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 -374 | |||||||||||
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 -113 | $1.00 | $5.00 | 20% | 35% | 52,714 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) | $25.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -153 | $0.00 | 25% | 39% | 33% | 14,413 members | ||
2013 First Health Part D Value Plus (PDP) | $28.80 | $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 -139 | |||||||||||
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) | $31.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S4802 -020 | $6.00 | $37.00 | $90.00 | 25% | 8,209 members | ||
2013 Windsor Rx (PDP) | $35.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $37.00 | $80.00 | 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 CVS Caremark Value (PDP) | $32.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -060 | $5.25 | $45.00 | $95.00 | 25% | 42,323 members | ||
2013 SilverScript Basic (PDP) | $35.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 45% | 33% | tbd members | |||
2012 EnvisionRxPlus Silver (PDP) | $32.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -030 | 25% | 25% | 25% | 25% | 6,751 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 HealthSpring Prescription Drug Plan-Reg 30 (PDP) | $35.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -029 | 25% | 25% | 28,369 members | ||||
2013 HealthSpring Prescription Drug Plan-Reg 30 (PDP) | $37.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | tbd members | ||||||
-- This plan not offered in 2012 -- | S0064 -030 | |||||||||||
2013 SmartD Rx Saver (PDP) | $37.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $17.00 | $30.00 | $80.00 | tbd members | |||
2012 WellCare Classic (PDP) | $36.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -167 | $0.00 | $44.00 | $95.00 | 25% | 19,145 members | ||
2013 WellCare Classic (PDP) | $38.70 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $41.00 | $93.00 | 33% | tbd members | |||
2012 United American - Select (PDP) | $42.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -101 | $2.00 | $8.00 | $45.00 | $95.00 | 25 members | ||
2013 United American - Select (PDP) | $38.90 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | $35.00 | $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 Humana Enhanced (PDP) | $35.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -028 | $7.00 | $40.00 | $70.00 | 33% | 54,099 members | ||
2013 Humana Enhanced (PDP) | $39.30 | $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 -- | S0128 -031 | |||||||||||
new | new | new | ||||||||||
2013 Reader's Digest Value Rx (PDP) | $39.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.50 | $35.00 | 27% | tbd members | |||
2012 First Health Part D Premier (PDP) | $31.20 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -123 | $5.00 | 20% | 37% | 26% | 51,714 members | ||
2013 First Health Part D Premier (PDP) | $39.70 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | 25% | 43% | tbd members | ||||
2012 AARP MedicareRx Preferred (PDP) | $41.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -029 | $4.00 | $8.00 | $40.00 | $95.00 | 121,653 members | ||
2013 AARP MedicareRx Preferred (PDP) | $42.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $5.00 | $40.00 | $85.00 | tbd members | |||
2012 CIGNA Medicare Rx Plan One (PDP) | $49.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -148 | $3.00 | $20.00 | $34.00 | $81.00 | 1,599 members | ||
2013 Cigna Medicare Rx Plan One (PDP) | $49.00 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $8.00 | $26.00 | $72.00 | tbd members | |||
-- This plan not offered in 2012 -- | S5967 -201 | |||||||||||
2013 WellCare Extra (PDP) | $49.00 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | 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 Rite Aid EnvisionRxPlus (PDP) | $66.70 | $0 | Some Generics | No | S7694 -100 | $0.00 | 20% | 15% | 30% | 201 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) | $51.30 | $70 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -033 | $3.00 | $9.00 | $45.00 | $95.00 | 1,834 members | ||
2013 United American - Enhanced (PDP) | $57.30 | $70 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $1.00 | $40.00 | $95.00 | tbd members | |||
2012 Medco Medicare Prescription Plan - Value (PDP) | $43.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -132 | $4.00 | $8.00 | 25% | 40% | 4,873 members | ||
