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 -110 | $2.00 | $5.00 | 20% | 35% | 7,690 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 CVS Caremark Value (PDP) | $19.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -052 | $5.00 | $39.75 | $95.00 | 25% | 11,790 members | ||
2012 CVS Caremark Value (PDP) | $15.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.75 | $45.00 | $95.00 | 25% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $29.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -026 | 25% | 25% | 25% | 25% | 18 members | ||
2012 EnvisionRxPlus Silver (PDP) | $20.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 Community CCRx Basic (PDP) | $20.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -095 | $2.00 | 31% | 62% | 25% | 13,889 members | ||
2012 Community CCRx Basic (PDP) | $20.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 47% | 25% | tbd members | |||
2011 First Health Part D Premier (PDP) | $27.50 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -048 | $10.00 | 18% | 35% | 29% | 2,094 members | ||
2012 First Health Part D Premier (PDP) | $21.10 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | 19% | 35% | 26% | 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 | ||||||
-- This plan not offered in 2011 -- | S5755 -097 | |||||||||||
2012 United American - Select (PDP) | $21.80 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $7.00 | $45.00 | $95.00 | tbd members | |||
-- This plan not offered in 2011 -- | S5768 -149 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $22.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 25% | 40% | 33% | tbd members | |||
2011 MedicareRx Rewards Standard (PDP) | $22.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5960 -132 | $4.00 | $7.00 | $38.00 | 25% | 9,203 members | ||
2012 MedicareRx Rewards Standard (PDP) | $22.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $7.00 | $37.00 | $90.00 | tbd members | |||
2011 Blue MedicareRx Value (PDP) | $26.40 | $125 | No additional gap coverage, only the Donut Hole Discount | No | S5715 -003 | $10.00 | $44.00 | $94.00 | 29% | 4,906 members | ||
2012 Blue MedicareRx Value (PDP) | $23.10 | $125 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $42.00 | $92.00 | 29% | tbd members | |||
2011 Health Net Orange Option 1 (PDP) | $23.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -058 | $4.00 | $38.00 | $75.00 | 25% | 779 members | ||
2012 Health Net Orange Option 1 (PDP) | $24.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $45.00 | $85.00 | 25% | tbd members | |||
2011 WellCare Classic (PDP) | $23.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -163 | $0.00 | $44.00 | $93.00 | 25% | 5,435 members | ||
2012 WellCare Classic (PDP) | $24.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $45.00 | $95.00 | 25% | tbd members | |||
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