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 -370 | |||||||||||
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 -145 | $1.00 | $5.00 | 20% | 35% | 107,302 members | ||
2013 Humana Walmart-Preferred Rx Plan (PDP) | $18.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | 20% | 35% | tbd members | |||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5810 -059 | $3.00 | $10.00 | $31.00 | 40% | 22,088 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 | |||
2012 Windsor Rx (PDP) | $33.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S4802 -030 | $6.00 | $45.00 | $90.00 | 25% | 13,242 members | ||
2013 Windsor Rx (PDP) | $33.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $40.00 | $80.00 | 25% | tbd members | |||
2012 CVS Caremark Value (PDP) | $35.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -050 | $5.75 | $45.00 | $95.00 | 25% | 45,405 members | ||
2013 SilverScript Basic (PDP) | $34.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 45% | 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 CIGNA Medicare Rx Plan One (PDP) | $35.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -123 | $3.00 | $20.00 | $34.00 | $85.00 | 16,036 members | ||
2013 Cigna Medicare Rx Plan One (PDP) | $35.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $8.00 | $35.00 | $84.00 | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -025 | |||||||||||
2013 SmartD Rx Saver (PDP) | $35.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $15.00 | $30.00 | $80.00 | tbd members | |||
2012 EnvisionRxPlus Silver (PDP) | $35.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -025 | 25% | 25% | 25% | 25% | 13,150 members | ||
2013 EnvisionRxPlus Silver (PDP) | $35.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | |||
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