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 -357 | |||||||||||
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 -106 | $1.00 | $5.00 | 20% | 35% | 56,780 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 | |||
-- This plan not offered in 2012 -- | S5601 -121 | |||||||||||
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) | $25.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -135 | $0.00 | 25% | 41% | 33% | 18,604 members | ||
2013 First Health Part D Value Plus (PDP) | $30.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $70.00 | 33% | tbd members | |||
2012 Windsor Rx (PDP) | $29.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S2505 -001 | $6.00 | $41.00 | $80.00 | 25% | 26,081 members | ||
2013 Windsor Rx (PDP) | $31.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $38.00 | $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 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5810 -046 | $3.00 | $14.00 | $36.00 | 41% | 5,849 members | ||
2013 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $32.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $5.00 | $40.00 | 44% | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -012 | |||||||||||
2013 SmartD Rx Saver (PDP) | $33.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $20.00 | $34.00 | $85.00 | tbd members | |||
2012 CIGNA Medicare Rx Plan One (PDP) | $28.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -220 | $3.00 | $20.00 | $31.00 | $81.00 | 50,039 members | ||
2013 Cigna Medicare Rx Plan One (PDP) | $33.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $8.00 | $29.00 | $75.00 | tbd members | |||
2012 EnvisionRxPlus Silver (PDP) | $30.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -012 | 25% | 25% | 25% | 25% | 16,723 members | ||
2013 EnvisionRxPlus Silver (PDP) | $33.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | |||
2012 CVS Caremark Value (PDP) | $30.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -024 | $4.75 | $45.00 | $95.00 | 25% | 21,467 members | ||
2013 SilverScript Basic (PDP) | $33.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 24% | 49% | 33% | tbd members | |||
-- This plan not offered in 2012 -- | S0128 -013 | |||||||||||
new | new | new | ||||||||||
2013 Reader's Digest Value Rx (PDP) | $34.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.50 | $34.00 | 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 United American - Select (PDP) | $31.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5755 -083 | $3.00 | $7.00 | $45.00 | $95.00 | 4,997 members | ||
2013 United American - Select (PDP) | $34.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | $30.00 | $95.00 | tbd members | |||
2012 Medco Medicare Prescription Plan - Value (PDP) | $31.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -114 | $4.00 | $8.00 | 25% | 40% | 39,222 members | ||
2013 Express Scripts Medicare - Value (PDP) | $34.90 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $6.00 | 25% | 50% | tbd members | |||
2012 First Health Part D Premier (PDP) | $30.50 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -015 | $5.00 | 20% | 39% | 26% | 34,501 members | ||
2013 First Health Part D Premier (PDP) | $35.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | 25% | 45% | tbd members | ||||
2012 HealthSpring Prescription Drug Plan -Reg12 (PDP) | $33.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -001 | 25% | 25% | 52,147 members | ||||
2013 HealthSpring Prescription Drug Plan -Reg12 (PDP) | $35.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | tbd members | ||||||
2012 WellCare Classic (PDP) | $34.50 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -149 | $0.00 | $42.00 | $90.00 | 25% | 15,044 members | ||
2013 WellCare Classic (PDP) | $36.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $41.00 | $94.00 | 33% | tbd members | |||
-- This plan not offered in 2012 -- | S5967 -184 | |||||||||||
2013 WellCare Extra (PDP) | $39.10 | $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 AARP MedicareRx Preferred (PDP) | $44.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -011 | $4.00 | $8.00 | $38.00 | $95.00 | 138,303 members | ||
2013 AARP MedicareRx Preferred (PDP) | $41.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $5.00 | $40.00 | $85.00 | tbd members | |||
2012 BlueRx Option I (PDP) | $42.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S1030 -006 | $4.00 | $35.00 | $85.00 | 25% | 23,982 members | ||
2013 BlueRx Option I (PDP) | $46.10 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $35.00 | $85.00 | tbd members | |||
2012 Humana Enhanced (PDP) | $42.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -001 | $6.00 | $38.00 | $70.00 | 33% | 70,368 members | ||
