2011 / 2012 Medicare Part D Plan Information Click here to jump to the Chart Legend | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
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 |
||||||
2011 Humana Walmart-Preferred Rx Plan (PDP) | $14.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5884 -140 | $2.00 | $5.00 | 20% | 35% | 38,045 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) | $38.70 | $310 | n/a | S5810 -052 | 2,732 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 | $37.00 | 40% | tbd members | |||
2011 First Health Part D Premier (PDP) | $38.00 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -021 | $8.00 | 14% | 41% | 29% | 32,413 members | ||
2012 First Health Part D Premier (PDP) | $29.80 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | 20% | 36% | 26% | tbd members | |||
2011 Community CCRx Basic (PDP) | $32.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -087 | $2.00 | 30% | 55% | 25% | 85,295 members | ||
2012 Community CCRx Basic (PDP) | $30.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 45% | 25% | tbd members | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $36.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -088 | $3.00 | $27.00 | $77.00 | 25% | 7,685 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $31.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $32.00 | $83.00 | 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 BravoRx (PDP) | $37.20 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5998 -023 | 25% | 25% | 25% | 25% | 474 members | ||
2012 BravoRx (PDP) | $32.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | tbd members | ||||
2011 CVS Caremark Value (PDP) | $34.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -036 | $5.00 | $35.75 | $95.00 | 25% | 19,630 members | ||
2012 CVS Caremark Value (PDP) | $32.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.75 | $45.00 | $95.00 | 25% | tbd members | |||
2011 HealthSpring Prescription Drug Plan-Reg 18 (PDP) | $39.20 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5932 -017 | 25% | 25% | 2,011 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 18 (PDP) | $33.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
|