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 -197 | |||||||||||
2013 WellCare Extra (PDP) | $34.00 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | |||
2012 EnvisionRxPlus Gold (PDP) | $60.00 | $0 | Some Generics | No | S7694 -096 | $2.00 | 15% | 15% | 30% | 27 members | ||
2013 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -061 | |||||||||||
2013 SmartD Rx Plus (PDP) | $70.70 | $0 | Some Generics | No | $0.00 | $20.00 | $32.00 | $81.00 | tbd members | |||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $73.80 | $150 | Many Generics | No | S5660 -196 | $6.00 | $12.00 | $45.00 | $95.00 | 227 members | ||
2013 Express Scripts Medicare - Choice (PDP) | $82.20 | $200 | Many Generics | No | $8.00 | $45.00 | $95.00 | 28% | tbd members | |||
2012 AARP MedicareRx Enhanced (PDP) | $87.40 | $0 | Some Generics | No | S5921 -263 | $4.00 | $7.00 | $40.00 | $76.00 | 634 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $84.30 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $40.00 | $76.00 | 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 MedicareRx Rewards Plus (PDP) | $69.50 | $0 | Some Generics | No | S5960 -157 | $4.00 | $7.00 | $45.00 | $90.00 | 210 members | ||
2013 MedicareRx Rewards Plus (PDP) | $85.40 | $0 | Few Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2012 Blue MedicareRx Plus (PDP) | $89.60 | $0 | All Generics | No | S5715 -004 | $5.00 | $38.00 | $75.00 | 33% | 1,004 members | ||
2013 Blue MedicareRx Plus (PDP) | $88.90 | $0 | All Generics | No | $3.00 | $10.00 | $38.00 | $86.00 | tbd members | |||
2012 First Health Part D Premier Plus (PDP) | $95.60 | $0 | Some Generics, Some Brands |
No | S5674 -041 | $0.00 | $20.00 | 25% | 43% | 389 members | ||
2013 First Health Part D Premier Plus (PDP) | $91.20 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2012 CVS Caremark Plus (PDP) | $71.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -053 | $0.00 | $40.00 | $90.00 | 33% | 186 members | ||
2013 SilverScript Plus (PDP) | $96.30 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 33% | tbd members | |||
2012 Aetna Medicare Rx Premier (PDP) | $75.80 | $0 | Many Generics | No | S5810 -241 | $4.00 | $25.00 | $35.00 | $80.00 | 164 members | ||
2013 Aetna Medicare Rx Premier (PDP) | $98.60 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | tbd members | |||
2012 BravoRx (PDP) | $40.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5998 -030 | 25% | 25% | 25% | < 10 members | |||
-- Members will be assigned to HealthSpring Prescription Drug Plan S5932-025 -- | ||||||||||||
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 Health Net Orange Option 1 (PDP) | $24.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -058 | $5.00 | $45.00 | $85.00 | 25% | 531 members | ||
-- Members will be assigned to SilverScript Basic S5601-052 -- | ||||||||||||
2012 Community CCRx Basic (PDP) | $20.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -095 | $2.00 | 25% | 47% | 25% | 14,424 members | ||
-- Members will be assigned to SilverScript Basic S5601-052 -- | ||||||||||||
2012 Health Net Value Orange Option 2 (PDP) | $66.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -057 | $0.00 | $32.00 | $64.00 | 33% | 193 members | ||
-- Members will be assigned to SilverScript Plus S5601-053 -- | ||||||||||||
2012 Community CCRx Choice (PDP) | $76.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -163 | $0.00 | $40.00 | $70.00 | 33% | 878 members | ||
-- Members will be assigned to SilverScript Plus S5601-053 -- | ||||||||||||
2012 WellCare Signature (PDP) | $48.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -060 | $0.00 | $20.00 | $45.00 | $95.00 | 1,262 members | ||
-- Members will be assigned to WellCare Classic S5967-163 -- | ||||||||||||
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