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There are 39 Pennsylvania 2014 stand-alone Medicare Part D plans meeting your criteria.

Caution: The 2014 Medicare Part D plan information below is for research purposes.
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2014 Medicare Part D Plan Information
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Plan Name Monthly
Prem.
Deduct-
ible
(Donut Hole)
Additional
Gap
Coverage
$0 Prem.
with Full
LIS?
Preferred Pharmacy
Copay/
Coinsurance
30-Day Supply
Total Formulary Drugs
Cust.
Service
Rating
Member
Plan
Exper.
RxCost
Info
Rating
Humana Walmart Rx Plan (PDP) - S5884-152
Benefit Details
           
$12.60 $310 No additional gap coverage, only the Donut Hole Discount NoPreferred Generic: $1.00
Non-Preferred Generic: $4.00
Preferred Brand: 20%
Non-Preferred Brand: 39%
Specialty Tier: 25%
3,310

Browse Formulary
Humana Walmart Rx Plan (PDP) - S5884-152 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Humana Walmart Rx Plan (PDP) - S5884-152 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Humana Walmart Rx Plan (PDP) - S5884-152 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies Details:
Humana Preferred Rx Plan (PDP) - S5884-104
Benefit Details
           
$22.80 $310 No additional gap coverage, only the Donut Hole Discount YesPreferred Generic: $1.00
Non-Preferred Generic: $2.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
3,183

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Humana Preferred Rx Plan (PDP) - S5884-104 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Humana Preferred Rx Plan (PDP) - S5884-104 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Humana Preferred Rx Plan (PDP) - S5884-104 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies Details:
Plan Name Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
$0 Prem
LIS?
Preferred Pharmacy
Copay/
Coinsurance
Total Drugs
Service Exper. Cost Info
WellCare Classic (PDP) - S5967-143
Benefit Details
           
$23.10 $0 No additional gap coverage, only the Donut Hole Discount YesPreferred Generic: $0.00
Non-Preferred Generic: $12.00
Preferred Brand: $40.00
Non-Preferred Brand: $90.00
Specialty Tier: 33%
2,986

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WellCare Classic (PDP) - S5967-143 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) WellCare Classic (PDP) - S5967-143 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) WellCare Classic (PDP) - S5967-143 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies Details:
AARP MedicareRx Saver Plus (PDP) - S5921-351
Benefit Details
           
$25.50 $310 No additional gap coverage, only the Donut Hole Discount YesPreferred Generic: $1.00
Non-Preferred Generic: $2.00
Preferred Brand: $20.00
Non-Preferred Brand: $35.00
Specialty Tier: 25%
3,354

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AARP MedicareRx Saver Plus (PDP) - S5921-351 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) AARP MedicareRx Saver Plus (PDP) - S5921-351 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) AARP MedicareRx Saver Plus (PDP) - S5921-351 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies Details:
SilverScript Basic (PDP) - S5601-012
Benefit Details
           
$30.40 $310 No additional gap coverage, only the Donut Hole Discount YesGeneric: $2.00
Preferred Brand: 20%
Non-Preferred Brand: 43%
Specialty Tier: 25%
3,073

Browse Formulary
SilverScript Basic (PDP) - S5601-012 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) SilverScript Basic (PDP) - S5601-012 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) SilverScript Basic (PDP) - S5601-012 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
$0 Prem
LIS?
Preferred Pharmacy
Copay/
Coinsurance
Total Drugs
Service Exper. Cost Info
Express Scripts Medicare - Value (PDP) - S5660-108
Benefit Details
           
$32.20 $310 No additional gap coverage, only the Donut Hole Discount YesPreferred Generic: $2.00
Non-Preferred Generic: $7.00
Preferred Brand: 25%
Non-Preferred Brand: 50%
Specialty Tier: 25%
3,359

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Express Scripts Medicare - Value (PDP) - S5660-108 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) Express Scripts Medicare - Value (PDP) - S5660-108 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Express Scripts Medicare - Value (PDP) - S5660-108 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Cigna Medicare Rx Secure (PDP) - S5617-215
Benefit Details
           
$33.20 $310 No additional gap coverage, only the Donut Hole Discount YesPreferred Generic: $0.00
Non-Preferred Generic: $5.00
Preferred Brand: $29.00
Non-Preferred Brand: $63.00
Specialty Tier: 25%
3,575

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Cigna Medicare Rx Secure (PDP) - S5617-215 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) Cigna Medicare Rx Secure (PDP) - S5617-215 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Cigna Medicare Rx Secure (PDP) - S5617-215 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies Details:
HealthMarkets Value Rx (PDP) - S0128-007
Benefit Details
           
