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 -103 | $2.00 | $5.00 | 20% | 35% | 16,319 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 | |||
-- This plan not offered in 2011 -- | S5768 -128 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $23.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 25% | 40% | 33% | tbd members | |||
2011 Aetna Medicare Rx Essentials (PDP) | $34.50 | $310 | n/a | S5810 -039 | 6,183 members | |||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $12.00 | $38.00 | 36% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $35.30 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -005 | 25% | 25% | 25% | 25% | 313 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 CIGNA Medicare Rx Plan One (PDP) | $35.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -214 | $3.00 | $29.00 | $80.00 | 25% | 8,308 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $32.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $32.00 | $81.00 | 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 | ||||||
2011 First Health Part D Premier (PDP) | $36.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -008 | $9.00 | 16% | 35% | 29% | 31,494 members | ||
2012 First Health Part D Premier (PDP) | $32.30 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | 20% | 38% | 26% | tbd members | |||
2011 Community CCRx Basic (PDP) | $30.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -074 | $2.00 | 29% | 60% | 25% | 26,877 members | ||
2012 Community CCRx Basic (PDP) | $32.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 48% | 25% | tbd members | |||
2011 Medco Medicare Prescription Plan - Value (PDP) | $35.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -107 | 25% | 25% | 25% | 25% | 14,679 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $33.00 | $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 -076 | |||||||||||
2012 United American - Select (PDP) | $33.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
2011 CVS Caremark Value (PDP) | $34.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -010 | $5.50 | $45.00 | $95.00 | 25% | 5,629 members | ||
2012 CVS Caremark Value (PDP) | $33.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $9.50 | $45.00 | $95.00 | 25% | tbd members | |||
2011 HealthSpring Prescription Drug Plan -Reg 5 (PDP) | $30.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -034 | 25% | 25% | 13,944 members | ||||
2012 HealthSpring Prescription Drug Plan -Reg 5 (PDP) | $33.30 | $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 WellCare Classic (PDP) | $33.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -142 | $0.00 | $43.00 | $94.00 | 25% | 17,774 members | ||
2012 WellCare Classic (PDP) | $34.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $42.00 | $95.00 | 25% | tbd members | |||
2011 Health Net Orange Option 1 (PDP) | $31.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -016 | $4.00 | $37.00 | $75.00 | 25% | 825 members | ||
2012 Health Net Orange Option 1 (PDP) | $34.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $44.00 | $84.00 | 25% | tbd members | |||
2011 BravoRx (PDP) | $35.50 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5998 -037 | 25% | 25% | 25% | 25% | 990 members | ||
2012 BravoRx (PDP) | $35.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | tbd members | ||||
2011 AARP MedicareRx Preferred (PDP) | $32.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5820 -004 | $7.00 | $45.00 | $88.00 | 33% | 137,246 members | ||
2012 AARP MedicareRx Preferred (PDP) | $37.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $43.00 | $95.00 | tbd members | |||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $41.00 | $90 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -008 | $10.00 | $45.00 | $95.00 | 30% | 6,621 members | ||
2012 United American - Preferred (PDP) | $43.00 | $120 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
2011 Humana Enhanced (PDP) | $44.70 | $0 | Few Generics | No | S5884 -004 | $8.00 | $39.00 | $73.00 | 33% | 29,368 members | ||
2012 Humana Enhanced (PDP) | $43.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $40.00 | $74.00 | 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 MedicareRx Rewards Standard (PDP) | $34.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5960 -111 | $4.00 | $7.00 | $45.00 | 25% | 6,487 members | ||
2012 MedicareRx Rewards Standard (PDP) | $43.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $34.00 | $90.00 | tbd members | |||
2011 WellCare Signature (PDP) | $53.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -039 | $0.00 | $40.00 | $88.00 | 33% | 6,045 members | ||
2012 WellCare Signature (PDP) | $56.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $45.00 | $90.00 | tbd members | |||
-- This plan not offered in 2011 -- | S7694 -076 | |||||||||||
2012 Rite Aid EnvisionRxPlus (PDP) | $59.40 | $0 | Some Generics | No | $0.00 | 20% | 15% | 30% | tbd members | |||
2011 Health Net Value Orange Option 2 (PDP) | $76.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -015 | $0.00 | $32.00 | $64.00 | 33% | 1,407 members | ||
2012 Health Net Value Orange Option 2 (PDP) | $63.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | |||
2011 CVS Caremark Plus (PDP) | $70.40 | $0 | Many Generics | No | S5601 -011 | $2.00 | $5.00 | $35.00 | $90.00 | 1,500 members | ||
2012 CVS Caremark Plus (PDP) | $82.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $90.00 | 33% | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $102.00 | $0 | n/a | S5810 -175 | 1,315 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $83.70 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | 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 | ||||||
2011 BlueRx Standard (PDP) | $84.60 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5766 -002 | $7.00 | $30.00 | $73.00 | 25% | 21,245 members | ||
2012 BlueRx Standard (PDP) | $87.10 | $150 | No additional gap coverage, only the Donut Hole Discount | No | $8.00 | $30.00 | $65.00 | 25% | tbd members | |||
2011 Community CCRx Choice (PDP) | $87.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -142 | $0.00 | $35.00 | $65.00 | 33% | 1,558 members | ||
2012 Community CCRx Choice (PDP) | $89.20 | $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) | $85.50 | $0 | Some Generics | No | S5921 -239 | $5.00 | $40.00 | $72.00 | 33% | 3,751 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $89.70 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $91.80 | $250 | Many Generics | No | S5660 -175 | $6.00 | $40.00 | $95.00 | 26% | 805 members | ||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $89.70 | $150 | Many Generics | No | $6.00 | $12.00 | $45.00 | $95.00 | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $85.80 | $0 | Some Generics, Some Brands |
No | S5670 -030 | $0.00 | $25.00 | 30% | 57% | 1,864 members | ||
2012 First Health Part D Premier Plus (PDP) | $96.20 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2011 MedicareRx Rewards Plus (PDP) | $50.40 | $0 | Some Generics | No | S5960 -143 | $4.00 | $7.00 | $43.00 | $85.00 | 720 members | ||
2012 MedicareRx Rewards Plus (PDP) | $105.80 | $0 | Some Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | 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 | ||||||
2011 Humana Complete (PDP) | $109.30 | $0 | Many Generics, Some Brands |
No | S5884 -033 | $5.00 | $38.00 | $75.00 | 33% | 1,959 members | ||
2012 Humana Complete (PDP) | $109.40 | $0 | Many Generics, Some Brands |
No | $5.00 | $38.00 | $75.00 | 33% | tbd members | |||
2011 BlueRx Enhanced (PDP) | $133.40 | $0 | All Generics | No | S5766 -003 | $5.00 | $30.00 | $73.00 | 25% | 4,349 members | ||
2012 BlueRx Enhanced (PDP) | $131.80 | $0 | Many Generics | No | $8.00 | $30.00 | $65.00 | 25% | tbd members | |||
2011 Sterling Rx (PDP) | $43.50 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -002 | $4.00 | $23.00 | $39.00 | 25% | 203 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $32.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5644 -071 | $6.00 | 25% | $95.00 | 25% | 5,549 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Aetna Medicare Rx Plus (PDP) | $66.30 | $0 | n/a | S5810 -209 | 1,288 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $59.50 | $150 | Many Generics | No | S7694 -039 | $4.00 | 25% | $25.00 | 25% | 198 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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 CIGNA Medicare Rx Plan Two (PDP) | $67.70 | $0 | Few Generics | No | S5617 -175 | $0.00 | $3.00 | $34.00 | $78.00 | 597 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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