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 WellCare Classic (PDP) | $28.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -166 | $6.00 | $42.00 | $92.00 | 33% | 2,516 members | ||
2013 WellCare Classic (PDP) | $25.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $41.00 | $91.00 | 33% | tbd members | |||
-- This plan not offered in 2012 -- | S5967 -200 | |||||||||||
2013 WellCare Extra (PDP) | $44.10 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | |||
2012 WellCare Signature (PDP) | $64.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -063 | $0.00 | $0.00 | $40.00 | $70.00 | 1,506 members | ||
-- Members will be assigned to WellCare Classic S5967-166 -- | ||||||||||||
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