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 -137 | $2.00 | $5.00 | 20% | 35% | 35,395 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% | 30% | tbd members | |||
2011 Aetna Medicare Rx Essentials (PDP) | $30.70 | $310 | n/a | S5810 -048 | 19,813 members | |||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $21.00 | $35.00 | 39% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $32.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -014 | 25% | 25% | 25% | 25% | 512 members | ||
2012 EnvisionRxPlus Silver (PDP) | $26.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 Community CCRx Basic (PDP) | $27.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -083 | $2.00 | 30% | 59% | 25% | 91,884 members | ||
2012 Community CCRx Basic (PDP) | $26.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 45% | 25% | tbd members | |||
2011 CVS Caremark Value (PDP) | $27.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -028 | $5.00 | $40.75 | $95.00 | 25% | 30,049 members | ||
2012 CVS Caremark Value (PDP) | $27.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.50 | $45.00 | $95.00 | 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 | ||||||
-- This plan not offered in 2011 -- | S5755 -085 | |||||||||||
2012 United American - Select (PDP) | $29.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $8.00 | $45.00 | $95.00 | tbd members | |||
2011 HealthSpring Prescription Drug Plan-Reg 14 (PDP) | $32.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5932 -013 | 25% | 25% | 3,803 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 14 (PDP) | $29.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2011 WellCare Classic (PDP) | $31.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -151 | $0.00 | $42.00 | $88.00 | 25% | 8,918 members | ||
2012 WellCare Classic (PDP) | $30.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $43.00 | $95.00 | 25% | tbd members | |||
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