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 -373 | |||||||||||
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 -112 | $1.00 | $5.00 | 20% | 35% | 28,480 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% | 32% | tbd members | |||
2012 CVS Caremark Value (PDP) | $25.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -058 | $5.75 | $45.00 | $95.00 | 25% | 2,051 members | ||
2013 SilverScript Basic (PDP) | $23.10 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | 23% | 43% | 33% | tbd members | |||
2012 WellCare Classic (PDP) | $28.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -166 | $6.00 | $42.00 | $92.00 | 33% | 2,516 members | ||
2013 WellCare Classic (PDP) | $25.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $41.00 | $91.00 | 33% | tbd members | |||
-- This plan not offered in 2012 -- | S5601 -138 | |||||||||||
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 | |||
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 | ||||||
-- This plan not offered in 2012 -- | S0128 -030 | |||||||||||
new | new | new | ||||||||||
2013 Reader's Digest Value Rx (PDP) | $31.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $2.50 | $37.00 | 27% | tbd members | |||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5810 -063 | $3.00 | $28.00 | $38.00 | 39% | 1,274 members | ||
2013 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $32.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $40.00 | 48% | tbd members | |||
2012 First Health Part D Value Plus (PDP) | $28.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -152 | $0.00 | 25% | 42% | 33% | 2,465 members | ||
2013 First Health Part D Value Plus (PDP) | $33.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $70.00 | 33% | tbd members | |||
2012 HealthSpring Prescription Drug Plan-Reg 29 (PDP) | $34.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5932 -028 | 25% | 25% | 625 members | ||||
2013 HealthSpring Prescription Drug Plan-Reg 29 (PDP) | $34.80 | $325 | No additional gap coverage, only the Donut Hole Discount | No | 25% | tbd members | ||||||
-- This plan not offered in 2012 -- | S0064 -029 | |||||||||||
2013 SmartD Rx Saver (PDP) | $35.40 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $33.00 | $85.00 | tbd members | |||
2012 EnvisionRxPlus Silver (PDP) | $26.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -029 | 25% | 25% | 25% | 25% | 170 members | ||
2013 EnvisionRxPlus Silver (PDP) | $36.70 | $325 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 23% | 28% | 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 Standard (PDP) | $42.40 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5596 -062 | $2.00 | $7.00 | $45.00 | $95.00 | 1,760 members | ||
2013 Blue MedicareRx Standard (PDP) | $38.40 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $6.00 | $45.00 | $85.00 | tbd members | |||
2012 AARP MedicareRx Preferred (PDP) | $39.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -028 | $4.00 | $8.00 | $45.00 | $95.00 | 28,326 members | ||
2013 AARP MedicareRx Preferred (PDP) | $40.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $5.00 | $40.00 | $85.00 | tbd members | |||
2012 United American - Select (PDP) | $34.40 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -100 | $3.00 | $9.00 | $45.00 | $95.00 | 28 members | ||
2013 United American - Select (PDP) | $40.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $4.00 | $37.00 | $95.00 | tbd members | |||
-- This plan not offered in 2012 -- | S5967 -200 | |||||||||||
2013 WellCare Extra (PDP) | $44.10 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | |||
2012 Humana Enhanced (PDP) | $41.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -087 | $7.00 | $40.00 | $70.00 | 33% | 6,478 members | ||
2013 Humana Enhanced (PDP) | $45.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $44.00 | $90.00 | tbd members | |||
2012 CIGNA Medicare Rx Plan One (PDP) | $45.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -143 | $3.00 | $20.00 | $42.00 | $86.00 | 508 members | ||
2013 Cigna Medicare Rx Plan One (PDP) | $46.70 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $8.00 | $32.00 | $76.00 | 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 First Health Part D Premier (PDP) | $39.00 | $250 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -031 | $5.00 | 21% | 40% | 26% | 5,067 members | ||
