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 -176 | ||||||||||||||
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 WellCare Classic (PDP) | $38.70 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -167 | $6.00 | $41.00 | $93.00 | 33% | 2835 2013 Formulary | |||||
2014 WellCare Classic (PDP) | $21.90 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $12.00 | $40.00 | $90.00 | 2844 2014 Formulary | ||||||
2013 Humana Walmart-Preferred Rx Plan (PDP) | $18.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5884 -113 | $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 AARP MedicareRx Saver Plus (PDP) | $15.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5921 -374 | $1.00 | $2.00 | $25.00 | $45.00 | 3282 2013 Formulary | |||||
2014 AARP MedicareRx Saver Plus (PDP) | $29.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.00 | $20.00 | $35.00 | 3219 2014 Formulary | ||||||
2013 SilverScript Basic (PDP) | $35.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -060 | $2.00 | 25% | 45% | 33% | 2875 2013 Formulary | |||||
2014 SilverScript Basic (PDP) | $31.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 20% | 42% | 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 | |||||||||
-- This plan not offered in 2013 -- | S0522 -030 | ||||||||||||||
-- | -- | -- | |||||||||||||
2014 Symphonix Rite Aid Value Rx (PDP) | $32.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $10.00 | $36.00 | $85.00 | 3382 2014 Formulary | ||||||
2013 HealthSpring Prescription Drug Plan-Reg 30 (PDP) | $37.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -029 | 25% | 3027 2013 Formulary | ||||||||
2014 Cigna-HealthSpring Rx -Reg 30 (PDP) | $33.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 2946 2014 Formulary | |||||||||
2013 SilverScript Choice (PDP) | $29.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -139 | $0.00 | $34.00 | 35% | 33% | 2875 2013 Formulary | |||||
2014 SilverScript Choice (PDP) | $33.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $24.00 | 35% | 33% | 0 | ||||||
2013 Reader's Digest Value Rx (PDP) | $39.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S0128 -031 | $1.00 | $2.50 | $35.00 | 27% | 3112 2013 Formulary | |||||
new | new | new | |||||||||||||
2014 HealthMarkets Value Rx (PDP) | $33.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $2.00 | 25% | 40% | 3000 2014 Formulary | ||||||
2013 Windsor Rx (PDP) | $35.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S4802 -020 | $6.00 | $37.00 | $80.00 | 25% | 2598 2013 Formulary | |||||
2014 Windsor Rx (PDP) | $34.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $10.00 | $43.00 | $90.00 | 2885 2014 Formulary | ||||||
2013 United American - Select (PDP) | $38.90 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5755 -101 | $1.00 | $4.00 | $35.00 | $95.00 | 3131 2013 Formulary | |||||
2014 United American - Select (PDP) | $34.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $5.00 | $33.00 | $95.00 | 3184 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 Aetna Medicare Rx Essentials (PDP) | $72.90 | $325 | No additional gap coverage, only the Donut Hole Discount | No | S5810 -064 | $2.00 | $21.00 | $45.00 | 49% | 3300 2013 Formulary | |||||
2014 Aetna Medicare Rx Essentials (PDP) | $35.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $43.00 | $95.00 | 25% | 3017 2014 Formulary | ||||||
2013 SmartD Rx Saver (PDP) | $37.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S0064 -030 | $0.00 | $17.00 | $30.00 | $80.00 | 3178 2013 Formulary | |||||
2014 SmartD Rx Saver (PDP) | $35.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | tbd | ||||||||||
2013 EnvisionRxPlus Silver (PDP) | $37.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -030 | 25% | 25% | 23% | 28% | 2711 2013 Formulary | |||||
2014 EnvisionRxPlus Silver (PDP) | $35.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | 25% | $45.00 | 45% | 2630 2014 Formulary | ||||||
2013 Humana Enhanced (PDP) | $39.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -028 | $2.00 | $5.00 | $42.00 | $90.00 | 3923 2013 Formulary | |||||
2014 Humana Enhanced (PDP) | $43.10 | $0 | Few Brands | No | $2.00 | $5.00 | $42.00 | $92.00 | 3745 2014 Formulary | ||||||
-- This plan not offered in 2013 -- | S9579 -029 | ||||||||||||||
2014 Transamerica MedicareRx Classic (PDP) | $45.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $8.00 | $45.00 | $95.00 | 3032 2014 Formulary | ||||||
2013 First Health Part D Value Plus (PDP) | $28.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -153 | $0.00 | $35.00 | $70.00 | 33% | 3118 2013 Formulary | |||||
2014 First Health Part D Value Plus (PDP) | $47.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $11.00 | $37.00 | $88.00 | 3006 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 AARP MedicareRx Preferred (PDP) | $42.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -029 | $3.00 | $5.00 | $40.00 | $85.00 | 3829 2013 Formulary | |||||
2014 AARP MedicareRx Preferred (PDP) | $47.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $40.00 | $85.00 | 3707 2014 Formulary | ||||||
2013 MedicareRx Rewards Standard (PDP) | $59.80 | $325 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -136 | $2.00 | $7.00 | $34.00 | $85.00 | 2838 2013 Formulary | |||||
