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 Walmart-Preferred Rx Plan (PDP) | $18.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5884 -147 | $1.00 | $4.00 | 20% | 35% | 3251 2013 Formulary | |||||
2014 Humana Preferred Rx Plan (PDP) | $22.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.00 | 20% | 35% | 3043 2014 Formulary | ||||||
2013 AARP MedicareRx Saver Plus (PDP) | $15.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5921 -375 | $1.00 | $2.00 | $25.00 | $45.00 | 3282 2013 Formulary | |||||
2014 AARP MedicareRx Saver Plus (PDP) | $28.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.00 | $20.00 | $35.00 | 3219 2014 Formulary | ||||||
2013 WellCare Classic (PDP) | $45.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -168 | $6.00 | $41.00 | $95.00 | 33% | 2835 2013 Formulary | |||||
2014 WellCare Classic (PDP) | $30.30 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $11.00 | $39.00 | $90.00 | 2844 2014 Formulary | ||||||
2013 Express Scripts Medicare - Value (PDP) | $44.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -133 | $4.00 | $7.00 | 25% | 39% | 3381 2013 Formulary | |||||
2014 Express Scripts Medicare - Value (PDP) | $36.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $8.00 | 25% | 50% | 3171 2014 Formulary | ||||||
2013 HealthSpring Prescription Drug Plan-Reg 31 (PDP) | $42.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -030 | 25% | 3027 2013 Formulary | ||||||||
2014 Cigna-HealthSpring Rx -Reg 31 (PDP) | $36.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 2946 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 Reader's Digest Value Rx (PDP) | $42.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S0128 -032 | $1.00 | $2.50 | $36.00 | 27% | 3112 2013 Formulary | |||||
new | new | new | |||||||||||||
2014 HealthMarkets Value Rx (PDP) | $38.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $2.00 | 25% | 40% | 3000 2014 Formulary | ||||||
2013 United American - Select (PDP) | $43.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5755 -102 | $1.00 | $4.00 | $38.00 | $95.00 | 3131 2013 Formulary | |||||
2014 United American - Select (PDP) | $38.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $5.00 | $35.00 | $95.00 | 3184 2014 Formulary | ||||||
-- This plan not offered in 2013 -- | S0522 -032 | ||||||||||||||
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2014 Symphonix Rite Aid Value Rx (PDP) | $38.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $10.00 | $35.00 | $85.00 | 3382 2014 Formulary | ||||||
2013 Windsor Rx (PDP) | $39.90 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S4802 -021 | $6.00 | $36.00 | $80.00 | 25% | 2598 2013 Formulary | |||||
2014 Windsor Rx (PDP) | $38.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $11.00 | $43.00 | $95.00 | 2885 2014 Formulary | ||||||
2013 SmartD Rx Saver (PDP) | $41.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S0064 -031 | $0.00 | $21.00 | $30.00 | $85.00 | 3178 2013 Formulary | |||||
2014 SmartD Rx Saver (PDP) | $39.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | tbd | ||||||||||
2013 SilverScript Basic (PDP) | $41.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -062 | $2.00 | 23% | 44% | 33% | 2875 2013 Formulary | |||||
2014 SilverScript Basic (PDP) | $39.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 20% | 40% | 25% | |||||||
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 Essentials (PDP) | $62.30 | $325 | No additional gap coverage, only the Donut Hole Discount | No | S5810 -065 | $2.00 | $23.00 | $45.00 | 47% | 3300 2013 Formulary | |||||
2014 Aetna Medicare Rx Essentials (PDP) | $39.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $43.00 | $95.00 | 25% | 3017 2014 Formulary | ||||||
2013 EnvisionRxPlus Silver (PDP) | $41.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -031 | 25% | 25% | 23% | 28% | 2711 2013 Formulary | |||||
2014 EnvisionRxPlus Silver (PDP) | $40.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $9.00 | 25% | $45.00 | 45% | 2630 2014 Formulary | ||||||
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