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 -125 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $24.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 25% | 40% | 33% | tbd members | |||
2011 AARP MedicareRx Preferred (PDP) | $27.60 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5820 -001 | $7.00 | $45.00 | $93.00 | 33% | 118,293 members | ||
2012 AARP MedicareRx Preferred (PDP) | $33.10 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | $44.00 | $95.00 | tbd members | |||
2011 Humana Enhanced (PDP) | $45.70 | $50 | Few Generics | No | S5884 -092 | $7.00 | $41.00 | $72.00 | 31% | 1,835 members | ||
2012 Humana Enhanced (PDP) | $44.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $40.00 | $72.00 | 33% | tbd members | |||
2011 WellCare Signature (PDP) | $43.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -035 | $0.00 | $40.00 | $88.00 | 33% | 6,069 members | ||
2012 WellCare Signature (PDP) | $45.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $45.00 | $90.00 | tbd members | |||
2011 Blue MedicareRx Plus (PDP) | $56.30 | $0 | Some Generics | No | 001 -001 | $4.00 | $7.00 | $43.00 | $85.00 | 7,491 members | ||
2012 Blue MedicareRx Plus (PDP) | $60.80 | $0 | Some Generics | No | $2.00 | $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 Health Net Value Orange Option 2 (PDP) | $74.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -013 | $0.00 | $32.00 | $64.00 | 33% | 176 members | ||
2012 Health Net Value Orange Option 2 (PDP) | $67.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | |||
-- This plan not offered in 2011 -- | S7694 -072 | |||||||||||
2012 Rite Aid EnvisionRxPlus (PDP) | $69.40 | $0 | Some Generics | No | $0.00 | 20% | 15% | 30% | tbd members | |||
2011 CVS Caremark Plus (PDP) | $79.90 | $0 | Many Generics | No | S5601 -003 | $2.00 | $5.00 | $35.00 | $90.00 | 551 members | ||
2012 CVS Caremark Plus (PDP) | $79.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $90.00 | 33% | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $84.50 | $0 | Some Generics, Some Brands |
No | S5674 -005 | $0.00 | $25.00 | 30% | 56% | 2,413 members | ||
2012 First Health Part D Premier Plus (PDP) | $87.00 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2011 AARP MedicareRx Enhanced (PDP) | $88.60 | $0 | Some Generics | No | S5921 -173 | $5.00 | $40.00 | $77.00 | 33% | 1,303 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $89.20 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $104.30 | $0 | n/a | S5810 -171 | 333 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $90.10 | $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 Community CCRx Choice (PDP) | $84.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -138 | $0.00 | $35.00 | $65.00 | 33% | 436 members | ||
2012 Community CCRx Choice (PDP) | $90.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $70.00 | 33% | tbd members | |||
2011 Blue MedicareRx Premier (PDP) | $96.90 | $0 | Many Generics, Some Brands |
No | S5596 -003 | $6.00 | $43.00 | $85.00 | 33% | 4,099 members | ||
2012 Blue MedicareRx Premier (PDP) | $107.40 | $0 | Many Generics, Some Brands |
No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
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