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 Blue MedicareRx Plus (PDP) | $65.80 | $0 | Few Generics | No | 001 -001 | $2.00 | $7.00 | $45.00 | $90.00 | ||||||
2014 Blue MedicareRx Plus (PDP) | $52.20 | $0 | Some Generics | No | $1.00 | $7.00 | $40.00 | $90.00 | |||||||
2013 Humana Enhanced (PDP) | $48.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -092 | $2.00 | $5.00 | $43.00 | $90.00 | 3923 2013 Formulary | |||||
2014 Humana Enhanced (PDP) | $52.70 | $0 | Few Brands | No | $2.00 | $5.00 | $42.00 | $92.00 | 3745 2014 Formulary | ||||||
2013 SmartD Rx Plus (PDP) | $66.80 | $0 | Some Generics | No | S0064 -036 | $0.00 | $10.00 | $25.00 | $62.00 | 3178 2013 Formulary | |||||
2014 SmartD Rx Plus (PDP) | $67.60 | $0 | Call Plan for details | No | tbd | ||||||||||
2013 First Health Part D Premier Plus (PDP) | $85.90 | $0 | Some Generics, Some Brands |
No | S5674 -005 | $0.00 | $20.00 | 25% | 43% | 3173 2013 Formulary | |||||
2014 First Health Part D Premier Plus (PDP) | $93.60 | $0 | Some Generics, Some Brands |
No | $1.00 | $25.00 | 25% | 43% | 3104 2014 Formulary | ||||||
2013 Blue MedicareRx Premier (PDP) | $103.70 | $0 | Many Generics, Some Brands |
No | S5596 -003 | $2.00 | $7.00 | $45.00 | $90.00 | 4173 2013 Formulary | |||||
2014 Blue MedicareRx Premier (PDP) | $94.50 | $0 | Some Generics, Some Brands |
No | $1.00 | $7.00 | $40.00 | $90.00 | 3609 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 AARP MedicareRx Enhanced (PDP) | $95.90 | $0 | Some Generics, Some Brands |
No | S5921 -173 | $2.00 | $5.00 | $24.00 | $65.00 | 4971 2013 Formulary | |||||
2014 AARP MedicareRx Enhanced (PDP) | $99.90 | $0 | Some Generics, Some Brands |
No | $2.00 | $4.00 | $27.00 | $65.00 | 4904 2014 Formulary | ||||||
-- This plan not offered in 2013 -- | S5617 -228 | ||||||||||||||
2014 Cigna Medicare Rx Secure-Max (PDP) | $116.90 | $0 | Many Generics, Some Brands |
No | $0.00 | $4.00 | $22.00 | $71.00 | 3766 2014 Formulary | ||||||
2013 United American - Enhanced (PDP) | $53.70 | $110 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -005 | $1.00 | $1.00 | $40.00 | $95.00 | 3381 2013 Formulary | |||||
-- Members will be assigned to United American - Select (PDP) S5755-073 -- | |||||||||||||||
2013 Aetna Medicare Rx Premier (PDP) | $103.40 | $0 | Many Generics, Some Brands |
No | S5810 -171 | $5.00 | $33.00 | $45.00 | 46% | 3364 2013 Formulary | |||||
-- This plan not offered in 2014 -- | |||||||||||||||
2013 SilverScript Basic (PDP) | $33.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -002 | $2.00 | 22% | 43% | 33% | 2875 2013 Formulary | |||||
-- This plan not offered in 2014 -- | |||||||||||||||
2013 SilverScript Plus (PDP) | $91.30 | $0 | Many Generics, Some Brands |
No | S5601 -003 | $0.00 | $34.00 | 35% | 33% | 2875 2013 Formulary | |||||
-- This plan not offered in 2014 -- | |||||||||||||||
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 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | Some Generics | No | S7694 -072 | $2.00 | $5.00 | $25.00 | 30% | 2747 2013 Formulary | |||||
-- This plan not offered in 2014 -- | |||||||||||||||
2013 SmartD Rx Saver (PDP) | $32.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S0064 -001 | $0.00 | $10.00 | $25.00 | $62.00 | 3178 2013 Formulary | |||||
-- This plan not offered in 2014 -- | |||||||||||||||
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