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 -163 | |||||||||||
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 Humana Walmart-Preferred Rx Plan (PDP) | $18.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5884 -107 | $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 Humana Enhanced (PDP) | $42.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -015 | $2.00 | $5.00 | $41.00 | $90.00 | 3923 2013 Formulary | ||
2014 Humana Enhanced (PDP) | $46.50 | $0 | Few Brands | No | $2.00 | $5.00 | $42.00 | $92.00 | 3745 2014 Formulary | |||
2013 Humana Complete (PDP) | $118.90 | $0 | Some Generics, Some Brands |
No | S5884 -045 | $5.00 | $36.00 | $68.00 | 33% | 3937 2013 Formulary | ||
-- Members will be assigned to Humana Enhanced (PDP) S5884-015 -- | ||||||||||||
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