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 -115 | $2.00 | $5.00 | 20% | 35% | 1,552 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 Aetna Medicare Rx Essentials (PDP) | $51.90 | $310 | n/a | S5810 -067 | 32 members | |||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $28.00 | $40.00 | 35% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $37.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -033 | 25% | 25% | 25% | 25% | < 10 members | ||
2012 EnvisionRxPlus Silver (PDP) | $27.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 CVS Caremark Value (PDP) | $23.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -066 | $5.00 | $41.50 | $95.00 | 25% | 1,352 members | ||
2012 CVS Caremark Value (PDP) | $27.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $7.25 | $45.00 | $95.00 | 25% | tbd members | |||
2011 HealthSpring Prescription Drug Plan-Reg 33 (PDP) | $25.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -032 | 25% | 25% | 4,574 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 33 (PDP) | $28.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 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 MedicareRx Rewards Standard (PDP) | $28.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5960 -139 | $4.00 | $7.00 | $38.00 | 25% | 1,532 members | ||
2012 MedicareRx Rewards Standard (PDP) | $28.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $7.00 | $40.00 | $90.00 | tbd members | |||
2011 Health Net Orange Option 1 (PDP) | $33.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -066 | $4.00 | $43.00 | $75.00 | 25% | 42 members | ||
2012 Health Net Orange Option 1 (PDP) | $30.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $8.00 | $45.00 | $95.00 | 25% | tbd members | |||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $50.30 | $60 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -038 | $10.00 | $45.00 | $95.00 | 31% | 65 members | ||
2012 United American - Select (PDP) | $30.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
2011 AARP MedicareRx Preferred (PDP) | $29.20 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5820 -032 | $8.00 | $45.00 | $95.00 | 33% | 13,348 members | ||
2012 AARP MedicareRx Preferred (PDP) | $32.30 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $11.00 | $45.00 | $95.00 | tbd members | |||
2011 WellCare Classic (PDP) | $37.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -170 | $0.00 | $43.00 | $95.00 | 25% | 156 members | ||
2012 WellCare Classic (PDP) | $32.30 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $41.00 | $95.00 | 33% | tbd members | |||
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