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 -145 | $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 WellCare Classic (PDP) | $38.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -162 | $5.00 | $43.00 | $95.00 | 33% | 2835 2013 Formulary | |||||
2014 WellCare Classic (PDP) | $23.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $12.00 | $40.00 | $90.00 | 2844 2014 Formulary | ||||||
2013 AARP MedicareRx Saver Plus (PDP) | $15.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5921 -370 | $1.00 | $2.00 | $25.00 | $45.00 | 3282 2013 Formulary | |||||
2014 AARP MedicareRx Saver Plus (PDP) | $26.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.00 | $20.00 | $35.00 | 3219 2014 Formulary | ||||||
-- This plan not offered in 2013 -- | S0522 -042 | ||||||||||||||
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2014 Symphonix Value Rx (PDP) | $30.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $14.00 | $45.00 | $85.00 | 3382 2014 Formulary | ||||||
2013 Reader's Digest Value Rx (PDP) | $37.90 | $325 | No additional gap coverage, only the Donut Hole Discount | No | S0128 -026 | $1.00 | $2.50 | $37.00 | 27% | 3112 2013 Formulary | |||||
new | new | new | |||||||||||||
2014 HealthMarkets Value Rx (PDP) | $30.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $2.00 | 25% | 40% | 3000 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 CVS/pharmacy Prescription Drug Plan (PDP) | $32.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5810 -059 | $2.00 | $5.00 | $45.00 | 36% | 3300 2013 Formulary | |||||
2014 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $31.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $35.00 | $95.00 | 25% | 3017 2014 Formulary | ||||||
2013 SilverScript Basic (PDP) | $34.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -050 | $2.00 | 25% | 45% | 33% | 2875 2013 Formulary | |||||
2014 SilverScript Basic (PDP) | $31.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 20% | 41% | 25% | |||||||
2013 Cigna Medicare Rx Plan One (PDP) | $35.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -123 | $0.00 | $8.00 | $35.00 | $84.00 | 3494 2013 Formulary | |||||
2014 Cigna Medicare Rx Secure (PDP) | $31.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $3.00 | $36.00 | $66.00 | 3414 2014 Formulary | ||||||
2013 EnvisionRxPlus Silver (PDP) | $35.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -025 | 25% | 25% | 23% | 28% | 2711 2013 Formulary | |||||
2014 EnvisionRxPlus Silver (PDP) | $33.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $10.00 | 25% | $45.00 | 45% | 2630 2014 Formulary | ||||||
2013 SmartD Rx Saver (PDP) | $35.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S0064 -025 | $0.00 | $15.00 | $30.00 | $80.00 | 3178 2013 Formulary | |||||
2014 SmartD Rx Saver (PDP) | $33.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | tbd | ||||||||||
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