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 -- | S5921 -351 | |||||||||||
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 -104 | $1.00 | $5.00 | 20% | 35% | 56,208 members | ||
2013 Humana Walmart-Preferred Rx Plan (PDP) | $18.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $5.00 | 20% | 35% | tbd members | |||
2012 First Health Part D Value Plus (PDP) | $23.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -129 | $0.00 | 25% | 40% | 33% | 20,743 members | ||
2013 First Health Part D Value Plus (PDP) | $28.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $70.00 | 33% | tbd members | |||
-- This plan not offered in 2012 -- | S5601 -115 | |||||||||||
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 -040 | $3.00 | $21.00 | $35.00 | 40% | 7,448 members | ||
2013 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $32.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $5.00 | $45.00 | 46% | 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 CVS Caremark Value (PDP) | $30.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -012 | $5.00 | $45.00 | $95.00 | 25% | 65,473 members | ||
2013 SilverScript Basic (PDP) | $34.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 23% | 45% | 33% | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -006 | |||||||||||
2013 SmartD Rx Saver (PDP) | $35.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $20.00 | $31.00 | $85.00 | tbd members | |||
2012 EnvisionRxPlus Silver (PDP) | $33.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -006 | 25% | 25% | 25% | 25% | 18,775 members | ||
2013 EnvisionRxPlus Silver (PDP) | $35.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | |||
-- This plan not offered in 2012 -- | S9014 -003 | |||||||||||
new | new | new | ||||||||||
2013 SecureAdvantage Rx - Option 1 (PDP) | $35.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
-- This plan not offered in 2012 -- | S0128 -007 | |||||||||||
new | new | new | ||||||||||
2013 Reader's Digest Value Rx (PDP) | $35.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.50 | $35.00 | 27% | tbd members | |||
2012 CIGNA Medicare Rx Plan One (PDP) | $31.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -215 | $3.00 | $20.00 | $31.00 | $82.00 | 32,172 members | ||
2013 Cigna Medicare Rx Plan One (PDP) | $36.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $8.00 | $34.00 | $83.00 | 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 - Select (PDP) | $33.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5755 -077 | $3.00 | $7.00 | $45.00 | $95.00 | 9,572 members | ||
2013 United American - Select (PDP) | $36.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | $35.00 | $95.00 | tbd members | |||
2012 Medco Medicare Prescription Plan - Value (PDP) | $33.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -108 | $4.00 | $8.00 | 25% | 40% | 41,673 members | ||
2013 Express Scripts Medicare - Value (PDP) | $36.90 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $6.00 | 25% | 46% | tbd members | |||
2012 AARP MedicareRx Preferred (PDP) | $36.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -005 | $4.00 | $8.00 | $42.00 | $93.00 | 186,554 members | ||
2013 AARP MedicareRx Preferred (PDP) | $37.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $5.00 | $40.00 | $85.00 | tbd members | |||
2012 First Health Part D Premier (PDP) | $32.70 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -009 | $6.00 | 19% | 35% | 26% | 43,244 members | ||
2013 First Health Part D Premier (PDP) | $37.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | 25% | 45% | tbd members | ||||
2012 HealthSpring Prescription Drug Plan -Reg 6 (PDP) | $35.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -006 | 25% | 25% | 18,271 members | ||||
2013 HealthSpring Prescription Drug Plan -Reg 6 (PDP) | $38.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | tbd members | ||||||
2012 WellCare Classic (PDP) | $34.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -143 | $0.00 | $40.00 | $92.00 | 25% | 18,983 members | ||
2013 WellCare Classic (PDP) | $38.50 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $43.00 | $91.00 | 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 Humana Enhanced (PDP) | $38.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -005 | $7.00 | $39.00 | $74.00 | 33% | 46,024 members | ||
2013 Humana Enhanced (PDP) | $42.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $42.00 | $90.00 | tbd members | |||
-- This plan not offered in 2012 -- | S5967 -178 | |||||||||||
2013 WellCare Extra (PDP) | $49.10 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | |||
2012 MedicareRx Rewards Standard (PDP) | $45.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -112 | $4.00 | $7.00 | $32.00 | $90.00 | 4,204 members | ||
2013 MedicareRx Rewards Standard (PDP) | $50.60 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $7.00 | $31.00 | $85.00 | tbd members | |||
2012 AmeriHealth Rx Option I (PDP) | $42.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S2321 -005 | 25% | 25% | 25% | 25% | 7,438 members | ||
2013 AmeriHealth Rx Option I (PDP) | $52.20 | $315 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $45.00 | $85.00 | 25% | tbd members | |||
2012 Rite Aid EnvisionRxPlus (PDP) | $69.70 | $0 | Some Generics | No | S7694 -077 | $0.00 | 20% | 15% | 30% | 204 members | ||
2013 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | tbd members | |||
2012 United American - Preferred (PDP) | $50.90 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -009 | $3.00 | $9.00 | $45.00 | $95.00 | 3,123 members | ||
