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 | S5552 -004 | $2.00 | $5.00 | 20% | 35% | 23,684 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) | $58.10 | $310 | n/a | S5810 -037 | 1,676 members | |||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $13.00 | $37.00 | 39% | tbd members | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $33.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -013 | $3.00 | $31.00 | $78.00 | 25% | 102,033 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $34.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $34.00 | $85.00 | tbd members | |||
2011 CVS Caremark Value (PDP) | $33.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -006 | $5.00 | $42.00 | $95.00 | 25% | 79,005 members | ||
2012 CVS Caremark Value (PDP) | $35.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $8.00 | $45.00 | $95.00 | 25% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $34.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -003 | 25% | 25% | 25% | 25% | 26,111 members | ||
2012 EnvisionRxPlus Silver (PDP) | $36.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 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 Medco Medicare Prescription Plan - Value (PDP) | $34.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5983 -004 | 25% | 25% | 25% | 25% | 64,418 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $36.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | 25% | 40% | tbd members | |||
2011 Community CCRx Basic (PDP) | $30.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5825 -045 | $2.00 | 31% | 59% | 25% | 109,734 members | ||
2012 Community CCRx Basic (PDP) | $37.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 46% | 25% | tbd members | |||
-- This plan not offered in 2011 -- | S5580 -006 | |||||||||||
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2012 First United American - Select (PDP) | $37.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
2011 WellCare Classic (PDP) | $33.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -140 | $0.00 | $41.00 | $90.00 | 25% | 29,564 members | ||
2012 WellCare Classic (PDP) | $39.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $44.00 | $95.00 | 33% | tbd members | |||
2011 HealthSpring Prescription Drug Plan -Reg 3 (PDP) | $35.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -004 | 25% | 25% | 11,451 members | ||||
2012 HealthSpring Prescription Drug Plan -Reg 3 (PDP) | $39.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2011 AARP MedicareRx Preferred (PDP) | $38.60 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5805 -001 | $7.00 | $45.00 | $82.00 | 33% | 237,445 members | ||
2012 AARP MedicareRx Preferred (PDP) | $40.30 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | $42.00 | $91.00 | 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 BravoRx (PDP) | $36.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -001 | 25% | 25% | 25% | 25% | 56,434 members | ||
2012 BravoRx (PDP) | $40.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | tbd members | ||||
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