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 -143 | $2.00 | $5.00 | 20% | 35% | 61,909 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 EnvisionRxPlus Silver (PDP) | $29.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -022 | 25% | 25% | 25% | 25% | 28,446 members | ||
2012 EnvisionRxPlus Silver (PDP) | $22.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 Aetna Medicare Rx Essentials (PDP) | $29.10 | $310 | n/a | S5810 -056 | 62,321 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 | $33.00 | 39% | tbd members | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $29.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -108 | $3.00 | $28.00 | $75.00 | 25% | 40,671 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $26.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $35.00 | $77.00 | tbd members | |||
2011 Sterling Rx (PDP) | $40.30 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -013 | $4.00 | $22.00 | $37.00 | 25% | 1,253 members | ||
2012 Windsor Rx (PDP) | $28.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $40.00 | $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 CVS Caremark Value (PDP) | $28.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -044 | $5.00 | $45.00 | $95.00 | 25% | 19,355 members | ||
2012 CVS Caremark Value (PDP) | $28.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $7.50 | $45.00 | $95.00 | 25% | tbd members | |||
2011 Community CCRx Basic (PDP) | $25.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -091 | $2.00 | 31% | 62% | 25% | 146,854 members | ||
2012 Community CCRx Basic (PDP) | $28.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 45% | 25% | tbd members | |||
2011 First Health Part D Premier (PDP) | $30.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -045 | $9.00 | 15% | 38% | 29% | 77,264 members | ||
2012 First Health Part D Premier (PDP) | $29.10 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | 21% | 37% | 26% | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -093 | |||||||||||
2012 United American - Select (PDP) | $29.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $8.00 | $45.00 | $95.00 | tbd members | |||
2011 BravoRx (PDP) | $26.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -039 | 25% | 25% | 25% | 25% | 43,861 members | ||
2012 BravoRx (PDP) | $30.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | tbd members | ||||
2011 WellCare Classic (PDP) | $28.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -159 | $0.00 | $45.00 | $93.00 | 25% | 56,910 members | ||
2012 WellCare Classic (PDP) | $30.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $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 Health Net Orange Option 1 (PDP) | $27.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -050 | $4.00 | $35.00 | $75.00 | 25% | 4,552 members | ||
2012 Health Net Orange Option 1 (PDP) | $31.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $42.00 | $85.00 | 25% | tbd members | |||
2011 HealthSpring Prescription Drug Plan-Reg 22 (PDP) | $27.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -021 | 25% | 25% | 54,945 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 22 (PDP) | $31.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
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