2012 / 2013 Medicare Part D Plan Information Click here to jump to the Chart Legend | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
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 |
||||||
2012 CIGNA Medicare Rx Plan One (PDP) | $35.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -123 | $3.00 | $20.00 | $34.00 | $85.00 | 16,036 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 | $35.00 | $84.00 | tbd members | |||
2012 CIGNA Medicare Rx Plan Two (PDP) | $69.40 | $0 | Few Generics | No | S5617 -195 | $0.00 | $5.00 | $41.00 | $85.00 | 2,314 members | ||
2013 Cigna Medicare Rx Plan Two (PDP) | $80.60 | $0 | Few Generics | No | $0.00 | $10.00 | $45.00 | $90.00 | tbd members | |||
|