2012 / 2013 Medicare Part D Plan Information Click here to jump to the Chart Legend | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 |
|||||||||
-- This plan not offered in 2012 -- | S5921 -361 | ||||||||||||||
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 -139 | $1.00 | $5.00 | 20% | 35% | 27,635 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 -125 | ||||||||||||||
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 First Health Part D Value Plus (PDP) | $28.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -139 | $0.00 | 25% | 39% | 33% | 12,907 members | |||||
2013 First Health Part D Value Plus (PDP) | $31.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $70.00 | 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 -050 | $3.00 | $10.00 | $28.00 | 39% | 10,002 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 | 36% | 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) | $35.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -032 | $5.50 | $45.00 | $95.00 | 25% | 22,531 members | |||||
2013 SilverScript Basic (PDP) | $36.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 23% | 44% | 33% | tbd members | ||||||
-- This plan not offered in 2012 -- | S0064 -016 | ||||||||||||||
2013 SmartD Rx Saver (PDP) | $37.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $20.00 | $34.00 | $85.00 | tbd members | ||||||
2012 EnvisionRxPlus Silver (PDP) | $35.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -016 | 25% | 25% | 25% | 25% | 3,375 members | |||||
2013 EnvisionRxPlus Silver (PDP) | $37.90 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | ||||||
2012 CIGNA Medicare Rx Plan One (PDP) | $32.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -223 | $3.00 | $20.00 | $38.00 | $84.00 | 14,253 members | |||||
2013 Cigna Medicare Rx Plan One (PDP) | $38.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $8.00 | $28.00 | $80.00 | tbd members | ||||||
2012 United American - Select (PDP) | $35.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5755 -087 | $2.00 | $8.00 | $45.00 | $95.00 | 3,032 members | |||||
2013 United American - Select (PDP) | $39.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | $38.00 | $95.00 | tbd members | ||||||
-- This plan not offered in 2012 -- | S0128 -017 | ||||||||||||||
new | new | new | |||||||||||||
2013 Reader's Digest Value Rx (PDP) | $39.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.50 | $36.00 | 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 First Health Part D Premier (PDP) | $34.50 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -083 | $5.00 | 21% | 36% | 26% | 28,187 members | |||||
2013 First Health Part D Premier (PDP) | $40.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | 25% | 43% | tbd members | |||||||
-- This plan not offered in 2012 -- | S2978 -005 | ||||||||||||||
new | new | new | |||||||||||||
2013 Destiny Health MedSaver Part D Plan (PDP) | $40.80 | $325 | No additional gap coverage, only the Donut Hole Discount | No | tbd | tbd members | |||||||||
2012 AARP MedicareRx Preferred (PDP) | $41.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -015 | $4.00 | $9.00 | $42.00 | $95.00 | 51,329 members | |||||
2013 AARP MedicareRx Preferred (PDP) | $41.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $5.00 | $40.00 | $85.00 | tbd members | ||||||
2012 Humana Enhanced (PDP) | $37.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -074 | $7.00 | $38.00 | $76.00 | 33% | 28,833 members | |||||
2013 Humana Enhanced (PDP) | $42.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $43.00 | $90.00 | tbd members | ||||||
2012 Blue MedicareRx Standard (PDP) | $45.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5596 -056 | $2.00 | $8.00 | $43.00 | $90.00 | 2,915 members | |||||
2013 Blue MedicareRx Standard (PDP) | $43.70 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $6.00 | $39.00 | $85.00 | tbd members | ||||||
2012 WPS MedicareRx Plan 1 (PDP) | $51.60 | $200 | No additional gap coverage, only the Donut Hole Discount | No | S5753 -006 | $6.00 | $13.00 | $39.00 | 50% | 19,004 members | |||||
2013 WPS MedicareRx Plan 1 (PDP) | $44.10 | $170 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | $13.00 | $39.00 | 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 HealthSpring Prescription Drug Plan-Reg 16 (PDP) | $38.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -015 | 25% | 25% | 15,763 members | |||||||
