2012 / 2013 Medicare Part D Plan Information Click here to jump to the Chart Legend | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
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 |
||||||
-- This plan not offered in 2012 -- | S5601 -132 | |||||||||||
2013 SilverScript Choice (PDP) | $29.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $34.00 | 35% | 33% | tbd members | |||
2012 First Health Part D Value Plus (PDP) | $27.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -146 | $0.00 | 25% | 40% | 33% | 6,227 members | ||
2013 First Health Part D Value Plus (PDP) | $33.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $70.00 | 33% | tbd members | |||
2012 WellCare Classic (PDP) | $34.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -160 | $0.00 | $43.00 | $93.00 | 25% | 2,846 members | ||
2013 WellCare Classic (PDP) | $35.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $42.00 | $94.00 | 33% | tbd members | |||
2012 Humana Enhanced (PDP) | $38.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -021 | $7.00 | $37.00 | $73.00 | 33% | 21,542 members | ||
2013 Humana Enhanced (PDP) | $42.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $41.00 | $90.00 | tbd members | |||
2012 AARP MedicareRx Preferred (PDP) | $47.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -022 | $4.00 | $8.00 | $38.00 | $95.00 | 37,546 members | ||
2013 AARP MedicareRx Preferred (PDP) | $43.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $5.00 | $40.00 | $85.00 | 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 | ||||||
-- This plan not offered in 2012 -- | S5967 -194 | |||||||||||
2013 WellCare Extra (PDP) | $44.00 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -058 | |||||||||||
2013 SmartD Rx Plus (PDP) | $76.00 | $0 | Some Generics | No | $0.00 | $20.00 | $35.00 | $85.00 | tbd members | |||
2012 Blue MedicareRx Plus (PDP) | $92.60 | $0 | All Generics | No | S5715 -011 | $5.00 | $38.00 | $75.00 | 33% | 7,413 members | ||
2013 Blue MedicareRx Plus (PDP) | $96.60 | $0 | All Generics | No | $3.00 | $10.00 | $38.00 | $86.00 | tbd members | |||
2012 First Health Part D Premier Plus (PDP) | $112.40 | $0 | Some Generics, Some Brands |
No | S5670 -126 | $0.00 | $20.00 | 25% | 43% | 867 members | ||
2013 First Health Part D Premier Plus (PDP) | $102.50 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2012 AARP MedicareRx Enhanced (PDP) | $94.40 | $0 | Some Generics | No | S5921 -235 | $4.00 | $7.00 | $40.00 | $76.00 | 1,360 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $104.60 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $40.00 | $76.00 | tbd members | |||
-- This plan not offered in 2012 -- | S5601 -109 | |||||||||||
2013 SilverScript Plus (PDP) | $107.30 | $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 Aetna Medicare Rx Premier (PDP) | $83.70 | $0 | Many Generics | No | S5810 -193 | $4.00 | $25.00 | $35.00 | $80.00 | 1,864 members | ||
2013 Aetna Medicare Rx Premier (PDP) | $113.70 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | tbd members | |||
2012 Humana Complete (PDP) | $114.90 | $0 | Many Generics, Some Brands |
No | S5884 -051 | $5.00 | $36.00 | $69.00 | 33% | 777 members | ||
2013 Humana Complete (PDP) | $118.60 | $0 | Some Generics, Some Brands |
No | $5.00 | $36.00 | $69.00 | 33% | tbd members | |||
|