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 First Health Part D Value Plus (PDP) | $24.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -125 | $0.00 | 25% | 40% | 33% | 6,312 members | ||
2013 First Health Part D Value Plus (PDP) | $28.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $70.00 | 33% | tbd members | |||
2012 First Health Part D Premier (PDP) | $34.20 | $250 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -005 | $6.00 | 19% | 35% | 26% | 8,260 members | ||
2013 First Health Part D Premier (PDP) | $32.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | 25% | 46% | tbd members | ||||
2012 First Health Part D Premier Plus (PDP) | $87.00 | $0 | Some Generics, Some Brands |
No | S5674 -005 | $0.00 | $20.00 | 25% | 43% | 2,243 members | ||
2013 First Health Part D Premier Plus (PDP) | $85.90 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
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