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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-- This plan not offered in 2011 -- | S5768 -152 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $28.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 25% | 42% | 33% | tbd members | |||
2011 WellCare Classic (PDP) | $34.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -166 | $0.00 | $44.00 | $95.00 | 25% | 2,055 members | ||
2012 WellCare Classic (PDP) | $28.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | $42.00 | $92.00 | 33% | tbd members | |||
2011 AARP MedicareRx Preferred (PDP) | $38.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -028 | $8.00 | $44.00 | $89.00 | 33% | 28,597 members | ||
2012 AARP MedicareRx Preferred (PDP) | $39.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $45.00 | $95.00 | tbd members | |||
2011 Humana Enhanced (PDP) | $47.90 | $0 | Few Generics | No | S5884 -087 | $7.00 | $40.00 | $70.00 | 33% | 6,296 members | ||
2012 Humana Enhanced (PDP) | $41.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $40.00 | $70.00 | 33% | tbd members | |||
2011 WellCare Signature (PDP) | $53.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -063 | $0.00 | $40.00 | $93.00 | 33% | 1,937 members | ||
2012 WellCare Signature (PDP) | $64.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $0.00 | $40.00 | $70.00 | 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 | ||||||
-- This plan not offered in 2011 -- | S7694 -099 | |||||||||||
2012 Rite Aid EnvisionRxPlus (PDP) | $68.60 | $0 | Some Generics | No | $0.00 | 20% | 15% | 30% | tbd members | |||
2011 Health Net Orange Option 2 (PDP) | $82.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -061 | $2.00 | $34.00 | $68.00 | 33% | 127 members | ||
2012 Health Net Value Orange Option 2 (PDP) | $75.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | |||
-- This plan not offered in 2011 -- | S5596 -063 | |||||||||||
2012 Blue MedicareRx Plus (PDP) | $77.70 | $0 | Some Generics | No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 CVS Caremark Plus (PDP) | $67.20 | $0 | Many Generics | No | S5601 -059 | $2.00 | $5.00 | $35.00 | $90.00 | 788 members | ||
2012 CVS Caremark Plus (PDP) | $82.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $90.00 | 33% | tbd members | |||
2011 Community CCRx Choice (PDP) | $91.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -166 | $0.00 | $35.00 | $65.00 | 33% | 384 members | ||
2012 Community CCRx Choice (PDP) | $84.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $70.00 | 33% | tbd members | |||
2011 AARP MedicareRx Enhanced (PDP) | $91.00 | $0 | Some Generics | No | S5921 -273 | $5.00 | $40.00 | $80.00 | 33% | 894 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $91.10 | $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 Aetna Medicare Rx Premier (PDP) | $121.20 | $0 | n/a | S5810 -199 | 156 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $93.40 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $94.80 | $0 | Some Generics, Some Brands |
No | S5670 -150 | $0.00 | $25.00 | 30% | 56% | 598 members | ||
2012 First Health Part D Premier Plus (PDP) | $107.00 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 45% | tbd members | |||
-- This plan not offered in 2011 -- | S5596 -064 | |||||||||||
2012 Blue MedicareRx Premier (PDP) | $126.60 | $0 | Many Generics, Some Brands |
No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
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