$33.30 $310 No additional gap coverage, only the Donut Hole Discount YesPreferred Generic: $0.00
Non-Preferred Generic: $2.00
Preferred Brand: 25%
Non-Preferred Brand: 40%
Specialty Tier: 25%
3,098

Browse Formulary
HealthMarkets Value Rx (PDP) - S0128-007 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- -- Higher cost-sharing at standard network pharmacies Details:
Plan Name Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
$0 Prem
LIS?
Preferred Pharmacy
Copay/
Coinsurance
Total Drugs
Service Exper. Cost Info
Cigna-HealthSpring Rx -Reg 6 (PDP) - S5932-006
Benefit Details
           
$33.60 $310 No additional gap coverage, only the Donut Hole Discount YesOn Formulary: 25%
3,079

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Cigna-HealthSpring Rx -Reg 6 (PDP) - S5932-006 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) Cigna-HealthSpring Rx -Reg 6 (PDP) - S5932-006 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Cigna-HealthSpring Rx -Reg 6 (PDP) - S5932-006 Medicare Part D Plan Drug Pricing and Patient Safety - 2 Stars (Below Average)  
SilverScript Choice (PDP) - S5601-115
Benefit Details
           
$33.80 $0 No additional gap coverage, only the Donut Hole Discount NoGeneric: $0.00
Preferred Brand: $24.00
Non-Preferred Brand: 35%
Specialty Tier: 33%
3,073

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SilverScript Choice (PDP) - S5601-115 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) SilverScript Choice (PDP) - S5601-115 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) SilverScript Choice (PDP) - S5601-115 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
United American - Select (PDP) - S5755-077
Benefit Details
           
$34.20 $310 No additional gap coverage, only the Donut Hole Discount YesPreferred Generic: $1.00
Non-Preferred Generic: $5.00
Preferred Brand: $35.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%
3,384

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United American - Select (PDP) - S5755-077 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) United American - Select (PDP) - S5755-077 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) United American - Select (PDP) - S5755-077 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies Details:
Plan Name Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
$0 Prem
LIS?
Preferred Pharmacy
Copay/
Coinsurance
Total Drugs
Service Exper. Cost Info
SecureAdvantage Rx - Option 1 (PDP) - S9014-003
Benefit Details
           
$35.60 $310 No additional gap coverage, only the Donut Hole Discount YesTier 1: 25%
Tier 2: 25%
Tier 3: 25%
Tier 4: 25%
3,266

Browse Formulary
-- -- --  
SmartD Rx Saver (PDP) - S0064-006
Sanctioned Plan
           
$35.60 $310 No additional gap coverage, only the Donut Hole Discount Yescost-sharing data not available.tbd

Browse Formulary
-- -- --  
Aetna CVS/pharmacy Prescription Drug Plan (PDP) - S5810-040
Benefit Details
           
$35.70 $310 No additional gap coverage, only the Donut Hole Discount YesGeneric: $2.00
Preferred Brand: $37.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%
Select Care Drugs: $1.00
3,136

Browse Formulary
Aetna CVS/pharmacy Prescription Drug Plan (PDP) - S5810-040 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Aetna CVS/pharmacy Prescription Drug Plan (PDP) - S5810-040 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Aetna CVS/pharmacy Prescription Drug Plan (PDP) - S5810-040 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies Details:
Plan Name Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
$0 Prem
LIS?
Preferred Pharmacy
Copay/
Coinsurance
Total Drugs
Service Exper. Cost Info
EnvisionRxPlus Silver (PDP) - S7694-006
Benefit Details
           
$37.30 $310 No additional gap coverage, only the Donut Hole Discount YesPreferred Generic: $9.00
Non-Preferred Generic: 25%
Preferred Brand: $45.00
Non-Preferred Brand: 45%
Specialty Tier: 25%
Select Care Drugs: $10.00
2,801

Browse Formulary
EnvisionRxPlus Silver (PDP) - S7694-006 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) EnvisionRxPlus Silver (PDP) - S7694-006 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) EnvisionRxPlus Silver (PDP) - S7694-006 Medicare Part D Plan Drug Pricing and Patient Safety - 2 Stars (Below Average)  
First Health Part D Value Plus (PDP) - S5768-129
Benefit Details
           
$40.20 $0 No additional gap coverage, only the Donut Hole Discount NoPreferred Generic: $3.00
Non-Preferred Generic: $11.00
Preferred Brand: $37.00
Non-Preferred Brand: $88.00
Specialty Tier: 33%
3,129

