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 -146 | $2.00 | $5.00 | 20% | 35% | 16,739 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 Health Net Orange Option 1 (PDP) | $22.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -001 | $4.00 | $36.00 | $75.00 | 25% | 28,402 members | ||
2012 Health Net Orange Option 1 (PDP) | $25.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $45.00 | $95.00 | 25% | tbd members | |||
2011 Community CCRx Basic (PDP) | $27.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -097 | $2.00 | 30% | 67% | 25% | 4,879 members | ||
2012 Community CCRx Basic (PDP) | $25.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 47% | 25% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $28.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -028 | 25% | 25% | 25% | 25% | 138 members | ||
2012 EnvisionRxPlus Silver (PDP) | $25.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 Aetna Medicare Rx Essentials (PDP) | $57.60 | $310 | n/a | S5810 -062 | 331 members | |||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $24.00 | $35.00 | 41% | 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) | $26.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -032 | 25% | 25% | 25% | 25% | 4,520 members | ||
2012 BravoRx (PDP) | $26.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | tbd members | ||||
2011 WellCare Classic (PDP) | $23.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -165 | $0.00 | $44.00 | $94.00 | 25% | 6,808 members | ||
2012 WellCare Classic (PDP) | $26.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $45.00 | $95.00 | 25% | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -099 | |||||||||||
2012 United American - Select (PDP) | $26.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $7.00 | $45.00 | $95.00 | tbd members | |||
2011 MedicareRx Rewards Standard (PDP) | $25.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5960 -134 | $4.00 | $7.00 | $38.00 | 25% | 6,827 members | ||
2012 MedicareRx Rewards Standard (PDP) | $27.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $7.00 | $34.00 | $90.00 | tbd members | |||
2011 AARP MedicareRx Preferred (PDP) | $28.60 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5820 -027 | $7.00 | $45.00 | $80.00 | 33% | 115,147 members | ||
2012 AARP MedicareRx Preferred (PDP) | $28.80 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | $43.00 | $95.00 | tbd members | |||
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