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 -354 | ||||||||||||||
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 -134 | $1.00 | $5.00 | 20% | 35% | 21,218 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 | ||||||
-- This plan not offered in 2012 -- | S5601 -118 | ||||||||||||||
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 -043 | $3.00 | $10.00 | $36.00 | 41% | 9,146 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 | 38% | tbd members | ||||||
2012 First Health Part D Value Plus (PDP) | $24.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -132 | $0.00 | 25% | 40% | 33% | 10,406 members | |||||
2013 First Health Part D Value Plus (PDP) | $33.90 | $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 Windsor Rx (PDP) | $34.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S2505 -007 | $6.00 | $45.00 | $80.00 | 25% | 9,178 members | |||||
2013 Windsor Rx (PDP) | $34.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $44.00 | $85.00 | 25% | tbd members | ||||||
2012 WellCare Classic (PDP) | $39.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -146 | $0.00 | $40.00 | $90.00 | 25% | 4,144 members | |||||
2013 WellCare Classic (PDP) | $35.70 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $44.00 | $95.00 | 33% | tbd members | ||||||
-- This plan not offered in 2012 -- | S0128 -010 | ||||||||||||||
new | new | new | |||||||||||||
2013 Reader's Digest Value Rx (PDP) | $36.60 | $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 -- | S0064 -009 | ||||||||||||||
2013 SmartD Rx Saver (PDP) | $36.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $20.00 | $33.00 | $81.00 | tbd members | ||||||
2012 CIGNA Medicare Rx Plan One (PDP) | $33.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -218 | $3.00 | $20.00 | $31.00 | $83.00 | 16,252 members | |||||
2013 Cigna Medicare Rx Plan One (PDP) | $37.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $8.00 | $27.00 | $83.00 | tbd members | ||||||
2012 CVS Caremark Value (PDP) | $36.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -018 | $6.00 | $45.00 | $95.00 | 25% | 8,919 members | |||||
2013 SilverScript Basic (PDP) | $37.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 24% | 45% | 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 EnvisionRxPlus Silver (PDP) | $30.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -009 | 25% | 25% | 25% | 25% | 3,403 members | |||||
2013 EnvisionRxPlus Silver (PDP) | $37.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | ||||||
2012 United American - Select (PDP) | $34.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5755 -080 | $2.00 | $8.00 | $45.00 | $95.00 | 3,036 members | |||||
2013 United American - Select (PDP) | $38.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | $36.00 | $95.00 | tbd members | ||||||
2012 Medco Medicare Prescription Plan - Value (PDP) | $36.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -111 | $4.00 | $8.00 | 25% | 40% | 14,909 members | |||||
2013 Express Scripts Medicare - Value (PDP) | $38.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $7.00 | 25% | 50% | tbd members | ||||||
-- This plan not offered in 2012 -- | S5967 -181 | ||||||||||||||
2013 WellCare Extra (PDP) | $39.10 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | ||||||
2012 HealthSpring Prescription Drug Plan -Reg 9 (PDP) | $37.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -009 | 25% | 25% | 13,004 members | |||||||
2013 HealthSpring Prescription Drug Plan -Reg 9 (PDP) | $39.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | tbd members | |||||||||
2012 First Health Part D Premier (PDP) | $35.60 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -012 | $5.00 | 21% | 37% | 26% | 29,451 members | |||||
2013 First Health Part D Premier (PDP) | $39.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | 25% | 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 | |||||||||
-- This plan not offered in 2012 -- | S2978 -002 | ||||||||||||||
new | new | new | |||||||||||||
2013 Destiny Health MedSaver Part D Plan (PDP) | $40.10 | $325 | No additional gap coverage, only the Donut Hole Discount | No | tbd | tbd members | |||||||||
2012 AARP MedicareRx Preferred (PDP) | $40.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -008 | $4.00 | $8.00 | $41.00 | $94.00 | 67,735 members | |||||
2013 AARP MedicareRx Preferred (PDP) | $40.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $5.00 | $40.00 | $85.00 | tbd members | ||||||
2012 MedBlue Rx (PDP) | $42.80 | $280 | No additional gap coverage, only the Donut Hole Discount | No | S5953 -001 | $5.00 | $40.00 | $80.00 | 25% | 15,866 members | |||||
2013 MedBlue Rx (PDP) | $45.30 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $40.00 | $80.00 | 25% | tbd members | ||||||