2013 Humana Enhanced (PDP) | $47.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $41.00 | $90.00 | tbd members | |||
2012 Rite Aid EnvisionRxPlus (PDP) | $69.20 | $0 | Some Generics | No | S7694 -083 | $0.00 | 20% | 15% | 30% | 179 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) | $49.90 | $80 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -015 | $3.00 | $9.00 | $45.00 | $95.00 | 4,765 members | ||
2013 United American - Enhanced (PDP) | $55.90 | $80 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $1.00 | $40.00 | $95.00 | tbd members | |||
2012 MedicareRx Rewards Standard (PDP) | $48.50 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -118 | $4.00 | $7.00 | $29.00 | $90.00 | 4,231 members | ||
2013 MedicareRx Rewards Standard (PDP) | $56.70 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $7.00 | $30.00 | $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 CIGNA Medicare Rx Plan Two (PDP) | $63.80 | $0 | Few Generics | No | S5617 -182 | $0.00 | $5.00 | $41.00 | $85.00 | 3,493 members | ||
2013 Cigna Medicare Rx Plan Two (PDP) | $74.00 | $0 | Few Generics | No | $0.00 | $10.00 | $45.00 | $90.00 | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -047 | |||||||||||
2013 SmartD Rx Plus (PDP) | $76.00 | $0 | Some Generics | No | $0.00 | $20.00 | $34.00 | $85.00 | tbd members | |||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $74.90 | $150 | Many Generics | No | S5660 -182 | $6.00 | $12.00 | $45.00 | $95.00 | 4,781 members | ||
2013 Express Scripts Medicare - Choice (PDP) | $82.80 | $200 | Many Generics | No | $8.00 | $45.00 | $95.00 | 28% | tbd members | |||
2012 AARP MedicareRx Enhanced (PDP) | $88.40 | $0 | Some Generics | No | S5921 -153 | $4.00 | $7.00 | $40.00 | $76.00 | 3,638 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $89.40 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $40.00 | $76.00 | tbd members | |||
2012 BlueRx Option II (PDP) | $90.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S1030 -001 | $4.00 | $40.00 | $65.00 | 33% | 21,611 members | ||
2013 BlueRx Option II (PDP) | $91.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $40.00 | $65.00 | tbd members | |||
2012 CVS Caremark Plus (PDP) | $78.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -025 | $0.00 | $40.00 | $90.00 | 33% | 1,857 members | ||
2013 SilverScript Plus (PDP) | $100.40 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 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 Aetna Medicare Rx Premier (PDP) | $80.10 | $0 | Many Generics | No | S5810 -182 | $4.00 | $25.00 | $35.00 | $80.00 | 3,981 members | ||
2013 Aetna Medicare Rx Premier (PDP) | $101.90 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | tbd members | |||
2012 First Health Part D Premier Plus (PDP) | $102.80 | $0 | Some Generics, Some Brands |
No | S5670 -066 | $0.00 | $20.00 | 25% | 44% | 3,928 members | ||
2013 First Health Part D Premier Plus (PDP) | $102.50 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 44% | tbd members | |||
2012 MedicareRx Rewards Plus (PDP) | $87.40 | $0 | Some Generics | No | S5960 -148 | $4.00 | $7.00 | $45.00 | $90.00 | 1,159 members | ||
2013 MedicareRx Rewards Plus (PDP) | $104.20 | $0 | Few Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2012 Humana Complete (PDP) | $110.10 | $0 | Many Generics, Some Brands |
No | S5884 -040 | $4.00 | $36.00 | $70.00 | 33% | 3,988 members | ||
2013 Humana Complete (PDP) | $113.80 | $0 | Some Generics, Some Brands |
No | $4.00 | $36.00 | $70.00 | 33% | tbd members | |||
2012 Health Net Orange Option 1 (PDP) | $33.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -030 | $4.00 | $41.00 | $82.00 | 25% | 4,148 members | ||
-- Members will be assigned to SilverScript Basic S5601-024 -- | ||||||||||||
2012 Community CCRx Basic (PDP) | $30.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -081 | $2.00 | 25% | 47% | 25% | 90,323 members | ||
-- Members will be assigned to SilverScript Basic S5601-024 -- | ||||||||||||
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 Health Net Value Orange Option 2 (PDP) | $69.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -029 | $0.00 | $32.00 | $64.00 | 33% | 3,645 members | ||
-- Members will be assigned to SilverScript Plus S5601-025 -- | ||||||||||||
2012 Community CCRx Choice (PDP) | $84.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -149 | $0.00 | $40.00 | $70.00 | 33% | 8,475 members | ||
-- Members will be assigned to SilverScript Plus S5601-025 -- | ||||||||||||
2012 WellCare Signature (PDP) | $65.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -046 | $0.00 | $20.00 | $45.00 | $85.00 | 9,234 members | ||
-- Members will be assigned to WellCare Classic S5967-149 -- | ||||||||||||
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