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 -- | 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 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 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 | |||
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 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 | |||
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 | |||
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 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 | |||
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 | |||
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