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 | |||
-- This plan not offered in 2011 -- | S5768 -137 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $25.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 25% | 40% | 33% | 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 | |||
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 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 | |||
-- 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 | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $33.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -068 | $3.00 | $30.00 | $73.00 | 25% | 7,554 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $32.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $20.00 | $39.00 | $81.00 | tbd members | |||
2011 AARP MedicareRx Preferred (PDP) | $29.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5820 -013 | $7.00 | $45.00 | $85.00 | 33% | 239,346 members | ||
2012 AARP MedicareRx Preferred (PDP) | $34.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $42.00 | $95.00 | 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 Blue MedicareRx Standard (PDP) | $31.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5596 -013 | $4.00 | $7.00 | $39.00 | 25% | 12,022 members | ||
2012 Blue MedicareRx Standard (PDP) | $36.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $7.00 | $39.00 | tbd | tbd members | |||
2011 First Health Part D Premier (PDP) | $42.00 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -017 | $8.00 | 18% | 36% | 29% | 29,883 members | ||
2012 First Health Part D Premier (PDP) | $38.20 | $250 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | 20% | 38% | 26% | tbd members | |||
2011 Health Net Orange Option 1 (PDP) | $30.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -034 | $4.00 | $37.00 | $75.00 | 25% | 1,304 members | ||
2012 Health Net Orange Option 1 (PDP) | $39.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $45.00 | $80.00 | 25% | tbd members | |||
2011 BravoRx (PDP) | $32.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5998 -011 | 25% | 25% | 25% | 25% | 553 members | ||
2012 BravoRx (PDP) | $42.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | tbd members | ||||
-- This plan not offered in 2011 -- | S1480 -001 | |||||||||||
new | new | new | ||||||||||
2012 PrimeTime Prescription Drug Plan Basic (PDP) | $43.50 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $29.00 | $65.00 | 25% | tbd members | |||
2011 Medco Medicare Prescription Plan - Value (PDP) | $46.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -116 | 25% | 25% | 25% | 25% | 1,607 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $44.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | 25% | 40% | 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 Humana Enhanced (PDP) | $46.00 | $0 | Few Generics | No | S5884 -072 | $7.00 | $39.00 | $76.00 | 33% | 43,504 members | ||
2012 Humana Enhanced (PDP) | $46.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $38.00 | $74.00 | 33% | tbd members | |||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $48.10 | $70 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -017 | $10.00 | $45.00 | $95.00 | 31% | 4,666 members | ||
2012 United American - Preferred (PDP) | $49.80 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
2011 WellCare Signature (PDP) | $56.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -048 | $0.00 | $40.00 | $78.00 | 33% | 11,207 members | ||
2012 WellCare Signature (PDP) | $57.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $45.00 | $85.00 | tbd members | |||
2011 CIGNA Medicare Rx Plan Two (PDP) | $68.00 | $0 | Few Generics | No | S5617 -184 | $0.00 | $3.00 | $35.00 | $78.00 | 921 members | ||
2012 CIGNA Medicare Rx Plan Two (PDP) | $62.40 | $0 | Few Generics | No | $0.00 | $5.00 | $41.00 | $85.00 | tbd members | |||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $66.20 | $250 | Many Generics | No | S5660 -184 | $6.00 | $40.00 | $95.00 | 26% | 6,274 members | ||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $63.40 | $150 | Many Generics | No | $6.00 | $12.00 | $45.00 | $95.00 | tbd members | |||
-- This plan not offered in 2011 -- | S7694 -084 | |||||||||||
2012 Rite Aid EnvisionRxPlus (PDP) | $66.30 | $0 | Some Generics | No | $0.00 | 20% | 15% | 30% | 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 -- | S1480 -002 | |||||||||||
new | new | new | ||||||||||
2012 PrimeTime Prescription Drug Plan Enhanced (PDP) | $66.60 | $0 | All Generics | No | $5.00 | $29.00 | $65.00 | 25% | tbd members | |||
2011 Blue MedicareRx Plus (PDP) | $57.60 | $0 | Some Generics | No | S5596 -014 | $4.00 | $7.00 | $43.00 | $85.00 | 12,729 members | ||
2012 Blue MedicareRx Plus (PDP) | $66.70 | $0 | Some Generics | No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $97.90 | $0 | n/a | S5810 -184 | 2,524 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $68.70 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 Health Net Value Orange Option 2 (PDP) | $73.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -033 | $0.00 | $32.00 | $64.00 | 33% | 948 members | ||
2012 Health Net Value Orange Option 2 (PDP) | $71.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | |||
2011 Community CCRx Choice (PDP) | $79.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -151 | $0.00 | $35.00 | $65.00 | 33% | 3,942 members | ||
2012 Community CCRx Choice (PDP) | $76.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $70.00 | 33% | tbd members | |||
2011 CVS Caremark Plus (PDP) | $66.10 | $0 | Many Generics | No | S5601 -029 | $2.00 | $5.00 | $35.00 | $90.00 | 2,536 members | ||
2012 CVS Caremark Plus (PDP) | $78.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $90.00 | 33% | 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 AARP MedicareRx Enhanced (PDP) | $85.90 | $0 | Some Generics | No | S5921 -053 | $4.50 | $40.00 | $80.00 | 33% | 4,206 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $83.80 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $86.80 | $0 | Some Generics, Some Brands |
No | S5670 -078 | $0.00 | $25.00 | 30% | 57% | 4,971 members | ||
2012 First Health Part D Premier Plus (PDP) | $92.10 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2011 Blue MedicareRx Premier (PDP) | $102.80 | $0 | Many Generics, Some Brands |
No | S5596 -015 | $6.00 | $43.00 | $85.00 | 33% | 5,498 members | ||
2012 Blue MedicareRx Premier (PDP) | $107.60 | $0 | Many Generics, Some Brands |
No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 Humana Complete (PDP) | $111.50 | $0 | Many Generics, Some Brands |
No | S5884 -042 | $5.00 | $38.00 | $71.00 | 33% | 2,873 members | ||
2012 Humana Complete (PDP) | $111.50 | $0 | Many Generics, Some Brands |
No | $5.00 | $38.00 | $71.00 | 33% | tbd members | |||
2011 Sterling Rx (PDP) | $42.50 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -026 | $4.00 | $21.00 | $37.00 | 25% | 137 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $38.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5644 -189 | $5.00 | 25% | $95.00 | 25% | 681 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 Aetna Medicare Rx Costco Plus Plan (PDP) | $54.00 | $0 | n/a | S5810 -218 | 3,941 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
2011 SummaCare Secure Scripts 1 (PDP) | $42.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S1131 -006 | $3.00 | $30.00 | $90.00 | 25% | 800 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 SummaCare Secure Scripts 2 (PDP) | $72.80 | $0 | All Generics | No | S1131 -005 | $3.00 | $30.00 | $90.00 | 33% | 857 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $65.40 | $150 | Many Generics | No | S7694 -048 | $4.00 | 25% | $25.00 | 25% | 215 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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