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 -144 | $2.00 | $5.00 | 20% | 35% | 17,273 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) | $33.30 | $310 | n/a | S5810 -057 | 2,977 members | |||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $10.00 | $34.00 | 38% | tbd members | |||
2011 CVS Caremark Value (PDP) | $32.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -046 | $5.00 | $41.75 | $95.00 | 25% | 5,066 members | ||
2012 CVS Caremark Value (PDP) | $28.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $45.00 | $95.00 | 25% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $34.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -023 | 25% | 25% | 25% | 25% | 180 members | ||
2012 EnvisionRxPlus Silver (PDP) | $29.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 Sterling Rx (PDP) | $41.40 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -014 | $4.00 | $22.00 | $37.00 | 25% | 531 members | ||
2012 Windsor Rx (PDP) | $29.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $38.00 | $90.00 | 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 | ||||||
2011 Community CCRx Basic (PDP) | $32.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -092 | $2.00 | 31% | 62% | 25% | 39,287 members | ||
2012 Community CCRx Basic (PDP) | $31.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 46% | 25% | tbd members | |||
2011 Medco Medicare Prescription Plan - Value (PDP) | $34.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -125 | 25% | 25% | 25% | 25% | 12,989 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $31.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | 25% | 40% | tbd members | |||
2011 HealthSpring Prescription Drug Plan-Reg 23 (PDP) | $30.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -022 | 25% | 25% | 13,786 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 23 (PDP) | $31.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2011 BravoRx (PDP) | $33.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -027 | 25% | 25% | 25% | 25% | 2,887 members | ||
2012 BravoRx (PDP) | $33.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | tbd members | ||||
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