44.10 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | |||
2012 Rite Aid EnvisionRxPlus (PDP) | $69.20 | $0 | Some Generics | No | S7694 -079 | $0.00 | 20% | 15% | 30% | 168 members | ||
2013 EnvisionRxPlus Gold (PDP) | $54.50 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | tbd members | |||
2012 CIGNA Medicare Rx Plan Two (PDP) | $66.60 | $0 | Few Generics | No | S5617 -178 | $0.00 | $5.00 | $41.00 | $85.00 | 2,107 members | ||
2013 Cigna Medicare Rx Plan Two (PDP) | $72.10 | $0 | Few Generics | No | $0.00 | $10.00 | $45.00 | $90.00 | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -043 | |||||||||||
2013 SmartD Rx Plus (PDP) | $72.10 | $0 | Some Generics | No | $0.00 | $21.00 | $35.00 | $85.00 | tbd members | |||
2012 Blue Medicare Rx Enhanced (PDP) | $92.50 | $0 | Many Generics | No | S5540 -004 | $7.00 | $25.00 | $35.00 | $75.00 | 42,496 members | ||
2013 Blue Medicare Rx Enhanced (PDP) | $83.90 | $0 | Some Generics, Few Brands |
No | $4.00 | $20.00 | $30.00 | $70.00 | 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 AARP MedicareRx Enhanced (PDP) | $88.20 | $0 | Some Generics | No | S5921 -113 | $4.00 | $7.00 | $40.00 | $76.00 | 3,907 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $88.60 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $40.00 | $76.00 | tbd members | |||
2012 CVS Caremark Plus (PDP) | $86.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -017 | $0.00 | $40.00 | $90.00 | 33% | 1,800 members | ||
2013 SilverScript Plus (PDP) | $99.60 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 33% | tbd members | |||
2012 First Health Part D Premier Plus (PDP) | $105.00 | $0 | Some Generics, Some Brands |
No | S5670 -048 | $0.00 | $20.00 | 25% | 43% | 3,617 members | ||
2013 First Health Part D Premier Plus (PDP) | $102.30 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2012 Aetna Medicare Rx Premier (PDP) | $87.40 | $0 | Many Generics | No | S5810 -178 | $4.00 | $25.00 | $35.00 | $80.00 | 2,734 members | ||
2013 Aetna Medicare Rx Premier (PDP) | $109.80 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | tbd members | |||
2012 Humana Complete (PDP) | $113.00 | $0 | Many Generics, Some Brands |
No | S5884 -036 | $5.00 | $37.00 | $72.00 | 33% | 2,425 members | ||
2013 Humana Complete (PDP) | $116.80 | $0 | Some Generics, Some Brands |
No | $5.00 | $37.00 | $72.00 | 33% | tbd members | |||
2012 Health Net Orange Option 1 (PDP) | $36.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -022 | $4.00 | $41.00 | $83.00 | 25% | 1,915 members | ||
-- Members will be assigned to SilverScript Basic S5601-016 -- | ||||||||||||
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) | $32.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -077 | $2.00 | 25% | 47% | 25% | 75,979 members | ||
-- Members will be assigned to SilverScript Basic S5601-016 -- | ||||||||||||
2012 Health Net Value Orange Option 2 (PDP) | $76.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -021 | $0.00 | $32.00 | $64.00 | 33% | 1,405 members | ||
-- Members will be assigned to SilverScript Plus S5601-017 -- | ||||||||||||
2012 Community CCRx Choice (PDP) | $75.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -145 | $0.00 | $40.00 | $70.00 | 33% | 6,311 members | ||
-- Members will be assigned to SilverScript Plus S5601-017 -- | ||||||||||||
2012 WellCare Signature (PDP) | $74.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -042 | $0.00 | $0.00 | $40.00 | $70.00 | 8,460 members | ||
-- Members will be assigned to WellCare Classic S5967-145 -- | ||||||||||||
2012 MedicareRx Rewards Plus (PDP) | $90.80 | $0 | Some Generics | No | S5960 -145 | $4.00 | $7.00 | $45.00 | $90.00 | 690 members | ||
-- This plan not offered in 2013 -- | ||||||||||||
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