2013 First Health Part D Premier (PDP) | $49.60 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | 25% | 45% | tbd members | ||||
2012 Medco Medicare Prescription Plan - Value (PDP) | $48.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -131 | $4.00 | $8.00 | 25% | 40% | 241 members | ||
2013 Express Scripts Medicare - Value (PDP) | $52.90 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | 25% | 45% | tbd members | |||
2012 Rite Aid EnvisionRxPlus (PDP) | $68.60 | $0 | Some Generics | No | S7694 -099 | $0.00 | 20% | 15% | 30% | 25 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) | $52.80 | $110 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -032 | $3.00 | $9.00 | $45.00 | $95.00 | 1,315 members | ||
2013 United American - Enhanced (PDP) | $58.70 | $110 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $1.00 | $40.00 | $95.00 | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -064 | |||||||||||
2013 SmartD Rx Plus (PDP) | $74.30 | $0 | Some Generics | No | $0.00 | $20.00 | $33.00 | $85.00 | tbd members | |||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $72.40 | $150 | Many Generics | No | S5660 -199 | $6.00 | $12.00 | $45.00 | $95.00 | 571 members | ||
2013 Express Scripts Medicare - Choice (PDP) | $88.90 | $200 | Many Generics | No | $8.00 | $45.00 | $95.00 | 28% | 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) | $77.70 | $0 | Some Generics | No | S5596 -063 | $2.00 | $7.00 | $45.00 | $90.00 | 929 members | ||
2013 Blue MedicareRx Plus (PDP) | $91.80 | $0 | Few Generics | No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2012 AARP MedicareRx Enhanced (PDP) | $91.10 | $0 | Some Generics | No | S5921 -273 | $4.00 | $7.00 | $40.00 | $76.00 | 929 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $96.00 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $40.00 | $76.00 | tbd members | |||
2012 First Health Part D Premier Plus (PDP) | $107.00 | $0 | Some Generics, Some Brands |
No | S5670 -150 | $0.00 | $20.00 | 25% | 45% | 545 members | ||
2013 First Health Part D Premier Plus (PDP) | $102.50 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2012 Aetna Medicare Rx Premier (PDP) | $93.40 | $0 | Many Generics | No | S5810 -199 | $4.00 | $25.00 | $35.00 | $80.00 | 588 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 CVS Caremark Plus (PDP) | $82.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -059 | $0.00 | $40.00 | $90.00 | 33% | 522 members | ||
2013 SilverScript Plus (PDP) | $110.50 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 33% | tbd members | |||
2012 Blue MedicareRx Premier (PDP) | $126.60 | $0 | Many Generics, Some Brands |
No | S5596 -064 | $2.00 | $7.00 | $45.00 | $90.00 | 657 members | ||
2013 Blue MedicareRx Premier (PDP) | $129.80 | $0 | Many Generics, Some Brands |
No | $2.00 | $7.00 | $45.00 | $90.00 | 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 BravoRx (PDP) | $28.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5998 -033 | 25% | 25% | 25% | 1,564 members | |||
-- Members will be assigned to HealthSpring Prescription Drug Plan S5932-028 -- | ||||||||||||
2012 Health Net Orange Option 1 (PDP) | $26.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -062 | $4.00 | $45.00 | $94.00 | 25% | 4,435 members | ||
-- Members will be assigned to SilverScript Basic S5601-058 -- | ||||||||||||
2012 Community CCRx Basic (PDP) | $24.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -098 | $2.00 | 25% | 45% | 25% | 8,174 members | ||
-- Members will be assigned to SilverScript Basic S5601-058 -- | ||||||||||||
2012 Health Net Value Orange Option 2 (PDP) | $75.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -061 | $0.00 | $32.00 | $64.00 | 33% | 289 members | ||
-- Members will be assigned to SilverScript Plus S5601-059 -- | ||||||||||||
2012 Community CCRx Choice (PDP) | $84.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -166 | $0.00 | $40.00 | $70.00 | 33% | 321 members | ||
-- Members will be assigned to SilverScript Plus S5601-059 -- | ||||||||||||
2012 WellCare Signature (PDP) | $64.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -063 | $0.00 | $0.00 | $40.00 | $70.00 | 1,506 members | ||
-- Members will be assigned to WellCare Classic S5967-166 -- | ||||||||||||
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