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 -093 | |||||||||||
2012 EnvisionRxPlus Gold (PDP) | $75.10 | $0 | Some Generics | No | $2.00 | 15% | 15% | 30% | tbd members | |||
2011 MedicareRx Rewards Plus (PDP) | $45.90 | $0 | Some Generics | No | S5960 -155 | $4.00 | $7.00 | $43.00 | $85.00 | 1,365 members | ||
2012 MedicareRx Rewards Plus (PDP) | $81.40 | $0 | Some Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $106.60 | $0 | n/a | S5810 -193 | 936 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $83.70 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 Blue MedicareRx Plus (PDP) | $85.40 | $0 | All Generics | No | S5715 -011 | $5.00 | $38.00 | $75.00 | 33% | 7,686 members | ||
2012 Blue MedicareRx Plus (PDP) | $92.60 | $0 | All Generics | No | $5.00 | $38.00 | $75.00 | 33% | tbd members | |||
2011 AARP MedicareRx Enhanced (PDP) | $101.30 | $0 | Some Generics | No | S5921 -235 | $4.00 | $40.00 | $80.00 | 33% | 1,292 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $94.40 | $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 First Health Part D Premier Plus (PDP) | $101.30 | $0 | Some Generics, Some Brands |
No | S5670 -126 | $0.00 | $25.00 | 30% | 57% | 866 members | ||
2012 First Health Part D Premier Plus (PDP) | $112.40 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2011 Humana Complete (PDP) | $114.80 | $0 | Many Generics, Some Brands |
No | S5884 -051 | $5.00 | $36.00 | $69.00 | 33% | 936 members | ||
2012 Humana Complete (PDP) | $114.90 | $0 | Many Generics, Some Brands |
No | $5.00 | $36.00 | $69.00 | 33% | tbd members | |||
2011 CIGNA Medicare Rx Plan Two (PDP) | $70.30 | $0 | Few Generics | No | S5617 -193 | $0.00 | $3.00 | $34.00 | $78.00 | 434 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $57.90 | $150 | Many Generics | No | S7694 -057 | $4.00 | 25% | $25.00 | 25% | 211 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $29.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5644 -197 | $5.25 | 25% | $95.00 | 25% | 20,289 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 CVS Caremark Plus (PDP) | $82.60 | $0 | Many Generics | No | S5601 -047 | $2.00 | $5.00 | $35.00 | $90.00 | 324 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 Medco Medicare Prescription Plan - Choice (PDP) | $130.30 | $250 | Many Generics | No | S5660 -193 | $6.00 | $40.00 | $95.00 | 26% | 194 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Aetna Medicare Rx Plus (PDP) | $66.30 | $0 | n/a | S5810 -227 | 1,079 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
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