2012 / 2013 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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-- This plan not offered in 2012 -- | S5921 -375 | |||||||||||
2013 AARP MedicareRx Saver Plus (PDP) | $15.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.00 | $25.00 | $45.00 | tbd members | |||
2012 Humana Walmart-Preferred Rx Plan (PDP) | $15.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5884 -147 | $1.00 | $5.00 | 20% | 35% | 16,378 members | ||
2013 Humana Walmart-Preferred Rx Plan (PDP) | $18.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | 20% | 35% | tbd members | |||
2012 First Health Part D Value Plus (PDP) | $28.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -154 | $0.00 | 25% | 38% | 33% | 7,019 members | ||
2013 First Health Part D Value Plus (PDP) | $29.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $70.00 | 33% | tbd members | |||
-- This plan not offered in 2012 -- | S5601 -140 | |||||||||||
2013 SilverScript Choice (PDP) | $29.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $34.00 | 35% | 33% | tbd members | |||
2012 Windsor Rx (PDP) | $34.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S4802 -021 | $6.00 | $40.00 | $90.00 | 25% | 2,789 members | ||
2013 Windsor Rx (PDP) | $39.90 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $36.00 | $80.00 | 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 | ||||||
2012 EnvisionRxPlus Silver (PDP) | $36.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -031 | 25% | 25% | 25% | 25% | 1,405 members | ||
2013 EnvisionRxPlus Silver (PDP) | $41.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -031 | |||||||||||
2013 SmartD Rx Saver (PDP) | $41.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $21.00 | $30.00 | $85.00 | tbd members | |||
2012 CVS Caremark Value (PDP) | $38.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -062 | $5.75 | $45.00 | $95.00 | 25% | 11,032 members | ||
2013 SilverScript Basic (PDP) | $41.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 23% | 44% | 33% | tbd members | |||
-- This plan not offered in 2012 -- | S0128 -032 | |||||||||||
new | new | new | ||||||||||
2013 Reader's Digest Value Rx (PDP) | $42.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.50 | $36.00 | 27% | tbd members | |||
2012 HealthSpring Prescription Drug Plan-Reg 31 (PDP) | $35.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -030 | 25% | 25% | 6,164 members | ||||
2013 HealthSpring Prescription Drug Plan-Reg 31 (PDP) | $42.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | tbd members | ||||||
2012 United American - Select (PDP) | $48.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -102 | $3.00 | $8.00 | $45.00 | $95.00 | < 10 members | ||
2013 United American - Select (PDP) | $43.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | $38.00 | $95.00 | 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 | ||||||
2012 Humana Enhanced (PDP) | $39.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -089 | $7.00 | $39.00 | $74.00 | 33% | 26,937 members | ||
2013 Humana Enhanced (PDP) | $44.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $42.00 | $90.00 | tbd members | |||
2012 Medco Medicare Prescription Plan - Value (PDP) | $38.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -133 | $4.00 | $8.00 | 25% | 40% | 6,851 members | ||
2013 Express Scripts Medicare - Value (PDP) | $44.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $7.00 | 25% | 39% | tbd members | |||
2012 First Health Part D Premier (PDP) | $35.20 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -118 | $6.00 | 18% | 33% | 26% | 13,084 members | ||
2013 First Health Part D Premier (PDP) | $44.40 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | 25% | 47% | tbd members | ||||
2012 CIGNA Medicare Rx Plan One (PDP) | $42.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -153 | $3.00 | $20.00 | $35.00 | $87.00 | 2,145 members | ||
2013 Cigna Medicare Rx Plan One (PDP) | $44.80 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $8.00 | $26.00 | $80.00 | tbd members | |||
2012 WellCare Classic (PDP) | $41.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -168 | $0.00 | $45.00 | $95.00 | 25% | 3,261 members | ||
2013 WellCare Classic (PDP) | $45.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | $41.00 | $95.00 | 33% | tbd members | |||
2012 AARP MedicareRx Preferred (PDP) | $47.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -030 | $4.00 | $8.00 | $40.00 | $95.00 | 28,075 members | ||
2013 AARP MedicareRx Preferred (PDP) | $48.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $5.00 | $40.00 | $85.00 | 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 | ||||||
-- This plan not offered in 2012 -- | S5967 -202 | |||||||||||
2013 WellCare Extra (PDP) | $49.00 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | |||
2012 Rite Aid EnvisionRxPlus (PDP) | $67.50 | $0 | Some Generics | No | S7694 -101 | $0.00 | 20% | 15% | 30% | 82 members | ||
2013 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | tbd members | |||
2012 United American - Preferred (PDP) | $56.20 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -034 | $3.00 | $9.00 | $45.00 | $95.00 | 711 members | ||
2013 United American - Enhanced (PDP) | $62.20 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $1.00 | $40.00 | $95.00 | tbd members | |||