2012 Humana Enhanced (PDP) | $47.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -008 | $7.00 | $38.00 | $73.00 | 33% | 19,817 members | |||||
2013 Humana Enhanced (PDP) | $51.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $41.00 | $90.00 | tbd members | ||||||
2012 MedicareRx Rewards Standard (PDP) | $39.90 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -115 | $4.00 | $7.00 | $32.00 | $80.00 | 1,522 members | |||||
2013 MedicareRx Rewards Standard (PDP) | $53.10 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $7.00 | $31.00 | $85.00 | tbd members | ||||||
2012 Rite Aid EnvisionRxPlus (PDP) | $66.20 | $0 | Some Generics | No | S7694 -080 | $0.00 | 20% | 15% | 30% | 102 members | |||||
2013 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | 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) | $52.20 | $120 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -012 | $3.00 | $9.00 | $45.00 | $95.00 | 1,880 members | |||||
2013 United American - Enhanced (PDP) | $58.20 | $120 | 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 -044 | ||||||||||||||
2013 SmartD Rx Plus (PDP) | $69.80 | $0 | Some Generics | No | $0.00 | $20.00 | $33.00 | $81.00 | tbd members | ||||||
2012 CIGNA Medicare Rx Plan Two (PDP) | $61.60 | $0 | Few Generics | No | S5617 -179 | $0.00 | $5.00 | $41.00 | $85.00 | 1,648 members | |||||
2013 Cigna Medicare Rx Plan Two (PDP) | $71.70 | $0 | Few Generics | No | $0.00 | $10.00 | $45.00 | $90.00 | tbd members | ||||||
2012 AARP MedicareRx Enhanced (PDP) | $86.50 | $0 | Some Generics | No | S5921 -123 | $4.00 | $7.00 | $40.00 | $76.00 | 1,979 members | |||||
2013 AARP MedicareRx Enhanced (PDP) | $85.10 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $40.00 | $76.00 | tbd members | ||||||
2012 CVS Caremark Plus (PDP) | $76.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -019 | $0.00 | $40.00 | $90.00 | 33% | 1,238 members | |||||
2013 SilverScript Plus (PDP) | $93.40 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 33% | tbd members | ||||||
2012 First Health Part D Premier Plus (PDP) | $104.60 | $0 | Some Generics, Some Brands |
No | S5670 -054 | $0.00 | $20.00 | 25% | 43% | 1,613 members | |||||
2013 First Health Part D Premier Plus (PDP) | $100.20 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | 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 MedBlue Rx Plus (PDP) | $76.50 | $0 | Many Generics | No | S5953 -002 | $2.00 | $7.00 | $33.00 | $74.00 | 7,871 members | |||||
2013 MedBlue Rx Plus (PDP) | $104.00 | $0 | Many Generics, Few Brands |
No | $2.00 | $7.00 | $33.00 | $74.00 | tbd members | ||||||
2012 Aetna Medicare Rx Premier (PDP) | $89.00 | $0 | Many Generics | No | S5810 -179 | $4.00 | $25.00 | $35.00 | $80.00 | 1,677 members | |||||
2013 Aetna Medicare Rx Premier (PDP) | $112.40 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | tbd members | ||||||
2012 Humana Complete (PDP) | $112.00 | $0 | Many Generics, Some Brands |
No | S5884 -037 | $5.00 | $37.00 | $69.00 | 33% | 1,337 members | |||||
2013 Humana Complete (PDP) | $115.80 | $0 | Some Generics, Some Brands |
No | $5.00 | $37.00 | $69.00 | 33% | tbd members | ||||||
2012 BravoRx (PDP) | $38.30 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5998 -018 | 25% | 25% | 25% | 607 members | ||||||
-- Members will be assigned to HealthSpring Prescription Drug Plan S5932-009 -- | |||||||||||||||
2012 Community CCRx Basic (PDP) | $34.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -078 | $2.00 | 25% | 48% | 25% | 26,976 members | |||||
-- Members will be assigned to SilverScript Basic S5601-018 -- | |||||||||||||||
2012 Health Net Orange Option 1 (PDP) | $31.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -024 | $4.00 | $42.00 | $89.00 | 25% | 4,713 members | |||||
-- Members will be assigned to SilverScript Basic S5601-018 -- | |||||||||||||||
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) | $77.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -146 | $0.00 | $40.00 | $70.00 | 33% | 3,706 members | |||||
-- Members will be assigned to SilverScript Plus S5601-019 -- | |||||||||||||||
2012 Health Net Value Orange Option 2 (PDP) | $66.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -023 | $0.00 | $32.00 | $64.00 | 33% | 1,379 members | |||||
-- Members will be assigned to SilverScript Plus S5601-019 -- | |||||||||||||||
2012 WellCare Signature (PDP) | $63.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -043 | $0.00 | $20.00 | $45.00 | $85.00 | 2,900 members | |||||
-- Members will be assigned to WellCare Classic S5967-146 -- | |||||||||||||||
2012 MedicareRx Rewards Plus (PDP) | $86.70 | $0 | Some Generics | No | S5960 -146 | $4.00 | $7.00 | $45.00 | $90.00 | 636 members | |||||
-- This plan not offered in 2013 -- | |||||||||||||||
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