2011 / 2012 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 | Members In This Plan | |||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
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2011 Humana Walmart-Preferred Rx Plan (PDP) | $14.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5884 -147 | $2.00 | $5.00 | 20% | 35% | 10,829 members | ||
2012 Humana Walmart-Preferred Rx Plan (PDP) | $15.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $5.00 | 20% | 35% | tbd members | |||
-- This plan not offered in 2011 -- | S5768 -154 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $28.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 25% | 38% | 33% | tbd members | |||
2011 Sterling Rx (PDP) | $39.80 | $100 | No additional gap coverage, only the Donut Hole Discount | Yes | S4802 -021 | $4.00 | $22.00 | $37.00 | 25% | 1,882 members | ||
2012 Windsor Rx (PDP) | $34.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $40.00 | $90.00 | 25% | tbd members | |||
2011 HealthSpring Prescription Drug Plan-Reg 31 (PDP) | $35.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -030 | 25% | 25% | 6,110 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 31 (PDP) | $35.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2011 First Health Part D Premier (PDP) | $34.10 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -118 | $8.00 | 17% | 36% | 29% | 15,353 members | ||
2012 First Health Part D Premier (PDP) | $35.20 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | 18% | 33% | 26% | tbd members | |||
Plan Name | Monthly Premium |
Deduct- ible |
Additional Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | |||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | ||||||
2011 EnvisionRxPlus Silver (PDP) | $49.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -031 | 25% | 25% | 25% | 25% | 37 members | ||
2012 EnvisionRxPlus Silver (PDP) | $36.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 Community CCRx Basic (PDP) | $39.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -100 | $2.00 | 29% | 60% | 25% | 10,438 members | ||
2012 Community CCRx Basic (PDP) | $38.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 46% | 25% | tbd members | |||
2011 CVS Caremark Value (PDP) | $37.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -062 | $5.00 | $42.75 | $95.00 | 25% | 10,980 members | ||
2012 CVS Caremark Value (PDP) | $38.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.75 | $45.00 | $95.00 | 25% | tbd members | |||
2011 Medco Medicare Prescription Plan - Value (PDP) | $42.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -133 | 25% | 25% | 25% | 25% | 5,571 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $38.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | 25% | 40% | tbd members | |||
2011 Humana Enhanced (PDP) | $45.40 | $0 | Few Generics | No | S5884 -089 | $7.00 | $39.00 | $74.00 | 33% | 26,211 members | ||
2012 Humana Enhanced (PDP) | $39.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $39.00 | $74.00 | 33% | tbd members | |||
2011 Health Net Orange Option 1 (PDP) | $42.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -064 | $4.00 | $34.00 | $75.00 | 25% | 1,363 members | ||
2012 Health Net Orange Option 1 (PDP) | $40.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $45.00 | $95.00 | 25% | tbd members | |||
Plan Name | Monthly Premium |
Deduct- ible |
Additional Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | |||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | ||||||
2011 BravoRx (PDP) | $38.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -034 | 25% | 25% | 25% | 25% | 3,895 members | ||
2012 BravoRx (PDP) | $40.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | tbd members | ||||
2011 WellCare Classic (PDP) | $39.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -168 | $0.00 | $44.00 | $93.00 | 25% | 2,709 members | ||
2012 WellCare Classic (PDP) | $41.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $45.00 | $95.00 | 25% | tbd members | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $42.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -153 | $3.00 | $29.00 | $83.00 | 25% | 2,153 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $42.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $35.00 | $87.00 | tbd members | |||
2011 AARP MedicareRx Preferred (PDP) | $39.80 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5820 -030 | $7.00 | $45.00 | $79.00 | 33% | 32,286 members | ||
2012 AARP MedicareRx Preferred (PDP) | $47.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $40.00 | $95.00 | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -102 | |||||||||||
2012 United American - Select (PDP) | $48.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $8.00 | $45.00 | $95.00 | tbd members | |||
2011 MedicareRx Rewards Standard (PDP) | $49.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -137 | $4.00 | $7.00 | $38.00 | 25% | 1,061 members | ||
2012 MedicareRx Rewards Standard (PDP) | $54.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $41.00 | $90.00 | tbd members | |||
Plan Name | Monthly Premium |
Deduct- ible |
Additional Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | |||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | ||||||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $54.40 | $70 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -034 | $10.00 | $45.00 | $95.00 | 31% | 832 members | ||
