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Choose Your Medicare Part D Prescription Drug Plan Preferences
 
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2013
2014
2013: $  max: $166
2014: $  max: $175
2013: $  max: $325
2014: $  max: $310
2013:
2014:
2013:
2014:
There are 30 Hawaii Stand-Alone Medicare Part D plans meeting your criteria.
2013 / 2014 Medicare Part D Plan Information
Click here to jump to the Chart Legend
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

-- This plan not offered in 2013 --

S5884
-179		     
Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Humana Walmart Rx Plan (PDP)
 $12.60 $310 No additional gap coverage, only the Donut Hole Discount No$1.00$4.0020%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
-115		$1.00$5.0020%30%
3251
2013 Formulary
Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Humana Preferred Rx Plan (PDP)
 $22.80 $310 No additional gap coverage, only the Donut Hole Discount Yes$1.00$2.0020%35%3043
2014 Formulary
2013 Cigna Medicare Rx Plan One (PDP)
 $33.50 $325 No additional gap coverage, only the Donut Hole Discount No S5617
-163		$0.00$8.00$36.00$84.00
3494
2013 Formulary
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Cigna Medicare Rx Secure (PDP)
 $22.90 $310 No additional gap coverage, only the Donut Hole Discount Yes$0.00$9.00$40.00$90.003414
2014 Formulary

-- This plan not offered in 2013 --

S5921
-381		     
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 2 Stars (Below Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2014 AARP MedicareRx Saver Plus (PDP)
 $23.50 $310 No additional gap coverage, only the Donut Hole Discount Yes$1.00$2.00$20.00$35.003219
2014 Formulary

-- This plan not offered in 2013 --

S0522
-046		     
-- -- --  
2014 Symphonix Value Rx (PDP)
 $26.90 $310 No additional gap coverage, only the Donut Hole Discount No$1.00$15.00$44.00$85.003382
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 HealthSpring Prescription Drug Plan-Reg 33 (PDP)
 $32.10 $325 No additional gap coverage, only the Donut Hole Discount Yes S5932
-032		25%   
3027
2013 Formulary
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 2 Stars (Below Average)  
2014 Cigna-HealthSpring Rx -Reg 33 (PDP)
 $27.70 $310 No additional gap coverage, only the Donut Hole Discount Yes25%   2946
2014 Formulary
2013 Reader's Digest Value Rx (PDP)
 $32.60 $325 No additional gap coverage, only the Donut Hole Discount Yes S0128
-034		$1.00$2.50$36.0027%
3112
2013 Formulary
new new new  
2014 HealthMarkets Value Rx (PDP)
 $27.80 $310 No additional gap coverage, only the Donut Hole Discount No$0.00$2.0025%40%3000
2014 Formulary
2013 WellCare Classic (PDP)
 $27.70 $0 No additional gap coverage, only the Donut Hole Discount Yes S5967
-170		$6.00$43.00$95.0033%
2835
2013 Formulary
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2014 WellCare Classic (PDP)
 $28.40 $0 No additional gap coverage, only the Donut Hole Discount No$0.00$21.00$40.00$90.002844
2014 Formulary
2013 United American - Select (PDP)
 $34.50 $325 No additional gap coverage, only the Donut Hole Discount Yes S5755
-038		$1.00$4.00$40.00$95.00
3131
2013 Formulary
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 3 Stars (Average)  
2014 United American - Select (PDP)
 $28.50 $310 No additional gap coverage, only the Donut Hole Discount No$1.00$7.00$37.00$95.003184
2014 Formulary

