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 -102 | $2.00 | $5.00 | 20% | 35% | 35,857 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) | $35.70 | $310 | n/a | S5810 -036 | 9,359 members | |||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $13.00 | $39.00 | 38% | tbd members | |||
2011 First Health Part D Premier (PDP) | $30.50 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -038 | $8.00 | 17% | 36% | 29% | 69,088 members | ||
2012 First Health Part D Premier (PDP) | $30.10 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | 21% | 36% | 26% | tbd members | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $36.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -008 | $3.00 | $34.00 | $80.00 | 25% | 7,303 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $30.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $39.00 | $87.00 | tbd members | |||
2011 CVS Caremark Value (PDP) | $33.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -004 | $5.00 | $43.00 | $95.00 | 25% | 86,359 members | ||
2012 CVS Caremark Value (PDP) | $30.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.25 | $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 | ||||||
2011 Community CCRx Basic (PDP) | $31.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -071 | $2.00 | 31% | 55% | 25% | 33,006 members | ||
2012 Community CCRx Basic (PDP) | $31.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 49% | 25% | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -074 | |||||||||||
2012 United American - Select (PDP) | $31.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | $45.00 | $95.00 | tbd members | |||
2011 Health Net Orange Option 1 (PDP) | $34.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -004 | $4.00 | $39.00 | $75.00 | 25% | 45,076 members | ||
2012 Health Net Orange Option 1 (PDP) | $33.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $45.00 | $93.00 | 25% | tbd members | |||
2011 WellCare Classic (PDP) | $35.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -139 | $0.00 | $43.00 | $95.00 | 25% | 17,325 members | ||
2012 WellCare Classic (PDP) | $33.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $41.00 | $94.00 | 25% | tbd members | |||
2011 HealthSpring Prescription Drug Plan -Reg 2 (PDP) | $35.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -003 | 25% | 25% | 24,684 members | ||||
2012 HealthSpring Prescription Drug Plan -Reg 2 (PDP) | $33.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
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