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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-- This plan not offered in 2013 -- | S5884 -149 | |||||||||||
2014 Humana Walmart Rx Plan (PDP) | $12.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $4.00 | 20% | 39% | 3189 2014 Formulary | |||
2013 AARP MedicareRx Saver Plus (PDP) | $15.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5921 -348 | $1.00 | $2.00 | $25.00 | $45.00 | 3282 2013 Formulary | ||
2014 AARP MedicareRx Saver Plus (PDP) | $21.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.00 | $20.00 | $40.00 | 3219 2014 Formulary | |||
2013 WellCare Classic (PDP) | $30.80 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -139 | $6.00 | $44.00 | $94.00 | 33% | 2835 2013 Formulary | ||
2014 WellCare Classic (PDP) | $22.30 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $15.00 | $40.00 | $90.00 | 2844 2014 Formulary | |||
2013 Humana Walmart-Preferred Rx Plan (PDP) | $18.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5884 -102 | $1.00 | $4.00 | 20% | 30% | 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 | |||
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