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 -131 | $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) | $36.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -141 | $7.00 | $42.00 | $93.00 | 33% | 2835 2013 Formulary | ||
2014 WellCare Classic (PDP) | $25.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $16.00 | $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 -349 | $1.00 | $2.00 | $25.00 | $45.00 | 3282 2013 Formulary | ||
2014 AARP MedicareRx Saver Plus (PDP) | $25.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.00 | $20.00 | $35.00 | 3219 2014 Formulary | |||
2013 Express Scripts Medicare - Value (PDP) | $37.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -106 | $4.00 | $7.00 | 25% | 44% | 3381 2013 Formulary | ||
2014 Express Scripts Medicare - Value (PDP) | $32.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $7.00 | 25% | 50% | 3171 2014 Formulary | |||
-- This plan not offered in 2013 -- | S0522 -004 | |||||||||||
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2014 Symphonix Rite Aid Value Rx (PDP) | $33.20 | $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 Reader's Digest Value Rx (PDP) | $36.90 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S0128 -005 | $1.00 | $2.50 | $37.00 | 27% | 3112 2013 Formulary | ||
new | new | new | ||||||||||
2014 HealthMarkets Value Rx (PDP) | $34.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $2.00 | 25% | 40% | 3000 2014 Formulary | |||
2013 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $32.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5810 -038 | $2.00 | $5.00 | $45.00 | 44% | 3300 2013 Formulary | ||
2014 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $35.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $38.00 | $95.00 | 25% | 3017 2014 Formulary | |||
2013 United American - Select (PDP) | $38.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5755 -075 | $1.00 | $4.00 | $40.00 | $95.00 | 3131 2013 Formulary | ||
2014 United American - Select (PDP) | $35.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $5.00 | $36.00 | $95.00 | 3184 2014 Formulary | |||
-- This plan not offered in 2013 -- | S9579 -003 | |||||||||||
2014 Transamerica MedicareRx Classic (PDP) | $36.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $9.00 | $45.00 | $95.00 | 3032 2014 Formulary | |||
2013 EnvisionRxPlus Silver (PDP) | $37.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -004 | 25% | 25% | 23% | 28% | 2711 2013 Formulary | ||
2014 EnvisionRxPlus Silver (PDP) | $37.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $10.00 | 25% | $45.00 | 45% | 2630 2014 Formulary | |||
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