2013 Express Scripts Medicare - Value (PDP) | $57.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | 25% | 50% | tbd members | |||
2012 MedicareRx Rewards Standard (PDP) | $48.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -136 | $4.00 | $7.00 | $37.00 | $90.00 | 2,104 members | ||
2013 MedicareRx Rewards Standard (PDP) | $59.80 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $7.00 | $34.00 | $85.00 | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -065 | |||||||||||
2013 SmartD Rx Plus (PDP) | $71.80 | $0 | Some Generics | No | $0.00 | $17.00 | $30.00 | $80.00 | tbd members | |||
2012 Aetna Medicare Rx Essentials (PDP) | $52.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5810 -064 | $3.00 | $16.00 | $40.00 | 39% | 1,289 members | ||
2013 Aetna Medicare Rx Essentials (PDP) | $72.90 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $21.00 | $45.00 | 49% | 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 Asuris Medicare Script Basic (PDP) | $74.50 | $195 | No additional gap coverage, only the Donut Hole Discount | No | S5609 -001 | $7.50 | $33.00 | $40.00 | $85.00 | 7,214 members | ||
2013 Asuris Medicare Script Basic (PDP) | $82.00 | $187 | No additional gap coverage, only the Donut Hole Discount | No | $7.50 | $33.00 | $40.00 | $85.00 | tbd members | |||
2012 AARP MedicareRx Enhanced (PDP) | $91.90 | $0 | Some Generics | No | S5921 -023 | $4.00 | $7.00 | $40.00 | $76.00 | 3,583 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $94.70 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $40.00 | $76.00 | tbd members | |||
2012 First Health Part D Premier Plus (PDP) | $102.00 | $0 | Some Generics, Some Brands |
No | S5674 -047 | $0.00 | $20.00 | 25% | 41% | 4,288 members | ||
2013 First Health Part D Premier Plus (PDP) | $102.40 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 41% | tbd members | |||
2012 CVS Caremark Plus (PDP) | $78.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -061 | $0.00 | $40.00 | $90.00 | 33% | 1,130 members | ||
2013 SilverScript Plus (PDP) | $104.30 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 33% | tbd members | |||
2012 Aetna Medicare Rx Premier (PDP) | $87.10 | $0 | Many Generics | No | S5810 -200 | $4.00 | $25.00 | $35.00 | $80.00 | 2,008 members | ||
2013 Aetna Medicare Rx Premier (PDP) | $107.60 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | tbd members | |||
2012 Asuris Medicare Script Enhanced (PDP) | $106.50 | $0 | Many Generics | No | S5609 -002 | $5.00 | $33.00 | $40.00 | $85.00 | 2,232 members | ||
2013 Asuris Medicare Script Enhanced (PDP) | $116.50 | $0 | Many Generics | No | $5.00 | $33.00 | $40.00 | $85.00 | 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 Humana Complete (PDP) | $118.70 | $0 | Many Generics, Some Brands |
No | S5884 -058 | $5.00 | $37.00 | $71.00 | 33% | 2,008 members | ||
2013 Humana Complete (PDP) | $122.40 | $0 | Some Generics, Some Brands |
No | $5.00 | $37.00 | $71.00 | 33% | tbd members | |||
2012 Health Net Orange Option 1 (PDP) | $35.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -006 | $5.00 | $44.00 | $81.00 | 25% | 6,787 members | ||
-- Members will be assigned to SilverScript Basic S5601-060 -- | ||||||||||||
2012 Community CCRx Basic (PDP) | $33.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -099 | $2.00 | 25% | 50% | 25% | 47,567 members | ||
-- Members will be assigned to SilverScript Basic S5601-060 -- | ||||||||||||
2012 Health Net Orange Option 2 (PDP) | $82.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -012 | $0.00 | $38.00 | $75.00 | 33% | 1,840 members | ||
-- Members will be assigned to SilverScript Plus S5601-061 -- | ||||||||||||
2012 Community CCRx Choice (PDP) | $83.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -167 | $0.00 | $40.00 | $70.00 | 33% | 3,250 members | ||
-- Members will be assigned to SilverScript Plus S5601-061 -- | ||||||||||||
2012 WellCare Signature (PDP) | $70.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -064 | $0.00 | $20.00 | $45.00 | $95.00 | 2,843 members | ||
-- Members will be assigned to WellCare Classic S5967-167 -- | ||||||||||||
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 MedicareRx Rewards Plus (PDP) | $92.90 | $0 | Some Generics | No | S5960 -159 | $4.00 | $7.00 | $45.00 | $90.00 | 215 members | ||
-- This plan not offered in 2013 -- | ||||||||||||
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