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 WellCare Classic (PDP) | $33.50 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -138 | $7.00 | $43.00 | $95.00 | 33% | 2835 2013 Formulary | ||
2014 WellCare Classic (PDP) | $21.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $10.00 | $40.00 | $90.00 | 2844 2014 Formulary | |||
-- This plan not offered in 2013 -- | S5921 -378 | |||||||||||
2014 AARP MedicareRx Saver Plus (PDP) | $21.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.00 | $20.00 | $35.00 | 3219 2014 Formulary | |||
2013 Humana Walmart-Preferred Rx Plan (PDP) | $18.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5884 -101 | $1.00 | $5.00 | 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 Blue MedicareRx Standard (PDP) | $36.80 | $325 | No additional gap coverage, only the Donut Hole Discount | No | 046 -046 | $2.00 | $7.00 | $44.00 | $85.00 | |||
2014 Blue MedicareRx Standard (PDP) | $26.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $7.00 | $40.00 | $89.00 | ||||
-- This plan not offered in 2013 -- | S0522 -002 | |||||||||||
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2014 Symphonix Rite Aid Value Rx (PDP) | $26.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $10.00 | $38.00 | $85.00 | 3382 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 Cigna Medicare Rx Plan One (PDP) | $32.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -003 | $0.00 | $8.00 | $25.00 | $87.00 | 3494 2013 Formulary | ||
2014 Cigna Medicare Rx Secure (PDP) | $28.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $3.00 | $30.00 | $65.00 | 3414 2014 Formulary | |||
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