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 Blue MedicareRx Value Plus (PDP) | $40.70 | $95 | No additional gap coverage, only the Donut Hole Discount | No | S2893 -001 | $6.00 | $17.00 | $45.00 | $95.00 | 65,641 members | ||
2013 Blue MedicareRx Value Plus (PDP) | $39.20 | $250 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | $12.00 | $45.00 | $95.00 | tbd members | |||
2012 Blue MedicareRx Premier (PDP) | $104.90 | $0 | Many Generics | No | S2893 -003 | $4.00 | $9.00 | $30.00 | $70.00 | 20,680 members | ||
2013 Blue MedicareRx Premier (PDP) | $100.70 | $0 | Many Generics, Few Brands |
No | $4.00 | $9.00 | $30.00 | $70.00 | tbd members | |||
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