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 |
||||||
-- This plan not offered in 2011 -- | S7694 -096 | |||||||||||
2012 EnvisionRxPlus Gold (PDP) | $60.00 | $0 | Some Generics | No | $2.00 | 15% | 15% | 30% | tbd members | |||
2011 MedicareRx Rewards Plus (PDP) | $34.70 | $0 | Some Generics | No | S5960 -157 | $4.00 | $7.00 | $43.00 | $85.00 | 399 members | ||
2012 MedicareRx Rewards Plus (PDP) | $69.50 | $0 | Some Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $69.60 | $250 | Many Generics | No | S5660 -196 | $6.00 | $40.00 | $95.00 | 26% | 235 members | ||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $73.80 | $150 | Many Generics | No | $6.00 | $12.00 | $45.00 | $95.00 | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $102.90 | $0 | n/a | S5810 -241 | < 10 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $75.80 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 AARP MedicareRx Enhanced (PDP) | $89.40 | $0 | Some Generics | No | S5921 -263 | $4.00 | $40.00 | $79.00 | 33% | 613 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $87.40 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | 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 Blue MedicareRx Plus (PDP) | $85.60 | $0 | All Generics | No | S5715 -004 | $5.00 | $38.00 | $75.00 | 33% | 989 members | ||
2012 Blue MedicareRx Plus (PDP) | $89.60 | $0 | All Generics | No | $5.00 | $38.00 | $75.00 | 33% | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $80.30 | $0 | Some Generics, Some Brands |
No | S5674 -041 | $0.00 | $25.00 | 30% | 60% | 438 members | ||
2012 First Health Part D Premier Plus (PDP) | $95.60 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2011 CIGNA Medicare Rx Plan Two (PDP) | $62.10 | $0 | Few Generics | No | S5617 -196 | $0.00 | $3.00 | $34.00 | $78.00 | 119 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $41.00 | $150 | Many Generics | No | S7694 -060 | $4.00 | 25% | $25.00 | 25% | 66 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $19.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5644 -199 | $4.75 | 25% | $95.00 | 25% | 7,113 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Sterling Rx (PDP) | $46.00 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -016 | $4.00 | $21.00 | $38.00 | 25% | 25 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 Aetna Medicare Rx Costco Plus Plan (PDP) | $57.90 | $0 | n/a | S5810 -230 | 130 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
|