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 -367 | |||||||||||
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 -143 | $1.00 | $5.00 | 20% | 35% | 84,902 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 -131 | |||||||||||
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 Windsor Rx (PDP) | $28.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S4802 -013 | $6.00 | $40.00 | $90.00 | 25% | 7,406 members | ||
2013 Windsor Rx (PDP) | $29.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $38.00 | $80.00 | 25% | tbd members | |||
2012 WellCare Classic (PDP) | $30.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -159 | $0.00 | $45.00 | $95.00 | 25% | 56,019 members | ||
2013 WellCare Classic (PDP) | $30.10 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $7.00 | $42.00 | $95.00 | 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 EnvisionRxPlus Silver (PDP) | $22.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -022 | 25% | 25% | 25% | 25% | 32,792 members | ||
2013 EnvisionRxPlus Silver (PDP) | $30.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | |||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5810 -056 | $3.00 | $10.00 | $33.00 | 39% | 62,731 members | ||
2013 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $30.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $5.00 | $45.00 | 43% | tbd members | |||
2012 First Health Part D Value Plus (PDP) | $23.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -145 | $0.00 | 25% | 40% | 33% | 32,107 members | ||
2013 First Health Part D Value Plus (PDP) | $31.10 | $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 -- | S0064 -022 | |||||||||||
2013 SmartD Rx Saver (PDP) | $31.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $20.00 | $34.00 | $84.00 | tbd members | |||
2012 CIGNA Medicare Rx Plan One (PDP) | $26.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -108 | $3.00 | $20.00 | $35.00 | $77.00 | 45,387 members | ||
2013 Cigna Medicare Rx Plan One (PDP) | $31.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $8.00 | $31.00 | $77.00 | tbd members | |||
-- This plan not offered in 2012 -- | S0128 -023 | |||||||||||
new | new | new | ||||||||||
2013 Reader's Digest Value Rx (PDP) | $32.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.50 | $35.00 | 27% | 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) | $28.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -044 | $7.50 | $45.00 | $95.00 | 25% | 33,114 members | ||
2013 SilverScript Basic (PDP) | $32.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 24% | 45% | 33% | tbd members | |||
2012 United American - Select (PDP) | $29.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5755 -093 | $3.00 | $8.00 | $45.00 | $95.00 | 7,243 members | ||
2013 United American - Select (PDP) | $32.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | $38.00 | $95.00 | tbd members | |||
2012 HealthSpring Prescription Drug Plan-Reg 22 (PDP) | $31.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -021 | 25% | 25% | 49,396 members | ||||
2013 HealthSpring Prescription Drug Plan-Reg 22 (PDP) | $33.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | tbd members | ||||||
2012 First Health Part D Premier (PDP) | $29.10 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -045 | $5.00 | 21% | 37% | 26% | 73,842 members | ||
2013 First Health Part D Premier (PDP) | $33.90 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | 25% | 39% | tbd members | ||||
-- This plan not offered in 2012 -- | S5967 -193 | |||||||||||
2013 WellCare Extra (PDP) | $39.00 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | |||
2012 Humana Enhanced (PDP) | $39.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -020 | $7.00 | $39.00 | $73.00 | 33% | 131,027 members | ||
2013 Humana Enhanced (PDP) | $44.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $41.00 | $90.00 | 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 Blue MedicareRx Value (PDP) | $44.10 | $125 | No additional gap coverage, only the Donut Hole Discount | No | S5715 -005 | $10.00 | $41.00 | $91.00 | 29% | 45,653 members | ||
2013 Blue MedicareRx Value (PDP) | $44.40 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $10.00 | $40.00 | $95.00 | tbd members | |||
2012 AARP MedicareRx Preferred (PDP) | $45.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -021 | $4.00 | $8.00 | $39.00 | $95.00 | 235,491 members | ||
2013 AARP MedicareRx Preferred (PDP) | $44.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $5.00 | $40.00 | $85.00 | tbd members | |||
2012 Medco Medicare Prescription Plan - Value (PDP) | $34.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -124 | $4.00 | $8.00 | 25% | 35% | 5,814 members | ||
