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 Blue MedicareRx Value (PDP) | $23.10 | $125 | No additional gap coverage, only the Donut Hole Discount | No | S5715 -003 | $10.00 | $42.00 | $92.00 | 29% | 4,999 members | ||
2013 Blue MedicareRx Value (PDP) | $35.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $14.00 | $45.00 | $95.00 | 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 | |||
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