2012 United American - Preferred (PDP) | $56.20 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
2011 Aetna Medicare Rx Essentials (PDP) | $52.40 | $310 | n/a | S5810 -065 | 595 members | |||||||
2012 Aetna Medicare Rx Essentials (PDP) | $59.30 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $16.00 | $41.00 | 42% | tbd members | |||
2011 Educators Rx Basic (PDP) | $55.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5877 -004 | $3.00 | $40.00 | $60.00 | $85.00 | 376 members | ||
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2012 Educators Rx Basic (PDP) | $66.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $43.00 | $63.00 | $85.00 | tbd members | |||
-- This plan not offered in 2011 -- | S7694 -101 | |||||||||||
2012 Rite Aid EnvisionRxPlus (PDP) | $67.50 | $0 | Some Generics | No | $0.00 | 20% | 15% | 30% | tbd members | |||
2011 Regence Medicare Script (PDP) | $77.00 | $130 | No additional gap coverage, only the Donut Hole Discount | No | S5916 -001 | $5.00 | $35.00 | $35.00 | $75.00 | 5,470 members | ||
2012 Regence Medicare Script Basic (PDP) | $74.00 | $195 | No additional gap coverage, only the Donut Hole Discount | No | $7.50 | $33.00 | $40.00 | $85.00 | tbd members | |||
2011 Health Net Value Orange Option 2 (PDP) | $79.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -063 | $0.00 | $32.00 | $64.00 | 33% | 413 members | ||
2012 Health Net Value Orange Option 2 (PDP) | $75.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | |||
Plan Name | Monthly Premium |
Deduct- ible |
Additional Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | |||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | ||||||
2011 WellCare Signature (PDP) | $68.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -065 | $0.00 | $40.00 | $91.00 | 33% | 1,206 members | ||
2012 WellCare Signature (PDP) | $78.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $45.00 | $95.00 | tbd members | |||
2011 CVS Caremark Plus (PDP) | $77.90 | $0 | Many Generics | No | S5601 -063 | $2.00 | $5.00 | $35.00 | $90.00 | 529 members | ||
2012 CVS Caremark Plus (PDP) | $87.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $90.00 | 33% | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $117.60 | $0 | n/a | S5810 -201 | 240 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $89.20 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 MedicareRx Rewards Plus (PDP) | $55.10 | $0 | Some Generics | No | S5960 -160 | $4.00 | $7.00 | $43.00 | $85.00 | 387 members | ||
2012 MedicareRx Rewards Plus (PDP) | $92.40 | $0 | Some Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 AARP MedicareRx Enhanced (PDP) | $94.40 | $0 | Some Generics | No | S5921 -033 | $4.50 | $40.00 | $74.00 | 33% | 925 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $95.70 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 Educators Rx Advantage (PDP) | $86.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5877 -007 | 10% | 20% | 50% | 33% | 788 members | ||
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2012 Educators Rx Advantage (PDP) | $98.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | 10% | 20% | 40% | 33% | tbd members | |||
Plan Name | Monthly Premium |
Deduct- ible |
Additional Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | |||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | ||||||
2011 Community CCRx Choice (PDP) | $96.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -168 | $0.00 | $35.00 | $65.00 | 33% | 783 members | ||
2012 Community CCRx Choice (PDP) | $99.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $70.00 | 33% | tbd members | |||
2011 Regence Medicare Script Enhanced (PDP) | $105.50 | $0 | Many Generics | No | S5916 -002 | $4.00 | $30.00 | $30.00 | $70.00 | 1,406 members | ||
2012 Regence Medicare Script Enhanced (PDP) | $106.00 | $0 | Many Generics | No | $5.00 | $33.00 | $40.00 | $85.00 | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $100.30 | $0 | Some Generics, Some Brands |
No | S5674 -053 | $0.00 | $25.00 | 30% | 56% | 1,145 members | ||
2012 First Health Part D Premier Plus (PDP) | $110.00 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 40% | tbd members | |||
2011 Humana Complete (PDP) | $112.40 | $0 | Many Generics, Some Brands |
No | S5884 -059 | $5.00 | $37.00 | $71.00 | 33% | 1,198 members | ||
2012 Humana Complete (PDP) | $112.50 | $0 | Many Generics, Some Brands |
No | $5.00 | $37.00 | $71.00 | 33% | tbd members | |||
2011 Aetna Medicare Rx Costco Plus Plan (PDP) | $59.60 | $0 | n/a | S5810 -235 | 752 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $67.40 | $150 | Many Generics | No | S7694 -065 | $4.00 | 25% | $25.00 | 25% | 119 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
Plan Name | Monthly Premium |
Deduct- ible |
Additional Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | |||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | ||||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $121.70 | $250 | Many Generics | No | S5660 -201 | $6.00 | $40.00 | $95.00 | 26% | 157 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $73.20 | $0 | Few Generics | No | S5617 -201 | $0.00 | $3.00 | $34.00 | $78.00 | 217 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $57.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5644 -087 | $5.50 | 25% | $95.00 | 25% | 845 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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