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 -113 | $2.00 | $5.00 | 20% | 35% | 39,737 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 Sterling Rx (PDP) | $40.10 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -020 | $4.00 | $23.00 | $38.00 | 25% | 2,574 members | ||
2012 Windsor Rx (PDP) | $31.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $37.00 | $90.00 | 25% | tbd members | |||
2011 First Health Part D Premier (PDP) | $30.30 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -123 | $7.00 | 18% | 36% | 29% | 54,672 members | ||
2012 First Health Part D Premier (PDP) | $31.20 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | 20% | 37% | 26% | tbd members | |||
2011 CVS Caremark Value (PDP) | $33.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -060 | $5.00 | $39.00 | $95.00 | 25% | 42,212 members | ||
2012 CVS Caremark Value (PDP) | $32.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.25 | $45.00 | $95.00 | 25% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $45.30 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -030 | 25% | 25% | 25% | 25% | 116 members | ||
2012 EnvisionRxPlus Silver (PDP) | $32.70 | $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 Community CCRx Basic (PDP) | $33.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -099 | $2.00 | 31% | 59% | 25% | 46,539 members | ||
2012 Community CCRx Basic (PDP) | $33.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 50% | 25% | tbd members | |||
2011 Health Net Orange Option 1 (PDP) | $37.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -006 | $4.00 | $38.00 | $75.00 | 25% | 3,746 members | ||
2012 Health Net Orange Option 1 (PDP) | $35.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $44.00 | $81.00 | 25% | tbd members | |||
2011 HealthSpring Prescription Drug Plan-Reg 30 (PDP) | $30.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -029 | 25% | 25% | 24,340 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 30 (PDP) | $35.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2011 WellCare Classic (PDP) | $34.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -167 | $0.00 | $45.00 | $95.00 | 25% | 11,408 members | ||
2012 WellCare Classic (PDP) | $36.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $44.00 | $95.00 | 25% | tbd members | |||
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