Browse Formulary
First Health Part D Value Plus (PDP) - S5768-129 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) First Health Part D Value Plus (PDP) - S5768-129 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) First Health Part D Value Plus (PDP) - S5768-129 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies Details:
AARP MedicareRx Preferred (PDP) - S5820-005
Benefit Details
           
$41.70 $0 No additional gap coverage, only the Donut Hole Discount NoPreferred Generic: $3.00
Non-Preferred Generic: $6.00
Preferred Brand: $39.00
Non-Preferred Brand: $80.00
Specialty Tier: 33%
3,873

Browse Formulary
AARP MedicareRx Preferred (PDP) - S5820-005 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) AARP MedicareRx Preferred (PDP) - S5820-005 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) AARP MedicareRx Preferred (PDP) - S5820-005 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies Details:
Plan Name Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
$0 Prem
LIS?
Preferred Pharmacy
Copay/
Coinsurance
Total Drugs
Service Exper. Cost Info
Transamerica MedicareRx Classic (PDP) - S9579-005
Benefit Details
           
$45.20 $310 No additional gap coverage, only the Donut Hole Discount NoPreferred Generic: $0.00
Non-Preferred Generic: $8.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%
3,182

Browse Formulary
Transamerica MedicareRx Classic (PDP) - S9579-005 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Transamerica MedicareRx Classic (PDP) - S9579-005 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Transamerica MedicareRx Classic (PDP) - S9579-005 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Humana Enhanced (PDP) - S5884-005
Benefit Details
           
$46.10 $0 Few Brands NoPreferred Generic: $2.00
Non-Preferred Generic: $5.00
Preferred Brand: $42.00
Non-Preferred Brand: $92.00
Specialty Tier: 33%
3,891

Browse Formulary
Humana Enhanced (PDP) - S5884-005 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Humana Enhanced (PDP) - S5884-005 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Humana Enhanced (PDP) - S5884-005 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies Details:
MedicareRx Rewards Standard (PDP) - S5960-112
Benefit Details
           
$48.60 $310 No additional gap coverage, only the Donut Hole Discount NoPreferred Generic: $1.00
Non-Preferred Generic: $5.00
Preferred Brand: $38.00
Non-Preferred Brand: $86.00
Injectable Drugs: 25%
Specialty Tier: 25%
2,578

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MedicareRx Rewards Standard (PDP) - S5960-112 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) MedicareRx Rewards Standard (PDP) - S5960-112 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) MedicareRx Rewards Standard (PDP) - S5960-112 Medicare Part D Plan Drug Pricing and Patient Safety - 2 Stars (Below Average) Higher cost-sharing at standard network pharmacies Details:
Plan Name Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
$0 Prem
LIS?
Preferred Pharmacy
Copay/
Coinsurance
Total Drugs
Service Exper. Cost Info
First Health Part D Essentials (PDP) - S5768-009
Benefit Details
           
$50.30 $310 No additional gap coverage, only the Donut Hole Discount NoPreferred Generic: $1.00
Preferred Brand: 15%
Non-Preferred Brand: 46%
3,105

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First Health Part D Essentials (PDP) - S5768-009 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) First Health Part D Essentials (PDP) - S5768-009 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) First Health Part D Essentials (PDP) - S5768-009 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies Details:
Transamerica MedicareRx Choice (PDP) - S9579-038
Benefit Details
           
$55.20 $0 No additional gap coverage, only the Donut Hole Discount NoPreferred Generic: $0.00
Non-Preferred Generic: $20.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 33%
3,312

Browse Formulary
Transamerica MedicareRx Choice (PDP) - S9579-038 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Transamerica MedicareRx Choice (PDP) - S9579-038 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Transamerica MedicareRx Choice (PDP) - S9579-038 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
WellCare Extra (PDP) - S5967-178
Benefit Details
           
$57.00 $0 No additional gap coverage, only the Donut Hole Discount NoPreferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Brand: $63.00
Specialty Tier: 33%
2,986

Browse Formulary
WellCare Extra (PDP) - S5967-178 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) WellCare Extra (PDP) - S5967-178 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) WellCare Extra (PDP) - S5967-178 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies Details:
Plan Name Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
$0 Prem
LIS?
Preferred Pharmacy
Copay/
Coinsurance
Total Drugs
Service Exper. Cost Info
Cigna Medicare Rx Secure-Xtra (PDP) - S5617-251
Benefit Details
           