2013 HealthSpring Prescription Drug Plan-Reg 16 (PDP) | $46.90 | $325 | No additional gap coverage, only the Donut Hole Discount | No | 25% | tbd members | |||||||||
2012 Medco Medicare Prescription Plan - Value (PDP) | $47.30 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -118 | $4.00 | $8.00 | 25% | 40% | 817 members | |||||
2013 Express Scripts Medicare - Value (PDP) | $52.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | 25% | 36% | tbd members | ||||||
2012 EnvisionRxPlus Gold (PDP) | $78.20 | $0 | Some Generics | No | S7694 -086 | $2.00 | 15% | 15% | 30% | 59 members | |||||
2013 EnvisionRxPlus Gold (PDP) | $54.50 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | tbd members | ||||||
2012 United American - Preferred (PDP) | $53.20 | $130 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -019 | $3.00 | $9.00 | $45.00 | $95.00 | 679 members | |||||
2013 United American - Enhanced (PDP) | $69.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $7.00 | $40.00 | $95.00 | tbd members | ||||||
2012 Blue MedicareRx Plus (PDP) | $64.60 | $0 | Some Generics | No | S5596 -057 | $2.00 | $7.00 | $45.00 | $90.00 | 4,207 members | |||||
2013 Blue MedicareRx Plus (PDP) | $71.00 | $0 | Few Generics | No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | ||||||
-- This plan not offered in 2012 -- | S0064 -051 | ||||||||||||||
2013 SmartD Rx Plus (PDP) | $80.00 | $0 | Some Generics | No | $0.00 | $20.00 | $34.00 | $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 Medco Medicare Prescription Plan - Choice (PDP) | $81.70 | $150 | Many Generics | No | S5660 -186 | $6.00 | $12.00 | $45.00 | $95.00 | 1,348 members | |||||
2013 Express Scripts Medicare - Choice (PDP) | $90.20 | $200 | Many Generics | No | $8.00 | $45.00 | $95.00 | 28% | tbd members | ||||||
2012 WPS MedicareRx Plan 2 (PDP) | $111.20 | $0 | Many Generics | No | S5753 -007 | $6.00 | $15.00 | $39.00 | 50% | 6,837 members | |||||
2013 WPS MedicareRx Plan 2 (PDP) | $94.40 | $0 | Many Generics | No | $3.00 | $11.00 | $39.00 | 50% | tbd members | ||||||
2012 AARP MedicareRx Enhanced (PDP) | $93.20 | $0 | Some Generics | No | S5921 -073 | $4.00 | $7.00 | $40.00 | $76.00 | 1,514 members | |||||
2013 AARP MedicareRx Enhanced (PDP) | $99.40 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $40.00 | $76.00 | tbd members | ||||||
2012 CVS Caremark Plus (PDP) | $87.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -033 | $0.00 | $40.00 | $90.00 | 33% | 568 members | |||||
2013 SilverScript Plus (PDP) | $102.10 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 33% | tbd members | ||||||
2012 First Health Part D Premier Plus (PDP) | $103.70 | $0 | Some Generics, Some Brands |
No | S5670 -084 | $0.00 | $20.00 | 25% | 41% | 2,616 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 Aetna Medicare Rx Premier (PDP) | $76.60 | $0 | Many Generics | No | S5810 -186 | $4.00 | $25.00 | $35.00 | $80.00 | 2,204 members | |||||
2013 Aetna Medicare Rx Premier (PDP) | $109.20 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | 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) | $109.20 | $0 | Many Generics, Some Brands |
No | S5884 -044 | $6.00 | $41.00 | $73.00 | 33% | 1,079 members | |||||
2013 Humana Complete (PDP) | $112.90 | $0 | Some Generics, Some Brands |
No | $5.00 | $40.00 | $73.00 | 33% | tbd members | ||||||
2012 Blue MedicareRx Premier (PDP) | $114.70 | $0 | Many Generics, Some Brands |
No | S5596 -058 | $2.00 | $7.00 | $45.00 | $90.00 | 1,905 members | |||||
2013 Blue MedicareRx Premier (PDP) | $119.70 | $0 | Many Generics, Some Brands |
No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | ||||||
2012 Community CCRx Basic (PDP) | $34.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -085 | $2.00 | 25% | 47% | 25% | 31,814 members | |||||
-- Members will be assigned to SilverScript Basic S5601-032 -- | |||||||||||||||
2012 Health Net Orange Option 1 (PDP) | $36.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -038 | $5.00 | $45.00 | $95.00 | 25% | 8,761 members | |||||
-- Members will be assigned to SilverScript Basic S5601-032 -- | |||||||||||||||
2012 Community CCRx Choice (PDP) | $84.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -153 | $0.00 | $40.00 | $70.00 | 33% | 1,558 members | |||||
-- Members will be assigned to SilverScript Plus S5601-033 -- | |||||||||||||||
2012 Health Net Value Orange Option 2 (PDP) | $75.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -037 | $0.00 | $32.00 | $64.00 | 33% | 1,296 members | |||||
-- Members will be assigned to SilverScript Plus S5601-033 -- | |||||||||||||||
|