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 -109 | $2.00 | $5.00 | 20% | 35% | 18,268 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) | $38.30 | $310 | n/a | S5810 -058 | 4,503 members | |||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $10.00 | $31.00 | 40% | tbd members | |||
2011 BravoRx (PDP) | $35.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -028 | 25% | 25% | 25% | 25% | 733 members | ||
2012 BravoRx (PDP) | $33.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | tbd members | ||||
2011 First Health Part D Premier (PDP) | $33.70 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -047 | $8.00 | 18% | 36% | 29% | 23,928 members | ||
2012 First Health Part D Premier (PDP) | $34.30 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | 18% | 34% | 26% | tbd members | |||
2011 Community CCRx Basic (PDP) | $35.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -093 | $2.00 | 30% | 64% | 25% | 24,934 members | ||
2012 Community CCRx Basic (PDP) | $34.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 48% | 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 EnvisionRxPlus Silver (PDP) | $37.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -024 | 25% | 25% | 25% | 25% | 246 members | ||
2012 EnvisionRxPlus Silver (PDP) | $35.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 Medco Medicare Prescription Plan - Value (PDP) | $38.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -126 | 25% | 25% | 25% | 25% | 5,395 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $35.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | 25% | 40% | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -095 | |||||||||||
2012 United American - Select (PDP) | $36.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $8.00 | $45.00 | $95.00 | tbd members | |||
2011 HealthSpring Prescription Drug Plan-Reg 24 (PDP) | $37.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -023 | 25% | 25% | 5,256 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 24 (PDP) | $37.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2011 WellCare Classic (PDP) | $36.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -161 | $0.00 | $41.00 | $93.00 | 25% | 2,983 members | ||
2012 WellCare Classic (PDP) | $37.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $41.00 | $95.00 | 25% | tbd members | |||
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