2013 Express Scripts Medicare - Value (PDP) | $48.40 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | 25% | 50% | tbd members | |||
2012 MedicareRx Rewards Standard (PDP) | $45.50 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -128 | $4.00 | $7.00 | $36.00 | $90.00 | 5,053 members | ||
2013 MedicareRx Rewards Standard (PDP) | $50.30 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $7.00 | $35.00 | $85.00 | tbd members | |||
2012 EnvisionRxPlus Gold (PDP) | $61.20 | $0 | Some Generics | No | S7694 -092 | $2.00 | 15% | 15% | 30% | 530 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) | $55.20 | $110 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -025 | $3.00 | $9.00 | $45.00 | $95.00 | 5,281 members | ||
2013 United American - Enhanced (PDP) | $61.20 | $110 | 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 | ||||||
-- This plan not offered in 2012 -- | S0064 -057 | |||||||||||
2013 SmartD Rx Plus (PDP) | $70.20 | $0 | Some Generics | No | $0.00 | $20.00 | $34.00 | $84.00 | tbd members | |||
2012 CIGNA Medicare Rx Plan Two (PDP) | $74.20 | $0 | Few Generics | No | S5617 -192 | $0.00 | $5.00 | $41.00 | $85.00 | 1,911 members | ||
2013 Cigna Medicare Rx Plan Two (PDP) | $79.10 | $0 | Few Generics | No | $0.00 | $10.00 | $45.00 | $90.00 | tbd members | |||
2012 AARP MedicareRx Enhanced (PDP) | $85.40 | $0 | Some Generics | No | S5921 -193 | $4.00 | $7.00 | $40.00 | $76.00 | 9,743 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $92.60 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $40.00 | $76.00 | tbd members | |||
2012 Aetna Medicare Rx Premier (PDP) | $75.10 | $0 | Many Generics | No | S5810 -192 | $4.00 | $25.00 | $35.00 | $80.00 | 16,999 members | ||
2013 Aetna Medicare Rx Premier (PDP) | $96.20 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | tbd members | |||
2012 Blue MedicareRx Plus (PDP) | $90.80 | $0 | All Generics | No | S5715 -006 | $5.00 | $38.00 | $75.00 | 33% | 15,046 members | ||
2013 Blue MedicareRx Plus (PDP) | $97.30 | $0 | All Generics | No | $3.00 | $10.00 | $38.00 | $86.00 | tbd members | |||
2012 CVS Caremark Plus (PDP) | $79.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -045 | $0.00 | $40.00 | $90.00 | 33% | 2,115 members | ||
2013 SilverScript Plus (PDP) | $100.20 | $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 First Health Part D Premier Plus (PDP) | $104.20 | $0 | Some Generics, Some Brands |
No | S5670 -120 | $0.00 | $20.00 | 25% | 43% | 4,340 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 Medco Medicare Prescription Plan - Choice (PDP) | $96.00 | $150 | Many Generics | No | S5660 -192 | $6.00 | $12.00 | $45.00 | $95.00 | 1,327 members | ||
2013 Express Scripts Medicare - Choice (PDP) | $105.60 | $200 | Many Generics | No | $8.00 | $45.00 | $95.00 | 28% | tbd members | |||
2012 Humana Complete (PDP) | $104.30 | $0 | Many Generics, Some Brands |
No | S5884 -050 | $5.00 | $38.00 | $68.00 | 33% | 7,156 members | ||
2013 Humana Complete (PDP) | $108.00 | $0 | Some Generics, Some Brands |
No | $5.00 | $38.00 | $68.00 | 33% | tbd members | |||
2012 BravoRx (PDP) | $30.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -039 | 25% | 25% | 25% | 39,919 members | |||
-- Members will be assigned to HealthSpring Prescription Drug Plan S5932-021 -- | ||||||||||||
2012 Community CCRx Basic (PDP) | $28.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -091 | $2.00 | 25% | 45% | 25% | 139,799 members | ||
-- Members will be assigned to SilverScript Basic S5601-044 -- | ||||||||||||
2012 Health Net Orange Option 1 (PDP) | $31.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -050 | $4.00 | $42.00 | $85.00 | 25% | 9,153 members | ||
-- Members will be assigned to SilverScript Basic S5601-044 -- | ||||||||||||
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) | $77.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -159 | $0.00 | $40.00 | $70.00 | 33% | 12,287 members | ||
-- Members will be assigned to SilverScript Plus S5601-045 -- | ||||||||||||
2012 Health Net Orange Option 2 (PDP) | $86.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -049 | $0.00 | $38.00 | $75.00 | 33% | 1,904 members | ||
-- Members will be assigned to SilverScript Plus S5601-045 -- | ||||||||||||
2012 WellCare Signature (PDP) | $60.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -056 | $0.00 | $20.00 | $45.00 | $95.00 | 14,066 members | ||
-- Members will be assigned to WellCare Classic S5967-159 -- | ||||||||||||
2012 MedicareRx Rewards Plus (PDP) | $89.40 | $0 | Some Generics | No | S5960 -154 | $4.00 | $7.00 | $45.00 | $90.00 | 716 members | ||
-- This plan not offered in 2013 -- | ||||||||||||
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