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 -186 | |||||||||||
2013 WellCare Extra (PDP) | $39.10 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | |||
2012 Rite Aid EnvisionRxPlus (PDP) | $66.30 | $0 | Some Generics | No | S7694 -084 | $0.00 | 20% | 15% | 30% | 140 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 -- | S9014 -002 | |||||||||||
new | new | new | ||||||||||
2013 SecureAdvantage Rx - Option II (PDP) | $58.80 | $0 | Many Generics | No | $3.00 | $10.00 | $35.00 | $95.00 | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -049 | |||||||||||
2013 SmartD Rx Plus (PDP) | $70.80 | $0 | Some Generics | No | $0.00 | $20.00 | $32.00 | $85.00 | tbd members | |||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $63.40 | $150 | Many Generics | No | S5660 -184 | $6.00 | $12.00 | $45.00 | $95.00 | 5,759 members | ||
2013 Express Scripts Medicare - Choice (PDP) | $70.90 | $200 | Many Generics | No | $8.00 | $45.00 | $95.00 | 28% | 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 Blue MedicareRx Plus (PDP) | $66.70 | $0 | Some Generics | No | S5596 -014 | $2.00 | $7.00 | $45.00 | $90.00 | 11,409 members | ||
2013 Blue MedicareRx Plus (PDP) | $71.30 | $0 | Few Generics | No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2012 CIGNA Medicare Rx Plan Two (PDP) | $62.40 | $0 | Few Generics | No | S5617 -184 | $0.00 | $5.00 | $41.00 | $85.00 | 1,480 members | ||
2013 Cigna Medicare Rx Plan Two (PDP) | $72.20 | $0 | Few Generics | No | $0.00 | $10.00 | $45.00 | $90.00 | tbd members | |||
2012 AARP MedicareRx Enhanced (PDP) | $83.80 | $0 | Some Generics | No | S5921 -053 | $4.00 | $7.00 | $40.00 | $76.00 | 4,960 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $79.30 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $40.00 | $76.00 | tbd members | |||
2012 First Health Part D Premier Plus (PDP) | $92.10 | $0 | Some Generics, Some Brands |
No | S5670 -078 | $0.00 | $20.00 | 25% | 43% | 4,387 members | ||
2013 First Health Part D Premier Plus (PDP) | $91.60 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2012 Aetna Medicare Rx Premier (PDP) | $68.70 | $0 | Many Generics | No | S5810 -184 | $4.00 | $25.00 | $35.00 | $80.00 | 5,679 members | ||
2013 Aetna Medicare Rx Premier (PDP) | $92.80 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | tbd members | |||
2012 CVS Caremark Plus (PDP) | $78.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -029 | $0.00 | $40.00 | $90.00 | 33% | 2,079 members | ||
2013 SilverScript Plus (PDP) | $94.50 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 33% | 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 Blue MedicareRx Premier (PDP) | $107.60 | $0 | Many Generics, Some Brands |
No | S5596 -015 | $2.00 | $7.00 | $45.00 | $90.00 | 4,909 members | ||
2013 Blue MedicareRx Premier (PDP) | $101.20 | $0 | Many Generics, Some Brands |
No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2012 Humana Complete (PDP) | $111.50 | $0 | Many Generics, Some Brands |
No | S5884 -042 | $5.00 | $38.00 | $71.00 | 33% | 2,407 members | ||
2013 Humana Complete (PDP) | $115.20 | $0 | Some Generics, Some Brands |
No | $5.00 | $38.00 | $71.00 | 33% | tbd members | |||
2012 BravoRx (PDP) | $42.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5998 -011 | 25% | 25% | 25% | 414 members | |||
-- Members will be assigned to HealthSpring Prescription Drug Plan S5932-013 -- | ||||||||||||
2012 Health Net Orange Option 1 (PDP) | $39.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -034 | $4.00 | $45.00 | $80.00 | 25% | 1,297 members | ||
-- Members will be assigned to SilverScript Basic S5601-028 -- | ||||||||||||
2012 Community CCRx Basic (PDP) | $26.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -083 | $2.00 | 25% | 45% | 25% | 98,850 members | ||
-- Members will be assigned to SilverScript Basic S5601-028 -- | ||||||||||||
2012 Health Net Value Orange Option 2 (PDP) | $71.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -033 | $0.00 | $32.00 | $64.00 | 33% | 1,566 members | ||
-- Members will be assigned to SilverScript Plus S5601-029 -- | ||||||||||||
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 Community CCRx Choice (PDP) | $76.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -151 | $0.00 | $40.00 | $70.00 | 33% | 3,370 members | ||
-- Members will be assigned to SilverScript Plus S5601-029 -- | ||||||||||||
2012 WellCare Signature (PDP) | $57.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -048 | $0.00 | $20.00 | $45.00 | $85.00 | 9,907 members | ||
-- Members will be assigned to WellCare Classic S5967-151 -- | ||||||||||||
2012 PrimeTime Prescription Drug Plan Basic (PDP) | $43.50 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S1480 -001 | $5.00 | $29.00 | $65.00 | 25% | 433 members | ||
new | new | new | ||||||||||
-- This plan not offered in 2013 -- | ||||||||||||
2012 PrimeTime Prescription Drug Plan Enhanced (PDP) | $66.60 | $0 | All Generics | No | S1480 -002 | $5.00 | $29.00 | $65.00 | 25% | 841 members | ||
new | new | new | ||||||||||
-- This plan not offered in 2013 -- | ||||||||||||
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