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 -- | S5921 -368 | ||||||||||||||
2013 AARP MedicareRx Saver Plus (PDP) | $15.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.00 | $25.00 | $45.00 | tbd members | ||||||
2012 Humana Walmart-Preferred Rx Plan (PDP) | $15.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5884 -144 | $1.00 | $5.00 | 20% | 35% | 23,799 members | |||||
2013 Humana Walmart-Preferred Rx Plan (PDP) | $18.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | 20% | 35% | tbd members | ||||||
-- 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 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5810 -057 | $3.00 | $10.00 | $34.00 | 38% | 4,739 members | |||||
2013 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $31.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $5.00 | $45.00 | 40% | tbd members | ||||||
2012 Windsor Rx (PDP) | $29.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S4802 -014 | $6.00 | $38.00 | $90.00 | 25% | 3,166 members | |||||
2013 Windsor Rx (PDP) | $31.90 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $38.00 | $80.00 | 25% | 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 -- | S0064 -023 | ||||||||||||||
2013 SmartD Rx Saver (PDP) | $32.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $20.00 | $35.00 | $85.00 | tbd members | ||||||
2012 CVS Caremark Value (PDP) | $28.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -046 | $6.00 | $45.00 | $95.00 | 25% | 24,683 members | |||||
2013 SilverScript Basic (PDP) | $32.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 46% | 33% | tbd members | ||||||
2012 EnvisionRxPlus Silver (PDP) | $29.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -023 | 25% | 25% | 25% | 25% | 3,063 members | |||||
2013 EnvisionRxPlus Silver (PDP) | $33.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | ||||||
2012 United American - Select (PDP) | $32.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -094 | $2.00 | $8.00 | $45.00 | $95.00 | 42 members | |||||
2013 United American - Select (PDP) | $33.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | $35.00 | $95.00 | tbd members | ||||||
-- This plan not offered in 2012 -- | S5768 -160 | ||||||||||||||
2013 First Health Part D Essentials (PDP) | $33.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.15 | 20% | 30% | 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 | ||||||
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 CIGNA Medicare Rx Plan One (PDP) | $46.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -113 | $3.00 | $20.00 | $30.00 | $83.00 | 1,219 members | |||||
2013 Cigna Medicare Rx Plan One (PDP) | $34.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $8.00 | $25.00 | $75.00 | tbd members | ||||||
-- This plan not offered in 2012 -- | S0128 -024 | ||||||||||||||
new | new | new | |||||||||||||
2013 Reader's Digest Value Rx (PDP) | $34.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.50 | $35.00 | 27% | tbd members | ||||||
-- This plan not offered in 2012 -- | S2978 -009 | ||||||||||||||
new | new | new | |||||||||||||
2013 Destiny Health MedSaver Part D Plan (PDP) | $35.00 | $325 | No additional gap coverage, only the Donut Hole Discount | No | tbd | 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 Medco Medicare Prescription Plan - Value (PDP) | $31.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -125 | $4.00 | $8.00 | 25% | 40% | 13,094 members | |||||
2013 Express Scripts Medicare - Value (PDP) | $36.00 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $6.00 | 25% | 45% | tbd members | ||||||
2012 HealthSpring Prescription Drug Plan-Reg 23 (PDP) | $31.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -022 | 25% | 25% | 13,171 members | |||||||
2013 HealthSpring Prescription Drug Plan-Reg 23 (PDP) | $36.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 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 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 | ||||||
-- 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 | ||||||
2012 Blue MedicareRx Value (PDP) | $43.20 | $125 | No additional gap coverage, only the Donut Hole Discount | No | S5715 -010 | $9.00 | $39.00 | $89.00 | 29% | 27,450 members | |||||
2013 Blue MedicareRx Value (PDP) | $44.60 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $10.00 | $38.00 | $95.00 | tbd members | ||||||
2012 EnvisionRxPlus Gold (PDP) | $75.10 | $0 | Some Generics | No | S7694 -093 | $2.00 | 15% | 15% | 30% | 40 members | |||||
2013 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | tbd members | ||||||
2012 MedicareRx Rewards Standard (PDP) | $44.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -129 | $4.00 | $7.00 | $35.00 | $90.00 | 1,381 members | |||||
2013 MedicareRx Rewards Standard (PDP) | $56.80 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $7.00 | $34.00 | $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 | |||||||||
2012 United American - Preferred (PDP) | $57.40 | $80 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -026 | $3.00 | $9.00 | $45.00 | $95.00 | 1,007 members | |||||
2013 United American - Enhanced (PDP) | $63.40 | $80 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $1.00 | $40.00 | $95.00 | 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 | ||||||
2012 First Health Part D Premier (PDP) | $42.00 | $250 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -046 | $5.00 | 20% | 38% | 26% | 6,976 members | |||||
-- Members will be assigned to First Health Part D Essentials S5768-160 -- | |||||||||||||||
2012 BravoRx (PDP) | $33.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -027 | 25% | 25% | 25% | 3,191 members | ||||||
-- Members will be assigned to HealthSpring Prescription Drug Plan S5932-022 -- | |||||||||||||||
2012 Community CCRx Basic (PDP) | $31.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -092 | $2.00 | 25% | 46% | 25% | 38,860 members | |||||
-- Members will be assigned to SilverScript Basic S5601-046 -- | |||||||||||||||
2012 Health Net Orange Option 1 (PDP) | $34.30 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -052 | $4.00 | $45.00 | $95.00 | 25% | 1,112 members | |||||
-- Members will be assigned to SilverScript Basic S5601-046 -- | |||||||||||||||
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) | $87.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -160 | $0.00 | $40.00 | $70.00 | 33% | 3,904 members | |||||
-- Members will be assigned to SilverScript Plus S5601-109 -- | |||||||||||||||
2012 Health Net Value Orange Option 2 (PDP) | $73.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -051 | $0.00 | $32.00 | $64.00 | 33% | 939 members | |||||
-- Members will be assigned to SilverScript Plus S5601-109 -- | |||||||||||||||
2012 WellCare Signature (PDP) | $69.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -057 | $0.00 | $20.00 | $45.00 | $90.00 | 2,223 members | |||||
-- Members will be assigned to WellCare Classic S5967-160 -- | |||||||||||||||
2012 MedicareRx Rewards Plus (PDP) | $81.40 | $0 | Some Generics | No | S5960 -155 | $4.00 | $7.00 | $45.00 | $90.00 | 654 members | |||||
-- This plan not offered in 2013 -- | |||||||||||||||
|