-- This plan not offered in 2013 --

S9579
-032		     
Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Transamerica MedicareRx Classic (PDP)
 $29.20 $310 No additional gap coverage, only the Donut Hole Discount No$0.00$9.00$45.00$95.003032
2014 Formulary
2013 SilverScript Basic (PDP)
 $31.80 $325 No additional gap coverage, only the Donut Hole Discount Yes S5601
-066		$2.0023%43%33%
2875
2013 Formulary
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2014 SilverScript Basic (PDP)
 $29.50 $310 No additional gap coverage, only the Donut Hole Discount No$2.0019%40%25%
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 SmartD Rx Saver (PDP)
 $32.80 $325 No additional gap coverage, only the Donut Hole Discount Yes S0064
-033		$0.00$21.00$30.00$85.00
3178
2013 Formulary
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 2 Stars (Below Average)  
2014 SmartD Rx Saver (PDP)
 $29.60 $310 No additional gap coverage, only the Donut Hole Discount No    tbd   
2013 EnvisionRxPlus Silver (PDP)
 $30.70 $325 No additional gap coverage, only the Donut Hole Discount Yes S7694
-033		25%25%23%28%
2711
2013 Formulary
Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2014 EnvisionRxPlus Silver (PDP)
 $29.90 $310 No additional gap coverage, only the Donut Hole Discount No$8.0025%$45.0045%2630
2014 Formulary
2013 Aetna CVS/pharmacy Prescription Drug Plan (PDP)
 $30.60 $325 No additional gap coverage, only the Donut Hole Discount Yes S5810
-067		$2.00$5.00$45.0044%
3300
2013 Formulary
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Aetna CVS/pharmacy Prescription Drug Plan (PDP)
 $32.50 $310 No additional gap coverage, only the Donut Hole Discount No$3.00$45.00$95.0025%3017
2014 Formulary
2013 SilverScript Choice (PDP)
 $30.10 $0 No additional gap coverage, only the Donut Hole Discount No S5601
-142		$0.00$34.0035%33%
2875
2013 Formulary
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2014 SilverScript Choice (PDP)
 $33.80 $0 No additional gap coverage, only the Donut Hole Discount No$0.00$24.0035%33%0
2013 MedicareRx Rewards Standard (PDP)
 $40.50 $325 No additional gap coverage, only the Donut Hole Discount No S5960
-139		$2.00$7.00$31.00$85.00
2838
2013 Formulary
Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 1 Stars (Poor) Medicare Part D Plan Rating - 3 Stars (Average)  
2014 MedicareRx Rewards Standard (PDP)
 $35.10 $310 No additional gap coverage, only the Donut Hole Discount No$1.00$7.00$38.00$89.002463
2014 Formulary
2013 AARP MedicareRx Preferred (PDP)
 $37.50 $0 No additional gap coverage, only the Donut Hole Discount No S5820
-032		$4.00$9.00$40.00$90.00
3829
2013 Formulary
Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 3 Stars (Average)  
2014 AARP MedicareRx Preferred (PDP)
 $38.10 $0 No additional gap coverage, only the Donut Hole Discount No$4.00$7.00$40.00$85.003707
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 Express Scripts Medicare - Value (PDP)
 $38.20 $325 No additional gap coverage, only the Donut Hole Discount No S5660
-135		$4.00$8.0025%27%
3381
2013 Formulary
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Express Scripts Medicare - Value (PDP)
 $38.30 $310 No additional gap coverage, only the Donut Hole Discount No$2.00$8.0025%50%3171
2014 Formulary

-- This plan not offered in 2013 --

S9579
-065		     
Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Transamerica MedicareRx Choice (PDP)
 $44.80 $0 No additional gap coverage, only the Donut Hole Discount No$0.00$20.00$45.00$95.003169
2014 Formulary
2013 Humana Enhanced (PDP)
 $46.40 $0 No additional gap coverage, only the Donut Hole Discount No S5884
-093		$2.00$5.00$45.00$90.00
3923
2013 Formulary
Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Humana Enhanced (PDP)
 $50.20 $0 Few Brands No$2.00$4.00$44.00$94.003745
2014 Formulary
2013 First Health Part D Essentials (PDP)
 $34.00 $325 No additional gap coverage, only the Donut Hole Discount Yes S5768
-163		$1.1520%29% 
3055
2013 Formulary
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 First Health Part D Essentials (PDP)
 $52.50 $310 No additional gap coverage, only the Donut Hole Discount No$1.0015%35% 2981
2014 Formulary

-- This plan not offered in 2013 --

S5617
-278		     
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Cigna Medicare Rx Secure-Xtra (PDP)
 $54.10 $0 No additional gap coverage, only the Donut Hole Discount No$0.00$5.00$38.00$87.003618
2014 Formulary
2013 WellCare Extra (PDP)
 $39.00 $0 Many Generics No S5967
-204		$0.0025%25%50%
2835
2013 Formulary
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2014 WellCare Extra (PDP)
 $54.20 $0 No additional gap coverage, only the Donut Hole Discount No$0.00$0.00$38.00$88.002844
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 SmartD Rx Plus (PDP)
 $59.80 $0 Some Generics No S0064
-068		$0.00$21.00$30.00$85.00
3178
2013 Formulary
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 2 Stars (Below Average)  
2014 SmartD Rx Plus (PDP)
 $55.40 $0 Call Plan for details No    tbd   
2013 Express Scripts Medicare - Choice (PDP)
 $74.10 $200 Many Generics No S5660
-203		$8.00$45.00$95.0028%
3408
2013 Formulary
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Express Scripts Medicare - Choice (PDP)
 $56.00 $0 No additional gap coverage, only the Donut Hole Discount No$2.00$10.00$40.00$90.003250
2014 Formulary
2013 First Health Part D Premier Plus (PDP)
 $81.70 $0 Some Generics,
Some Brands		 No S5674
-065		$0.00$25.0025%50%
3173
2013 Formulary
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 First Health Part D Premier Plus (PDP)
 $77.60 $0 Some Generics,
Some Brands 		No$1.00$25.0025%50%3104
2014 Formulary
2013 AARP MedicareRx Enhanced (PDP)
 $85.40 $0 Some Generics,
Some Brands		 No S5921
-043		$2.00$5.00$33.00$65.00
4971
2013 Formulary
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 2 Stars (Below Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2014 AARP MedicareRx Enhanced (PDP)
 $95.60 $0 Some Generics,
Some Brands 		No$2.00$5.00$30.00$70.004904
2014 Formulary