$62.90 $0 No additional gap coverage, only the Donut Hole Discount NoPreferred Generic: $0.00
Non-Preferred Generic: $5.00
Preferred Brand: $38.00
Non-Preferred Brand: $87.00
Specialty Tier: 33%
3,781

Browse Formulary
Cigna Medicare Rx Secure-Xtra (PDP) - S5617-251 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) Cigna Medicare Rx Secure-Xtra (PDP) - S5617-251 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Cigna Medicare Rx Secure-Xtra (PDP) - S5617-251 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies Details:
SecureRx - Option 3 (PDP) - S8067-001
Sanctioned Plan
           
$64.30 $0 No additional gap coverage, only the Donut Hole Discount NoPreferred Generic: $5.00
Non-Preferred Generic: $19.00
Preferred Brand: $40.00
Specialty Tier: 33%
3,166

Browse Formulary
SecureRx - Option 3 (PDP) - S8067-001 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) SecureRx - Option 3 (PDP) - S8067-001 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) SecureRx - Option 3 (PDP) - S8067-001 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies Details:
United American - Enhanced (PDP) - S5755-009
Benefit Details
           
$66.90 $80 No additional gap coverage, only the Donut Hole Discount NoPreferred Generic: $1.00
Non-Preferred Generic: $7.00
Preferred Brand: $37.00
Non-Preferred Brand: $95.00
Specialty Tier: 30%
5,340

Browse Formulary
United American - Enhanced (PDP) - S5755-009 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) United American - Enhanced (PDP) - S5755-009 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) United American - Enhanced (PDP) - S5755-009 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies Details:
Plan Name Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
$0 Prem
LIS?
Preferred Pharmacy
Copay/
Coinsurance
Total Drugs
Service Exper. Cost Info
SmartD Rx Plus (PDP) - S0064-041
Sanctioned Plan
           
$68.20 $0 Call Plan for details Nocost-sharing data not available.tbd

Browse Formulary
-- -- --  
SecureAdvantage Rx - Option II (PDP) - S9014-004
Benefit Details
           
$72.90 $0 Many Generics NoPreferred Generic: $3.00
Non-Preferred Generic: $10.00
Preferred Brand: $45.00
Specialty Tier: 33%
3,266

Browse Formulary
-- -- --  
AmeriHealth Rx Option I (PDP) - S2321-005
Benefit Details
           
$73.50 $290 No additional gap coverage, only the Donut Hole Discount NoPreferred Generic: $5.00
Non-Preferred Generic: $10.00
Preferred Brand: $45.00
Non-Preferred Brand: $85.00
Specialty Tier: 25%
4,034

Browse Formulary
AmeriHealth Rx Option I (PDP) - S2321-005 Medicare Part D Plan Customer Service Rating - 2 Stars (Below Average) AmeriHealth Rx Option I (PDP) - S2321-005 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) AmeriHealth Rx Option I (PDP) - S2321-005 Medicare Part D Plan Drug Pricing and Patient Safety - 2 Stars (Below Average)  
Plan Name Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
$0 Prem
LIS?
Preferred Pharmacy
Copay/
Coinsurance
Total Drugs
Service Exper. Cost Info
Blue Rx Plus (PDP) - S5593-002
Benefit Details
           
$74.30 $310 No additional gap coverage, only the Donut Hole Discount NoPreferred Generic: $0.00
Non-Preferred Generic: $11.00
Preferred Brand: 25%
Non-Preferred Brand: 50%
Specialty Tier: 25%
4,506

Browse Formulary
Blue Rx Plus (PDP) - S5593-002 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) Blue Rx Plus (PDP) - S5593-002 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Blue Rx Plus (PDP) - S5593-002 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Express Scripts Medicare - Choice (PDP) - S5660-176
Benefit Details
           
$80.50 $0 No additional gap coverage, only the Donut Hole Discount NoPreferred Generic: $2.00
Non-Preferred Generic: $10.00
Preferred Brand: $40.00
Non-Preferred Brand: $90.00
Specialty Tier: 33%
3,435

Browse Formulary
Express Scripts Medicare - Choice (PDP) - S5660-176 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) Express Scripts Medicare - Choice (PDP) - S5660-176 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Express Scripts Medicare - Choice (PDP) - S5660-176 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies Details:
AARP MedicareRx Enhanced (PDP) - S5921-093
Benefit Details
           
$92.10 $0 Some Generics,
Some Brands
NoPreferred Generic: $2.00
Non-Preferred Generic: $5.00
Preferred Brand: $24.00
Non-Preferred Brand: $75.00
Specialty Tier: 33%
5,084