2014 MedicareRx Rewards Standard (PDP) | $49.30 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $4.00 | $37.00 | $90.00 | 2463 2014 Formulary | ||||||
-- This plan not offered in 2013 -- | S5660 -215 | ||||||||||||||
2014 Express Scripts Medicare - Choice (PDP) | $49.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $10.00 | $40.00 | $90.00 | 3250 2014 Formulary | ||||||
2013 Cigna Medicare Rx Plan One (PDP) | $49.00 | $325 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -148 | $0.00 | $8.00 | $26.00 | $72.00 | 3494 2013 Formulary | |||||
2014 Cigna Medicare Rx Secure (PDP) | $50.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $6.00 | $35.00 | $70.00 | 3414 2014 Formulary | ||||||
2013 First Health Part D Premier (PDP) | $39.70 | $325 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -123 | $1.00 | 25% | 43% | 3113 2013 Formulary | ||||||
2014 First Health Part D Essentials (PDP) | $52.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | 15% | 45% | 2981 2014 Formulary | |||||||
-- This plan not offered in 2013 -- | S9579 -062 | ||||||||||||||
2014 Transamerica MedicareRx Choice (PDP) | $54.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $45.00 | $95.00 | 3169 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) | $57.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -132 | $4.00 | $7.00 | 25% | 50% | 3381 2013 Formulary | |||||
2014 Express Scripts Medicare - Value (PDP) | $55.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $8.00 | 25% | 50% | 3171 2014 Formulary | ||||||
2013 WellCare Extra (PDP) | $49.00 | $0 | Many Generics | No | S5967 -201 | $0.00 | 25% | 25% | 50% | 2835 2013 Formulary | |||||
2014 WellCare Extra (PDP) | $57.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $0.00 | $38.00 | $60.00 | 2844 2014 Formulary | ||||||
-- This plan not offered in 2013 -- | S5617 -275 | ||||||||||||||
2014 Cigna Medicare Rx Secure-Xtra (PDP) | $65.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $5.00 | $38.00 | $87.00 | 3618 2014 Formulary | ||||||
2013 United American - Enhanced (PDP) | $57.30 | $70 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -033 | $1.00 | $1.00 | $40.00 | $95.00 | 3381 2013 Formulary | |||||
2014 United American - Enhanced (PDP) | $67.40 | $50 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $7.00 | $37.00 | $95.00 | 5136 2014 Formulary | ||||||
2013 SmartD Rx Plus (PDP) | $71.80 | $0 | Some Generics | No | S0064 -065 | $0.00 | $17.00 | $30.00 | $80.00 | 3178 2013 Formulary | |||||
2014 SmartD Rx Plus (PDP) | $68.90 | $0 | Call Plan for details | No | tbd | ||||||||||
2013 Asuris Medicare Script Basic (PDP) | $82.00 | $187 | No additional gap coverage, only the Donut Hole Discount | No | S5609 -001 | $7.50 | $33.00 | $40.00 | $85.00 | 3733 2013 Formulary | |||||
2014 Asuris Medicare Script Basic (PDP) | $88.50 | $200 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $33.00 | $45.00 | $90.00 | 3414 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 AARP MedicareRx Enhanced (PDP) | $94.70 | $0 | Some Generics, Some Brands | No | S5921 -023 | $2.00 | $5.00 | $40.00 | $76.00 | 4971 2013 Formulary | |||||
2014 AARP MedicareRx Enhanced (PDP) | $105.30 | $0 | Some Generics, Some Brands | No | $2.00 | $4.00 | $27.00 | $65.00 | 4904 2014 Formulary | ||||||
2013 First Health Part D Premier Plus (PDP) | $102.40 | $0 | Some Generics, Some Brands | No | S5674 -047 | $0.00 | $20.00 | 25% | 41% | 3173 2013 Formulary | |||||
2014 First Health Part D Premier Plus (PDP) | $107.10 | $0 | Some Generics, Some Brands | No | $1.00 | $25.00 | 25% | 41% | 3104 2014 Formulary | ||||||
2013 SilverScript Plus (PDP) | $104.30 | $0 | Many Generics, Some Brands | No | S5601 -061 | $0.00 | $34.00 | 35% | 33% | 2875 2013 Formulary | |||||
2014 SilverScript Plus (PDP) | $123.50 | $0 | Many Generics, Some Brands | No | $0.00 | $17.00 | $41.00 | 33% | |||||||
-- This plan not offered in 2013 -- | S5617 -241 | ||||||||||||||
2014 Cigna Medicare Rx Secure-Max (PDP) | $125.60 | $0 | Many Generics, Some Brands | No | $0.00 | $4.00 | $25.00 | $74.00 | 3766 2014 Formulary | ||||||
2013 Aetna Medicare Rx Premier (PDP) | $107.60 | $0 | Many Generics, Some Brands | No | S5810 -200 | $5.00 | $33.00 | $45.00 | tbd | 3364 2013 Formulary | |||||
2014 Aetna Medicare Rx Premier (PDP) | $133.60 | $0 | Few Generics | No | $6.00 | 24% | 44% | 33% | 3134 2014 Formulary | ||||||
2013 Asuris Medicare Script Enhanced (PDP) | $116.50 | $0 | Many Generics | No | S5609 -002 | $5.00 | $33.00 | $40.00 | $85.00 | 3733 2013 Formulary | |||||
2014 Asuris Medicare Script Enhanced (PDP) | $143.00 | $0 | Many Generics | No | $5.00 | $33.00 | $40.00 | $90.00 | 3414 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 Humana Complete (PDP) | $122.40 | $0 | Some Generics, Some Brands | No | S5884 -058 | $5.00 | $37.00 | $71.00 | 33% | 3937 2013 Formulary | |||||
-- Members will be assigned to Humana Enhanced (PDP) S5884-028 -- | |||||||||||||||
2013 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | Some Generics | No | S7694 -100 | $2.00 | $5.00 | $25.00 | 30% | 2747 2013 Formulary | |||||
-- This plan not offered in 2014 -- | |||||||||||||||
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