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 -141 | $2.00 | $5.00 | 20% | 35% | 15,170 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 Windsor Rx (PDP) | $23.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S2505 -003 | $4.00 | $34.00 | $70.00 | 25% | 4,374 members | ||
2012 Windsor Rx (PDP) | $20.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $41.00 | $80.00 | 25% | tbd members | |||
2011 Health Net Orange Option 1 (PDP) | $30.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -044 | $4.00 | $34.00 | $75.00 | 25% | 893 members | ||
2012 Health Net Orange Option 1 (PDP) | $25.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $44.00 | $84.00 | 25% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $30.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -019 | 25% | 25% | 25% | 25% | 1,063 members | ||
2012 EnvisionRxPlus Silver (PDP) | $28.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 BravoRx (PDP) | $30.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -024 | 25% | 25% | 25% | 25% | 683 members | ||
2012 BravoRx (PDP) | $29.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 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 Community CCRx Basic (PDP) | $28.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -088 | $2.00 | 31% | 66% | 25% | 40,261 members | ||
2012 Community CCRx Basic (PDP) | $29.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 47% | 25% | tbd members | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $33.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -225 | $3.00 | $29.00 | $82.00 | 25% | 5,990 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $30.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $30.00 | $78.00 | tbd members | |||
2011 Medco Medicare Prescription Plan - Value (PDP) | $30.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -121 | 25% | 25% | 25% | 25% | 9,589 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $30.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | 25% | 40% | tbd members | |||
2011 CVS Caremark Value (PDP) | $26.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -038 | $5.00 | $34.50 | $95.00 | 25% | 2,566 members | ||
2012 CVS Caremark Value (PDP) | $30.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $45.00 | $95.00 | 25% | tbd members | |||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $32.20 | $110 | No additional gap coverage, only the Donut Hole Discount | Yes | S5755 -022 | $10.00 | $45.00 | $95.00 | 30% | 8,474 members | ||
2012 United American - Preferred (PDP) | $30.90 | $145 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $12.00 | $45.00 | $95.00 | tbd members | |||
2011 First Health Part D Premier (PDP) | $31.10 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -043 | $10.00 | 15% | 33% | 29% | 13,819 members | ||
2012 First Health Part D Premier (PDP) | $31.50 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | 20% | 38% | 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 HealthSpring Prescription Drug Plan-Reg 19 (PDP) | $30.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -018 | 25% | 25% | 2,937 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 19 (PDP) | $32.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2011 MedicareRx Rewards Standard (PDP) | $29.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5960 -125 | $4.00 | $7.00 | $33.00 | 25% | 6,252 members | ||
2012 MedicareRx Rewards Standard (PDP) | $32.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $7.00 | $29.00 | $90.00 | tbd members | |||
2011 Aetna Medicare Rx Essentials (PDP) | $30.30 | $310 | n/a | S5810 -053 | 4,880 members | |||||||
2012 Aetna Medicare Rx Essentials (PDP) | $33.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $15.00 | $39.00 | 40% | tbd members | |||
2011 WellCare Classic (PDP) | $29.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -156 | $0.00 | $41.00 | $83.00 | 25% | 10,846 members | ||
2012 WellCare Classic (PDP) | $33.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $41.00 | $95.00 | 25% | tbd members | |||
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