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 -142 | $2.00 | $5.00 | 20% | 35% | 11,437 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) | $33.60 | $310 | n/a | S5810 -054 | 10,748 members | |||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $7.00 | $27.00 | 43% | tbd members | |||
2011 Health Net Orange Option 1 (PDP) | $32.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -046 | $4.00 | $31.00 | $75.00 | 25% | 4,789 members | ||
2012 Health Net Orange Option 1 (PDP) | $29.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $40.00 | $84.00 | 25% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $33.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -020 | 25% | 25% | 25% | 25% | 117 members | ||
2012 EnvisionRxPlus Silver (PDP) | $30.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 Windsor Rx (PDP) | $31.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S2505 -005 | $3.00 | $35.00 | $70.00 | 25% | 10,761 members | ||
2012 Windsor Rx (PDP) | $30.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $41.00 | $80.00 | 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 CIGNA Medicare Rx Plan One (PDP) | $32.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -226 | $3.00 | $30.00 | $76.00 | 25% | 20,323 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $30.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $30.00 | $83.00 | tbd members | |||
2011 Community CCRx Basic (PDP) | $30.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -089 | $2.00 | 30% | 65% | 25% | 35,273 members | ||
2012 Community CCRx Basic (PDP) | $31.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 48% | 25% | tbd members | |||
2011 CVS Caremark Value (PDP) | $32.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -040 | $5.00 | $34.00 | $95.00 | 25% | 4,137 members | ||
2012 CVS Caremark Value (PDP) | $31.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.50 | $45.00 | $95.00 | 25% | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -091 | |||||||||||
2012 United American - Select (PDP) | $32.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $7.00 | $45.00 | $95.00 | tbd members | |||
2011 BravoRx (PDP) | $31.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -025 | 25% | 25% | 25% | 25% | 1,478 members | ||
2012 BravoRx (PDP) | $33.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | tbd members | ||||
2011 HealthSpring Prescription Drug Plan-Reg 20 (PDP) | $33.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -019 | 25% | 25% | 16,484 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 20 (PDP) | $33.90 | $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 MedicareRx Rewards Standard (PDP) | $32.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5960 -126 | $4.00 | $7.00 | $33.00 | 25% | 9,708 members | ||
2012 MedicareRx Rewards Standard (PDP) | $34.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $7.00 | $29.00 | $90.00 | tbd members | |||
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