-- This plan not offered in 2013 --

S5617
-244		     
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Cigna Medicare Rx Secure-Max (PDP)
 $98.40 $0 Many Generics,
Some Brands 		No$0.00$4.00$25.00$74.003766
2014 Formulary
2013 SilverScript Plus (PDP)
 $100.70 $0 Many Generics,
Some Brands		 No S5601
-067		$0.00$34.0035%33%
2875
2013 Formulary
Medicare Part D Plan Rating - 3 Stars (Average) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average)  
2014 SilverScript Plus (PDP)
 $120.00 $0 Many Generics,
Some Brands 		No$0.00$17.00$41.0033%
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
-103		$2.00$5.00$25.0030%
2747
2013 Formulary
Medicare Part D Plan Rating - 5 Stars (Excellent) Medicare Part D Plan Rating - 4 Stars (Above Average) Medicare Part D Plan Rating - 3 Stars (Average)  

-- This plan not offered in 2014 --

     



Chart Legend:

What does all this mean? Below are a few notes to help you understand the 2014 Medicare Part D Plan information above.



A few notes to help with the understanding of the 2014 Medicare Part D Prescription Drug Plan chart above and Search Tips to help you narrow down your list of plans to those that best meet your needs.
  • Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS). The same plan name generally has a different plan id in each state. (Search Tip: If you would like to reduce the plans shown to just plans for one or two specific carriers, you can select the carrier name in the "Plan Family" fields 1 and 2. Select the empty (blank) option at the top of the list to remove the criteria. You can also click the "National Plans" checkbox to limit your search to just national plans.)
  • CMS Plan Ratings: these are found under the Plan Name at the left side of the chart.

    This is a 1 to 5 star rating system with five (5) stars as excellent, four (4) stars as very good, three (3) stars as good, two (2) stars as fair and one (1) star as poor.

    Cust. Service Rating - Drug Plan Customer Service - Medicare and members rate the drug plan and how well a drug plan provides customer service.

    This category includes measures of how drug plans rate on the following areas:
    • Time on Hold When Customer and Pharmacist Calls Drug Plan.
    • Calls Disconnected When Customer and Pharmacist Calls Drug Plan.
    • Drug Plan’s Timeliness in Giving a Decision for Members Who Make an Appeal.
    • Fairness of Drug Plan’s Denials to a Member’s Appeal, Based on an Independent Reviewer.
  • Member Plan Exper. - Member Experience with Drug Plan - This category shows how well drug plans make prescription drugs available to their members.

    This category includes measures of how drug plans rate on the following areas:
    • Drug Plan Provides Information or Help When Members Need It.
    • Members’ Overall Rating of Drug Plan.
    • Members’ Ability to Get Prescriptions Filled Easily When Using the Drug Plan.
  • RxCost Info Rating - This category shows how well drug plans are doing with pricing prescriptions and providing information on the Medicare website.

    This category includes measures of how drug plans rate on the following areas:
    • Completeness of the Drug Plan’s Information on Members Who Need Extra Help.
    • Drug Plan Provides Current Information on Costs and Coverage for Medicare’s Website (the same data is used on this Q1Medicare.com).
    • Drug Plan’s Prices that Did Not Increase More Than Expected During the Year.
    • Drug Plan’s Prices on Medicare’s Website (and this website) Are Similar to the Prices Members Pay at the Pharmacy.
    • Drug Plan’s Members 65 and Older Who Received Prescriptions for Certain Drugs with a High Risk of Side Effects, when There May Be Safer Drug Choices.
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  • Monthly Premium: This is the amount you must pay each month to use the plan. This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase. (Search Tip: If you would like to reduce the plans shown to just plans under a certain premium, enter this value in the "Maximum Premium" field.)

  • Deductible: This is the $310 deductible that was presented in the CMS Standard Plan. Many provider’s plans do not have a deductible, however the premium may be higher. (Search Tip: If you would like to reduce the plans shown to just plans with a deductible under a certain value, enter this value in the "Maximum Deductible field" field.)

