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 -- | S7694 -099 | |||||||||||
2012 Rite Aid EnvisionRxPlus (PDP) | $68.60 | $0 | Some Generics | No | $0.00 | 20% | 15% | 30% | tbd members | |||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $68.80 | $250 | Many Generics | No | S5660 -199 | $6.00 | $40.00 | $95.00 | 26% | 611 members | ||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $72.40 | $150 | Many Generics | No | $6.00 | $12.00 | $45.00 | $95.00 | 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 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 | |||
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 | |||
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 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 | |||
2011 Blue MedicareRx Standard (PDP) | $36.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5596 -029 | $4.00 | $7.00 | $41.00 | 25% | 2,282 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Blue MedicareRx Plus (PDP) | $66.30 | $0 | Some Generics | No | S5596 -030 | $4.00 | $7.00 | $43.00 | $85.00 | 1,061 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Blue MedicareRx Premier (PDP) | $112.50 | $0 | Many Generics, Some Brands |
No | S5596 -031 | $6.00 | $43.00 | $85.00 | 33% | 765 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $91.50 | $0 | Few Generics | No | S5617 -199 | $0.00 | $3.00 | $37.00 | $78.00 | 71 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 EnvisionRxPlus Gold (PDP) | $65.10 | $150 | Many Generics | No | S7694 -063 | $4.00 | 25% | $25.00 | 25% | 48 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $23.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5644 -082 | $5.75 | 25% | $95.00 | 25% | 6,341 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Sterling Rx (PDP) | $56.80 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -019 | $4.00 | $23.00 | $38.00 | 25% | 87 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Aetna Medicare Rx Costco Plus Plan (PDP) | $60.30 | $0 | n/a | S5810 -233 | 713 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
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