2013 United American - Enhanced (PDP) | $56.80 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $1.00 | $40.00 | $95.00 | 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 BlueRx Plus (PDP) | $58.70 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5593 -002 | $8.00 | $45.00 | $95.00 | 29% | 35,243 members | ||
2013 Blue Rx Plus (PDP) | $61.40 | $250 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $12.00 | 25% | 48% | tbd members | |||
2012 SecureRx - Option 3 (PDP) | $45.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S8067 -001 | $10.00 | $51.00 | 33% | 4,461 members | |||
2013 SecureRx - Option 3 (PDP) | $63.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | $21.00 | $45.00 | 33% | tbd members | |||
-- This plan not offered in 2012 -- | S9014 -004 | |||||||||||
new | new | new | ||||||||||
2013 SecureAdvantage Rx - Option II (PDP) | $64.10 | $0 | Many Generics | No | $3.00 | $10.00 | $35.00 | $95.00 | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -041 | |||||||||||
2013 SmartD Rx Plus (PDP) | $72.40 | $0 | Some Generics | No | $0.00 | $20.00 | $31.00 | $85.00 | tbd members | |||
2012 CIGNA Medicare Rx Plan Two (PDP) | $65.40 | $0 | Few Generics | No | S5617 -176 | $0.00 | $5.00 | $41.00 | $85.00 | 1,862 members | ||
2013 Cigna Medicare Rx Plan Two (PDP) | $76.00 | $0 | Few Generics | No | $0.00 | $10.00 | $45.00 | $90.00 | tbd members | |||
2012 AARP MedicareRx Enhanced (PDP) | $87.50 | $0 | Some Generics | No | S5921 -093 | $4.00 | $7.00 | $40.00 | $76.00 | 5,367 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $87.30 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $40.00 | $76.00 | 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 First Health Part D Premier Plus (PDP) | $98.70 | $0 | Some Generics, Some Brands |
No | S5670 -036 | $0.00 | $20.00 | 25% | 43% | 5,076 members | ||
2013 First Health Part D Premier Plus (PDP) | $95.10 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $88.90 | $150 | Many Generics | No | S5660 -176 | $6.00 | $12.00 | $45.00 | $95.00 | 1,418 members | ||
2013 Express Scripts Medicare - Choice (PDP) | $95.40 | $200 | Many Generics | No | $8.00 | $45.00 | $95.00 | 28% | tbd members | |||
2012 CVS Caremark Plus (PDP) | $82.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -013 | $0.00 | $40.00 | $90.00 | 33% | 1,917 members | ||
2013 SilverScript Plus (PDP) | $100.60 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 33% | tbd members | |||
2012 Aetna Medicare Rx Premier (PDP) | $86.10 | $0 | Many Generics | No | S5810 -176 | $4.00 | $25.00 | $35.00 | $80.00 | 4,222 members | ||
2013 Aetna Medicare Rx Premier (PDP) | $104.50 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | tbd members | |||
2012 MedicareRx Rewards Plus (PDP) | $90.50 | $0 | Some Generics | No | S5960 -144 | $4.00 | $7.00 | $45.00 | $90.00 | 1,049 members | ||
2013 MedicareRx Rewards Plus (PDP) | $107.70 | $0 | Few Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2012 Humana Complete (PDP) | $109.40 | $0 | Many Generics, Some Brands |
No | S5884 -034 | $5.00 | $37.00 | $72.00 | 33% | 2,955 members | ||
2013 Humana Complete (PDP) | $113.10 | $0 | Some Generics, Some Brands |
No | $5.00 | $37.00 | $72.00 | 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 BlueRx Complete (PDP) | $114.40 | $0 | Many Generics | No | S5593 -003 | $7.00 | $40.00 | $70.00 | 33% | 15,448 members | ||
2013 Blue Rx Complete (PDP) | $113.20 | $0 | Many Generics | No | $7.00 | $40.00 | $70.00 | 33% | tbd members | |||
2012 AmeriHealth Rx Option II (PDP) | $87.10 | $0 | Many Generics | No | S2321 -002 | $5.00 | $10.00 | $30.00 | $65.00 | 4,612 members | ||
2013 AmeriHealth Rx Option II (PDP) | $120.70 | $0 | Many Generics | No | $5.00 | $10.00 | $30.00 | $65.00 | tbd members | |||
2012 SecureRx - Option 1 (PDP) | $115.60 | $0 | Many Generics | No | S8067 -003 | $7.00 | $40.00 | $85.00 | 33% | 2,455 members | ||
2013 SecureRx - Option 1 (PDP) | $121.80 | $0 | Many Generics | No | $5.00 | $20.00 | $40.00 | $85.00 | tbd members | |||
2012 BravoRx (PDP) | $36.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5998 -005 | 25% | 25% | 25% | 1,963 members | |||
-- Members will be assigned to HealthSpring Prescription Drug Plan S5932-006 -- | ||||||||||||
2012 Health Net Orange Option 1 (PDP) | $34.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -018 | $4.00 | $44.00 | $81.00 | 25% | 6,499 members | ||
-- Members will be assigned to SilverScript Basic S5601-012 -- | ||||||||||||
2012 Community CCRx Basic (PDP) | $28.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -075 | $2.00 | 25% | 46% | 25% | 177,056 members | ||
-- Members will be assigned to SilverScript Basic S5601-012 -- | ||||||||||||
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 Health Net Value Orange Option 2 (PDP) | $69.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -017 | $0.00 | $32.00 | $64.00 | 33% | 2,652 members | ||
-- Members will be assigned to SilverScript Plus S5601-013 -- | ||||||||||||
2012 Community CCRx Choice (PDP) | $78.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -143 | $0.00 | $40.00 | $70.00 | 33% | 3,229 members | ||
-- Members will be assigned to SilverScript Plus S5601-013 -- | ||||||||||||
2012 WellCare Signature (PDP) | $58.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -040 | $0.00 | $20.00 | $45.00 | $85.00 | 9,069 members | ||
-- Members will be assigned to WellCare Classic S5967-143 -- | ||||||||||||
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