2012 Aetna Medicare Rx Essentials (PDP) | $59.30 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5810 -065 | $3.00 | $16.00 | $41.00 | 42% | 517 members | ||
2013 Aetna Medicare Rx Essentials (PDP) | $62.30 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $23.00 | $45.00 | 47% | tbd members | |||
2012 MedicareRx Rewards Standard (PDP) | $54.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -137 | $4.00 | $7.00 | $41.00 | $90.00 | 806 members | ||
2013 MedicareRx Rewards Standard (PDP) | $69.70 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $7.00 | $37.00 | $85.00 | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -066 | |||||||||||
2013 SmartD Rx Plus (PDP) | $74.30 | $0 | Some Generics | No | $0.00 | $21.00 | $30.00 | $85.00 | 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 | ||||||
2012 Educators Rx Basic (PDP) | $66.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5877 -004 | $3.00 | $43.00 | $63.00 | $85.00 | 351 members | ||
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2013 Educators Rx Basic (PDP) | $78.10 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | $45.00 | $90.00 | $95.00 | tbd members | |||
2012 Regence Medicare Script Basic (PDP) | $74.00 | $195 | No additional gap coverage, only the Donut Hole Discount | No | S5916 -001 | $7.50 | $33.00 | $40.00 | $85.00 | 4,887 members | ||
2013 Regence Medicare Script Basic (PDP) | $80.50 | $187 | No additional gap coverage, only the Donut Hole Discount | No | $7.50 | $33.00 | $40.00 | $85.00 | tbd members | |||
2012 AARP MedicareRx Enhanced (PDP) | $95.70 | $0 | Some Generics | No | S5921 -033 | $4.00 | $7.00 | $40.00 | $76.00 | 956 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $99.60 | $0 | Some Generics, Some Brands | No | $2.00 | $5.00 | $40.00 | $76.00 | tbd members | |||
2012 First Health Part D Premier Plus (PDP) | $110.00 | $0 | Some Generics, Some Brands | No | S5674 -053 | $0.00 | $20.00 | 25% | 40% | 1,054 members | ||
2013 First Health Part D Premier Plus (PDP) | $102.50 | $0 | Some Generics, Some Brands | No | $0.00 | $20.00 | 25% | 40% | tbd members | |||
2012 CVS Caremark Plus (PDP) | $87.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -063 | $0.00 | $40.00 | $90.00 | 33% | 404 members | ||
2013 SilverScript Plus (PDP) | $109.90 | $0 | Many Generics, Some Brands | No | $0.00 | $34.00 | 35% | 33% | tbd members | |||
2012 Regence Medicare Script Enhanced (PDP) | $106.00 | $0 | Many Generics | No | S5916 -002 | $5.00 | $33.00 | $40.00 | $85.00 | 1,438 members | ||
2013 Regence Medicare Script Enhanced (PDP) | $111.00 | $0 | Many Generics | No | $5.00 | $33.00 | $40.00 | $85.00 | 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 | ||||||
2012 Educators Rx Advantage (PDP) | $98.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5877 -007 | 10% | 20% | 40% | 33% | 711 members | ||
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2013 Educators Rx Advantage (PDP) | $114.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | 10% | 20% | 40% | 33% | tbd members | |||
2012 Aetna Medicare Rx Premier (PDP) | $89.20 | $0 | Many Generics | No | S5810 -201 | $4.00 | $25.00 | $35.00 | $80.00 | 828 members | ||
2013 Aetna Medicare Rx Premier (PDP) | $116.20 | $0 | Many Generics, Some Brands | No | $5.00 | $33.00 | $45.00 | tbd | tbd members | |||
2012 Humana Complete (PDP) | $112.50 | $0 | Many Generics, Some Brands | No | S5884 -059 | $5.00 | $37.00 | $71.00 | 33% | 973 members | ||
2013 Humana Complete (PDP) | $116.30 | $0 | Some Generics, Some Brands | No | $5.00 | $37.00 | $71.00 | 33% | tbd members | |||
2012 BravoRx (PDP) | $40.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -034 | 25% | 25% | 25% | 4,170 members | |||
-- Members will be assigned to HealthSpring Prescription Drug Plan S5932-030 -- | ||||||||||||
2012 Health Net Orange Option 1 (PDP) | $40.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -064 | $5.00 | $45.00 | $95.00 | 25% | 2,010 members | ||
-- Members will be assigned to SilverScript Basic S5601-062 -- | ||||||||||||
2012 Community CCRx Basic (PDP) | $38.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -100 | $2.00 | 25% | 46% | 25% | 10,355 members | ||
-- Members will be assigned to SilverScript Basic S5601-062 -- | ||||||||||||
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 | ||||||
2012 Health Net Value Orange Option 2 (PDP) | $75.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -063 | $0.00 | $32.00 | $64.00 | 33% | 793 members | ||
-- Members will be assigned to SilverScript Plus S5601-063 -- | ||||||||||||
2012 Community CCRx Choice (PDP) | $99.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -168 | $0.00 | $40.00 | $70.00 | 33% | 645 members | ||
-- Members will be assigned to SilverScript Plus S5601-063 -- | ||||||||||||
2012 WellCare Signature (PDP) | $78.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -065 | $0.00 | $20.00 | $45.00 | $95.00 | 865 members | ||
-- Members will be assigned to WellCare Classic S5967-168 -- | ||||||||||||
2012 MedicareRx Rewards Plus (PDP) | $92.40 | $0 | Some Generics | No | S5960 -160 | $4.00 | $7.00 | $45.00 | $90.00 | 186 members | ||
-- This plan not offered in 2013 -- | ||||||||||||
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