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 CIGNA Medicare Rx Plan Two (PDP) | $62.70 | $0 | Few Generics | No | S5617 -179 | $0.00 | $3.00 | $35.00 | $78.00 | 1,131 members | ||
2012 CIGNA Medicare Rx Plan Two (PDP) | $61.60 | $0 | Few Generics | No | $0.00 | $5.00 | $41.00 | $85.00 | tbd members | |||
-- This plan not offered in 2011 -- | S7694 -080 | |||||||||||
2012 Rite Aid EnvisionRxPlus (PDP) | $66.20 | $0 | Some Generics | No | $0.00 | 20% | 15% | 30% | tbd members | |||
2011 MedBlue Rx Plus (PDP) | $93.30 | $0 | Many Generics | No | S5953 -002 | $2.00 | $7.00 | $33.00 | $74.00 | 6,979 members | ||
2012 MedBlue Rx Plus (PDP) | $76.50 | $0 | Many Generics | No | $2.00 | $7.00 | $33.00 | $74.00 | tbd members | |||
2011 AARP MedicareRx Enhanced (PDP) | $92.10 | $0 | Some Generics | No | S5921 -123 | $4.00 | $40.00 | $80.00 | 33% | 1,874 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $86.50 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 MedicareRx Rewards Plus (PDP) | $48.00 | $0 | Some Generics | No | S5960 -146 | $4.00 | $7.00 | $43.00 | $85.00 | 1,280 members | ||
2012 MedicareRx Rewards Plus (PDP) | $86.70 | $0 | Some Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | 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 Aetna Medicare Rx Premier (PDP) | $118.70 | $0 | n/a | S5810 -179 | 486 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $89.00 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $95.80 | $0 | Some Generics, Some Brands |
No | S5670 -054 | $0.00 | $25.00 | 30% | 56% | 1,814 members | ||
2012 First Health Part D Premier Plus (PDP) | $104.60 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2011 Humana Complete (PDP) | $111.90 | $0 | Many Generics, Some Brands |
No | S5884 -037 | $5.00 | $37.00 | $69.00 | 33% | 1,571 members | ||
2012 Humana Complete (PDP) | $112.00 | $0 | Many Generics, Some Brands |
No | $5.00 | $37.00 | $69.00 | 33% | tbd members | |||
2011 EnvisionRxPlus Gold (PDP) | $64.90 | $150 | Many Generics | No | S7694 -043 | $4.00 | 25% | $25.00 | 25% | 154 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $35.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5644 -075 | $4.50 | 25% | $95.00 | 25% | 3,069 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Sterling Rx (PDP) | $43.30 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -006 | $4.00 | $21.00 | $37.00 | 25% | 320 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) | $108.60 | $250 | Many Generics | No | S5660 -179 | $6.00 | $40.00 | $95.00 | 26% | 408 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Aetna Medicare Rx Plus (PDP) | $64.00 | $0 | n/a | S5810 -213 | 1,641 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
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