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 Humana Walmart-Preferred Rx Plan (PDP) | $4.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S2874 -004 | $1.00 | $5.00 | 20% | 35% | 90 members | ||
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2013 Humana Walmart-Preferred Rx Plan (PDP) | $3.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $5.00 | 20% | 35% | tbd members | |||
2012 MediMax One (PDP) | $13.30 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S0043 -009 | $5.00 | $30.00 | $60.00 | 25% | 298 members | ||
2013 MediMax One (PDP) | $9.20 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $30.00 | $60.00 | 25% | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -035 | |||||||||||
2013 SmartD Rx Saver (PDP) | $14.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $35.00 | $82.00 | tbd members | |||
2012 PharmaPlus (PDP) | $17.90 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5840 -001 | 25% | 25% | 25% | 25% | 100 members | ||
2013 PharmaPlus (PDP) | $14.80 | $325 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | |||
2012 PICA Alante (PDP) | $0.00 | $239 | No additional gap coverage, only the Donut Hole Discount | No | S5775 -002 | $6.00 | $30.00 | $60.00 | 27% | 1,984 members | ||
2013 PICA Alante (PDP) | $15.50 | $299 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | $30.00 | $60.00 | 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 | ||||||
2012 Humana Enhanced (PDP) | $23.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S2874 -001 | $7.00 | $28.00 | $65.00 | 33% | 348 members | ||
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2013 Humana Enhanced (PDP) | $28.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $43.00 | $90.00 | tbd members | |||
2012 AARP MedicareRx Preferred (PDP) | $43.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -037 | $4.00 | $8.00 | $35.00 | $95.00 | 3,782 members | ||
2013 AARP MedicareRx Preferred (PDP) | $35.20 | $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 -- | S0064 -070 | |||||||||||
2013 SmartD Rx Plus (PDP) | $42.90 | $0 | Some Generics | No | $0.00 | $20.00 | $35.00 | $82.00 | tbd members | |||
2012 Medco Medicare Prescription Plan - Value (PDP) | $36.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -137 | $4.00 | $8.00 | 25% | 40% | 23 members | ||
2013 Express Scripts Medicare - Value (PDP) | $43.70 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | 25% | 50% | tbd members | |||
2012 MediMax Plus (PDP) | $46.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S0043 -010 | $5.00 | $25.00 | $45.00 | 25% | 886 members | ||
2013 MediMax Plus (PDP) | $47.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $20.00 | $45.00 | 25% | tbd members | |||
2012 Triple-S FarmaMed (PDP) | $54.40 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5907 -001 | $7.00 | $25.00 | 25% | 25% | 1,492 members | ||
2013 Triple-S FarmaMed (PDP) | $49.40 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | $25.00 | 25% | 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 MediMax Elite (PDP) | $63.00 | $0 | Many Generics | No | S0043 -013 | 81 members | ||||||
2013 MediMax Elite (PDP) | $63.30 | $0 | Many Generics | No | $2.00 | $5.00 | $25.00 | $50.00 | tbd members | |||
2012 PICA Primero (PDP) | $60.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5775 -001 | $2.00 | $25.00 | $50.00 | 33% | 7,469 members | ||
2013 PICA Primero (PDP) | $73.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $25.00 | $58.00 | 33% | tbd members | |||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $63.00 | $150 | Many Generics | No | S5660 -205 | $6.00 | $12.00 | $45.00 | $95.00 | 16 members | ||
2013 Express Scripts Medicare - Choice (PDP) | $74.60 | $200 | Many Generics | No | $8.00 | $45.00 | $95.00 | 28% | tbd members | |||
2012 PharmaPremium (PDP) | $60.60 | $0 | All Generics | No | S5840 -002 | $4.00 | $20.00 | $45.00 | 25% | 221 members | ||
2013 PharmaPremium (PDP) | $78.20 | $0 | All Generics | No | $4.00 | $20.00 | $45.00 | 25% | tbd members | |||
2012 Triple-S FarmaMed Plus (PDP) | $75.90 | $0 | Many Generics | No | S5907 -002 | $5.00 | $30.00 | 25% | 25% | 1,846 members | ||
2013 Triple-S FarmaMed Plus (PDP) | $79.60 | $0 | Many Generics | No | $7.00 | $40.00 | 25% | 25% | tbd members | |||
2012 MCS Classicare Rx Standard (PDP) | $20.90 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5555 -003 | 25% | 25% | 25% | 25% | 17 members | ||
-- This plan not offered in 2013 -- | ||||||||||||
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 MCS Classicare Rx (PDP) | $47.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5555 -001 | $4.00 | $28.00 | $48.00 | 25% | 501 members | ||
-- This plan not offered in 2013 -- | ||||||||||||
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