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 -116 | $2.00 | $5.00 | 20% | 35% | 1,645 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 | |||
2011 HealthSpring Prescription Drug Plan-Reg 34 (PDP) | $28.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -033 | 25% | 25% | 2,632 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 34 (PDP) | $27.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2011 First Health Part D Premier (PDP) | $26.10 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -117 | $11.00 | 16% | 31% | 29% | 2,928 members | ||
2012 First Health Part D Premier (PDP) | $28.60 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | 18% | 34% | 26% | tbd members | |||
2011 WellCare Classic (PDP) | $37.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -171 | $0.00 | $40.00 | $87.00 | 25% | 1,975 members | ||
2012 WellCare Classic (PDP) | $37.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $39.00 | $89.00 | 25% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $56.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -034 | 25% | 25% | 25% | 25% | < 10 members | ||
2012 EnvisionRxPlus Silver (PDP) | $37.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 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 Medco Medicare Prescription Plan - Value (PDP) | $45.50 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -136 | 25% | 25% | 25% | 25% | 105 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $39.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | 25% | 40% | tbd members | |||
2011 AARP MedicareRx Preferred (PDP) | $35.80 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5820 -033 | $7.00 | $43.00 | $79.00 | 33% | 11,486 members | ||
2012 AARP MedicareRx Preferred (PDP) | $40.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | $11.00 | $35.00 | $94.00 | tbd members | |||
2011 CVS Caremark Value (PDP) | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -068 | $5.00 | $29.00 | $95.00 | 25% | 467 members | ||
2012 CVS Caremark Value (PDP) | $46.50 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $45.00 | $95.00 | 25% | tbd members | |||
2011 MedicareRx Rewards Standard (PDP) | $39.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -140 | $4.00 | $7.00 | $29.00 | 25% | 308 members | ||
2012 MedicareRx Rewards Standard (PDP) | $46.50 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $39.00 | $80.00 | tbd members | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $47.30 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -227 | $3.00 | $26.00 | $71.00 | 25% | 406 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $46.90 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $20.00 | $27.00 | $48.00 | tbd members | |||
2011 Humana Enhanced (PDP) | $52.50 | $50 | Few Generics | No | S5884 -094 | $7.00 | $37.00 | $82.00 | 31% | 456 members | ||
2012 Humana Enhanced (PDP) | $51.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $37.00 | $82.00 | 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 Community CCRx Basic (PDP) | $47.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -103 | $2.00 | 28% | 55% | 25% | 1,063 members | ||
2012 Community CCRx Basic (PDP) | $53.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | 24% | 45% | 25% | tbd members | |||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $55.00 | $70 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -039 | $10.00 | $45.00 | $95.00 | 31% | 32 members | ||
2012 United American - Preferred (PDP) | $59.80 | $90 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $11.00 | $45.00 | $95.00 | tbd members | |||
2011 WellCare Signature (PDP) | $60.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -068 | $0.00 | $40.00 | $70.00 | 33% | 492 members | ||
2012 WellCare Signature (PDP) | $60.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $45.00 | $85.00 | tbd members | |||
2011 Health Net Orange Option 1 (PDP) | $59.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -068 | $4.00 | $33.00 | $75.00 | 25% | 16 members | ||
2012 Health Net Orange Option 1 (PDP) | $63.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $39.00 | $95.00 | 25% | tbd members | |||
2011 Aetna Medicare Rx Essentials (PDP) | $57.00 | $310 | n/a | S5810 -068 | 65 members | |||||||
2012 Aetna Medicare Rx Essentials (PDP) | $70.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $13.00 | $39.00 | 40% | tbd members | |||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $70.40 | $250 | Many Generics | No | S5660 -204 | $6.00 | $40.00 | $95.00 | 26% | 239 members | ||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $74.00 | $150 | Many Generics | No | $6.00 | $12.00 | $45.00 | $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 | ||||||
2011 Health Net Value Orange Option 2 (PDP) | $82.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -067 | $0.00 | $32.00 | $64.00 | 33% | 24 members | ||
2012 Health Net Value Orange Option 2 (PDP) | $78.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | |||
2011 CVS Caremark Plus (PDP) | $74.30 | $0 | Many Generics | No | S5601 -069 | $2.00 | $5.00 | $35.00 | $90.00 | 82 members | ||
2012 CVS Caremark Plus (PDP) | $82.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $90.00 | 33% | tbd members | |||
-- This plan not offered in 2011 -- | S7694 -104 | |||||||||||
2012 EnvisionRxPlus Gold (PDP) | $82.50 | $0 | Some Generics | No | $2.00 | 15% | 15% | 30% | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $91.00 | $0 | Some Generics, Some Brands |
No | S5674 -071 | $0.00 | $25.00 | 30% | 57% | 24 members | ||
2012 First Health Part D Premier Plus (PDP) | $88.10 | $0 | Some Generics, Some Brands |
No | $0.00 | $25.00 | 33% | 50% | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $119.90 | $0 | n/a | S5810 -204 | 88 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $89.00 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 MedicareRx Rewards Plus (PDP) | $52.00 | $0 | Some Generics | No | S5960 -162 | $4.00 | $7.00 | $43.00 | $85.00 | 59 members | ||
2012 MedicareRx Rewards Plus (PDP) | $95.30 | $0 | Some Generics | No | $4.00 | $7.00 | $45.00 | $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 Community CCRx Choice (PDP) | $86.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -171 | $0.00 | $35.00 | $65.00 | 33% | 78 members | ||
2012 Community CCRx Choice (PDP) | $95.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $70.00 | 33% | tbd members | |||
2011 AARP MedicareRx Enhanced (PDP) | $92.90 | $0 | Some Generics | No | S5921 -013 | $4.00 | $40.00 | $73.00 | 33% | 213 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $98.90 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 Sterling Rx (PDP) | $39.60 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -032 | $4.00 | $23.00 | $37.00 | 25% | 30 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $42.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5644 -201 | $4.75 | 25% | $95.00 | 25% | 125 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Aetna Medicare Rx Costco Plus Plan (PDP) | $60.10 | $0 | n/a | S5810 -238 | 283 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $60.30 | $150 | Many Generics | No | S7694 -068 | $4.00 | 25% | $25.00 | 25% | 21 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 CIGNA Medicare Rx Plan Two (PDP) | $91.30 | $0 | Few Generics | No | S5617 -204 | $0.00 | $3.00 | $31.00 | $78.00 | 14 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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