  • Gap Coverage: the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3605 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2014, ALL formulary generics will have at least a 28% discount and ALL brand drugs will have at least a 52.5% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
    • No Gap Coverage: you must pay the $3605;

    • Few Generics: less than 10% of formulary generics are covered, but you must pay for Brand Drugs up to $3605;

    • Some Generics: 10% to 65% of formulary generics are covered, but you must pay for Brand Drugs up to $3605;

    • Many Generics: 65% to 100% of formulary generics are covered, but you must pay for Brand Drugs up to $3605;

    • All Generics : All formulary Generics are covered, but you must pay for Brand Drugs up to $3605;

    • Many Generics & Some Brands: These Medicare prescription drug plans cover 65% to 100% of formulary generics and a some (10% to 65%) of Brand drugs on the plan’s formulary.

    • Some Generics & Some Brands: These Medicare prescription drug plans cover 10% to 65% of Generic and Brand drugs on the plan’s formulary. (Search Tip: If you would like to reduce the plans shown to just plans with a certain type of gap coverage, select this type of coverage in the "Type of Gap Coverage" field.)

  • $0 Premium with Full LIS - Does the plan Qualify for $0 Premium with Full Low-Income Subsidy?: If Yes is in the field, then you would pay a $0 premium if you have a Full Low-Income Subsidy (LIS). If No is in the field, then you would be responsible for the difference between what the state provides as the Full Low-Income Subsidy and the actual cost of the plan even if you have a Full Low-Income Subsidy. (Search Tip: If you would like to reduce the plans shown to just plans that qualify for the $0 premium (Benchmark plans), select "Yes..." in the "Full Low-Income Subsidy?" field.)

  • Plan ID: This is the unique id for this particular plan.
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  • Copay / Coinsurance - Cost Sharing - These figures apply to the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on the drug’s tier. Plans can form their own tiers, so you should contact the plan or reference their summary of benefits to find out what copays and limitations are associated with each tier. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. (Search Tip: If you would like to reduce the plans shown to just plans that have a tier 1 (Generics) co-pay of up to a certain value (ex: $0 co-pay), enter the value (ex: 0) in the "Max. Co-pay Tier 1 (Generics)" field.)
Additional Information Fields:
 You can select one of the following additional pieces of plan information to display (Search Tip: to change the type of information shown in the last column of the chart, select the data to be shown in the "Additional Info" field.)
  • Total Formulary Drugs (default) - This is the total number of medications on the plans formulary or drug list. For 2014 Medicare Part D plans, the smallest formularies include the Blue Cross MedicareRx Basic (IL, NM, OK, TX), Blue MedicareRx Value (AZ) and Standard (NC) plan formularies with 2,244 total medications and the largest formulary is the AmeriHealth Rx Option II formulary (PA & WV) with 5,236 total formulary drugs. This total drug count does not include "Bonus Drugs". These are non-Medicare Part D drugs which are covered by the plan, however they do not count toward your plan deductible, retail drug cost, or TrOOP.
  • Offers Mail Order - "Yes" is displayed if this plan offers mail order on any medications. It does NOT mean that ALL medications are available through mail order.
  • Members in This State (updated: December 2014 figures) - This is the total number of members in this plan for this CMS Region. For regions which contain more than one state, this is the total for all of those states combined. We are showing the latest Medicare Part D plan enrollment figures. We update this figure as new enrollment statistics are released by Medicare.
  • Members Nation Wide (updated: December 2014 figures) - This is the total number of member for this plan in all CMS Regions (States) combined. We are showing the latest Medicare Part D plan enrollment figures. We update this figure as new enrollment statistics are released by Medicare.

  • Initial Coverage Limit (ICL) - The initial coverage limit phase of a Medicare Part D plan is the phase AFTER the initial deductible is met (if the plan has an initial deductible) and BEFORE the coverage gap (or donut hole) begins. The ICL is the phase of the prescription drug plan during which you and your plan share your prescription costs. During this phase you will pay either a co-payment (a flat fee per prescription) or co-insurance (a percentage of the drug cost). The details of the cost-sharing for the plan are shown in the Cost-Sharing column directly to the left of this column. The CMS standard Initial Coverage Limit for 2014 is $2850 and increases each year.
  • National or Regional Plans - This column simply displays the word "National" if the plan is sponsored by a national carrier or "Regional" if the plan sponsor is a regional carrier.


(Chart Source: various files provided by the Centers for Medicare and Medicaid Services along with data from the Medicare.gov website plan finder.)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information.