Browse Formulary
AARP MedicareRx Enhanced (PDP) - S5921-093 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) AARP MedicareRx Enhanced (PDP) - S5921-093 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) AARP MedicareRx Enhanced (PDP) - S5921-093 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies Details:
Plan Name Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
$0 Prem
LIS?
Preferred Pharmacy
Copay/
Coinsurance
Total Drugs
Service Exper. Cost Info
First Health Part D Premier Plus (PDP) - S5670-036
Benefit Details
           
$99.60 $0 Some Generics,
Some Brands
NoPreferred Generic: $1.00
Non-Preferred Generic: $25.00
Preferred Brand: 25%
Non-Preferred Brand: 43%
Specialty Tier: 33%
3,238

Browse Formulary
First Health Part D Premier Plus (PDP) - S5670-036 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) First Health Part D Premier Plus (PDP) - S5670-036 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) First Health Part D Premier Plus (PDP) - S5670-036 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Cigna Medicare Rx Secure-Max (PDP) - S5617-176
Benefit Details
           
$116.10 $0 Many Generics,
Some Brands
NoPreferred Generic: $0.00
Non-Preferred Generic: $4.00
Preferred Brand: $25.00
Non-Preferred Brand: $74.00
Specialty Tier: 33%
3,925

Browse Formulary
Cigna Medicare Rx Secure-Max (PDP) - S5617-176 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) Cigna Medicare Rx Secure-Max (PDP) - S5617-176 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Cigna Medicare Rx Secure-Max (PDP) - S5617-176 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies Details:
SecureRx - Option 1 (PDP) - S8067-003
Sanctioned Plan
           
$121.30 $0 No additional gap coverage, only the Donut Hole Discount NoPreferred Generic: $4.00
Non-Preferred Generic: $15.00
Preferred Brand: $38.00
Non-Preferred Brand: $89.00
Specialty Tier: 33%
5,144

Browse Formulary
SecureRx - Option 1 (PDP) - S8067-003 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) SecureRx - Option 1 (PDP) - S8067-003 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) SecureRx - Option 1 (PDP) - S8067-003 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies Details:
Plan Name Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
$0 Prem
LIS?
Preferred Pharmacy
Copay/
Coinsurance
Total Drugs
Service Exper. Cost Info
SilverScript Plus (PDP) - S5601-013
Benefit Details
           
$124.40 $0 Many Generics,
Some Brands
NoGeneric: $0.00
Preferred Brand: $17.00
Non-Preferred Brand: $41.00
Specialty Tier: 33%
3,073

Browse Formulary
SilverScript Plus (PDP) - S5601-013 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) SilverScript Plus (PDP) - S5601-013 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) SilverScript Plus (PDP) - S5601-013 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Aetna Medicare Rx Premier (PDP) - S5810-176
Benefit Details
           
$127.40 $0 Few Generics NoGeneric: $4.00
Preferred Brand: 25%
Non-Preferred Brand: 43%
Specialty Tier: 33%
Select Care Drugs: $2.00
3,255

Browse Formulary
Aetna Medicare Rx Premier (PDP) - S5810-176 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Aetna Medicare Rx Premier (PDP) - S5810-176 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Aetna Medicare Rx Premier (PDP) - S5810-176 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Blue Rx Complete (PDP) - S5593-003
Benefit Details
           
$130.80 $0 Many Generics NoGeneric: $7.00
Preferred Brand: $40.00
Non-Preferred Brand: $70.00
Specialty Tier: 33%
5,423

Browse Formulary
Blue Rx Complete (PDP) - S5593-003 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) Blue Rx Complete (PDP) - S5593-003 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Blue Rx Complete (PDP) - S5593-003 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
$0 Prem
LIS?
Preferred Pharmacy
Copay/
Coinsurance
Total Drugs
Service Exper. Cost Info
AmeriHealth Rx Option II (PDP) - S2321-002
Benefit Details
           
$169.00 $0 Many Generics NoPreferred Generic: $5.00
Non-Preferred Generic: $10.00
Preferred Brand: $30.00
Non-Preferred Brand: $65.00
Specialty Tier: 25%
5,420

Browse Formulary
AmeriHealth Rx Option II (PDP) - S2321-002 Medicare Part D Plan Customer Service Rating - 2 Stars (Below Average) AmeriHealth Rx Option II (PDP) - S2321-002 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) AmeriHealth Rx Option II (PDP) - S2321-002 Medicare Part D Plan Drug Pricing and Patient Safety - 2 Stars (Below Average)  

Chart Legend:

Below are 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.



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.