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 -145 | $2.00 | $5.00 | 20% | 35% | 75,942 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) | $39.00 | $310 | n/a | S5810 -059 | 18,323 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 First Health Part D Premier (PDP) | $31.50 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -122 | $8.00 | 17% | 38% | 29% | 87,373 members | ||
2012 First Health Part D Premier (PDP) | $30.40 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | 20% | 36% | 26% | tbd members | |||
2011 Sterling Rx (PDP) | $38.80 | $100 | No additional gap coverage, only the Donut Hole Discount | Yes | S4802 -030 | $4.00 | $21.00 | $38.00 | 25% | 2,697 members | ||
2012 Windsor Rx (PDP) | $33.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $45.00 | $90.00 | 25% | tbd members | |||
2011 Community CCRx Basic (PDP) | $35.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -094 | $2.00 | 30% | 55% | 25% | 91,768 members | ||
2012 Community CCRx Basic (PDP) | $34.80 | $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) | $46.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -025 | 25% | 25% | 25% | 25% | 238 members | ||
2012 EnvisionRxPlus Silver (PDP) | $35.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -123 | $3.00 | $28.00 | $84.00 | 25% | 3,059 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $35.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $34.00 | $85.00 | tbd members | |||
2011 CVS Caremark Value (PDP) | $35.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -050 | $5.00 | $39.75 | $95.00 | 25% | 40,271 members | ||
2012 CVS Caremark Value (PDP) | $35.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.75 | $45.00 | $95.00 | 25% | tbd members | |||
2011 Medco Medicare Prescription Plan - Value (PDP) | $56.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -127 | 25% | 25% | 25% | 25% | 3,365 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $36.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | 25% | 40% | tbd members | |||
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