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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-- This plan not offered in 2011 -- | S5768 -144 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $28.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 25% | 40% | 33% | tbd members | |||
2011 Humana Enhanced (PDP) | $50.20 | $0 | Few Generics | No | S5884 -019 | $6.00 | $36.00 | $78.00 | 33% | 19,083 members | ||
2012 Humana Enhanced (PDP) | $43.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | $36.00 | $78.00 | 33% | tbd members | |||
2011 AARP MedicareRx Preferred (PDP) | $40.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -020 | $7.00 | $43.00 | $73.00 | 33% | 40,686 members | ||
2012 AARP MedicareRx Preferred (PDP) | $44.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $36.00 | $94.00 | tbd members | |||
2011 Health Net Value Orange Option 2 (PDP) | $62.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -047 | $0.00 | $32.00 | $64.00 | 33% | 695 members | ||
2012 Health Net Value Orange Option 2 (PDP) | $64.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | |||
2011 WellCare Signature (PDP) | $60.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -055 | $0.00 | $37.00 | $72.00 | 33% | 3,505 members | ||
2012 WellCare Signature (PDP) | $65.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $45.00 | $85.00 | 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 | ||||||
-- This plan not offered in 2011 -- | S7694 -091 | |||||||||||
2012 Rite Aid EnvisionRxPlus (PDP) | $67.50 | $0 | Some Generics | No | $0.00 | 20% | 15% | 30% | tbd members | |||
2011 MedicareRx Rewards Plus (PDP) | $46.10 | $0 | Some Generics | No | S5960 -153 | $4.00 | $7.00 | $43.00 | $85.00 | 1,124 members | ||
2012 MedicareRx Rewards Plus (PDP) | $70.00 | $0 | Some Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 Community CCRx Choice (PDP) | $85.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -158 | $0.00 | $35.00 | $65.00 | 33% | 3,974 members | ||
2012 Community CCRx Choice (PDP) | $79.40 | $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) | $102.10 | $0 | Some Generics | No | S5921 -333 | $3.50 | $40.00 | $79.00 | 33% | 1,066 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $90.40 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $107.20 | $0 | n/a | S5810 -191 | 826 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $91.30 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
-- This plan not offered in 2011 -- | S5937 -002 | |||||||||||
2012 RxBLUE PLUS (PDP) | $98.20 | $0 | Many Generics | No | $3.00 | $35.00 | $70.00 | 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 First Health Part D Premier Plus (PDP) | $92.50 | $0 | Some Generics, Some Brands |
No | S5670 -114 | $0.00 | $25.00 | 30% | 56% | 1,213 members | ||
2012 First Health Part D Premier Plus (PDP) | $102.10 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2011 Humana Complete (PDP) | $107.60 | $0 | Many Generics, Some Brands |
No | S5884 -049 | $4.00 | $37.00 | $70.00 | 33% | 1,919 members | ||
2012 Humana Complete (PDP) | $107.70 | $0 | Many Generics, Some Brands |
No | $4.00 | $37.00 | $70.00 | 33% | tbd members | |||
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