2013 / 2014 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 | Total Formulary Drugs | ||||||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
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2013 Humana Enhanced (PDP) | $42.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -077 | $2.00 | $5.00 | $38.00 | $90.00 | 3923 2013 Formulary | |||||
2014 Humana Enhanced (PDP) | $45.90 | $0 | Few Brands | No | $2.00 | $5.00 | $42.00 | $92.00 | 3745 2014 Formulary | ||||||
2013 SmartD Rx Plus (PDP) | $69.60 | $0 | Some Generics | No | S0064 -054 | $0.00 | $20.00 | $30.00 | $77.00 | 3178 2013 Formulary | |||||
2014 SmartD Rx Plus (PDP) | $66.30 | $0 | Call Plan for details | No | tbd | ||||||||||
2013 First Health Part D Premier Plus (PDP) | $98.80 | $0 | Some Generics, Some Brands |
No | S5670 -102 | $0.00 | $20.00 | 25% | 43% | 3173 2013 Formulary | |||||
2014 First Health Part D Premier Plus (PDP) | $104.60 | $0 | Some Generics, Some Brands |
No | $1.00 | $25.00 | 25% | 43% | 3104 2014 Formulary | ||||||
2013 SilverScript Plus (PDP) | $91.20 | $0 | Many Generics, Some Brands |
No | S5601 -107 | $0.00 | $34.00 | 35% | 33% | 2875 2013 Formulary | |||||
2014 SilverScript Plus (PDP) | $108.80 | $0 | Many Generics, Some Brands |
No | $0.00 | $17.00 | $41.00 | 33% | 0 | ||||||
2013 Cigna Medicare Rx Plan Two (PDP) | $70.30 | $0 | Few Generics | No | S5617 -189 | $0.00 | $10.00 | $45.00 | $90.00 | 3657 2013 Formulary | |||||
2014 Cigna Medicare Rx Secure-Max (PDP) | $114.60 | $0 | Many Generics, Some Brands |
No | $0.00 | $4.00 | $25.00 | $74.00 | 3766 2014 Formulary | ||||||
Plan Name | Monthly Premium |
Deduct- ible |
Additional Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Total Drugs | ||||||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | |||||||||
2013 Aetna Medicare Rx Premier (PDP) | $93.20 | $0 | Many Generics, Some Brands |
No | S5810 -189 | $5.00 | $33.00 | $45.00 | tbd | 3364 2013 Formulary | |||||
2014 Aetna Medicare Rx Premier (PDP) | $114.70 | $0 | Few Generics | No | $6.00 | 23% | 45% | 33% | 3134 2014 Formulary | ||||||
2013 AR Blue Cross - Medi-Pak Rx Premier (PDP) | $88.80 | $0 | Many Generics, Few Brands |
No | S5795 -002 | $6.00 | $45.00 | $84.00 | 25% | 4885 2013 Formulary | |||||
2014 AR Blue Cross - Medi-Pak Rx Premier (PDP) | $119.20 | $0 | Many Generics | No | $3.00 | $15.00 | $45.00 | $90.00 | 3658 2014 Formulary | ||||||
2013 Humana Complete (PDP) | $113.90 | $0 | Some Generics, Some Brands |
No | S5884 -047 | $5.00 | $36.00 | $71.00 | 33% | 3937 2013 Formulary | |||||
-- Members will be assigned to Humana Enhanced (PDP) S5884-077 -- | |||||||||||||||
2013 Destiny Health MedSaver Part D Plan (PDP) | $35.80 | $325 | No additional gap coverage, only the Donut Hole Discount | No | S2978 -007 | 0 | |||||||||
new | new | new | |||||||||||||
-- This plan not offered in 2014 -- | |||||||||||||||
2013 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | Some Generics | No | S7694 -089 | $2.00 | $5.00 | $25.00 | 30% | 2747 2013 Formulary | |||||
-- This plan not offered in 2014 -- | |||||||||||||||
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