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 -147 | $2.00 | $5.00 | 20% | 35% | 10,829 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) | $39.80 | $100 | No additional gap coverage, only the Donut Hole Discount | Yes | S4802 -021 | $4.00 | $22.00 | $37.00 | 25% | 1,882 members | ||
2012 Windsor Rx (PDP) | $34.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $40.00 | $90.00 | 25% | tbd members | |||
2011 HealthSpring Prescription Drug Plan-Reg 31 (PDP) | $35.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -030 | 25% | 25% | 6,110 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 31 (PDP) | $35.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2011 First Health Part D Premier (PDP) | $34.10 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -118 | $8.00 | 17% | 36% | 29% | 15,353 members | ||
2012 First Health Part D Premier (PDP) | $35.20 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | 18% | 33% | 26% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $49.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -031 | 25% | 25% | 25% | 25% | 37 members | ||
2012 EnvisionRxPlus Silver (PDP) | $36.30 | $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) | $39.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -100 | $2.00 | 29% | 60% | 25% | 10,438 members | ||
2012 Community CCRx Basic (PDP) | $38.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 46% | 25% | tbd members | |||
2011 CVS Caremark Value (PDP) | $37.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -062 | $5.00 | $42.75 | $95.00 | 25% | 10,980 members | ||
2012 CVS Caremark Value (PDP) | $38.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.75 | $45.00 | $95.00 | 25% | tbd members | |||
2011 Medco Medicare Prescription Plan - Value (PDP) | $42.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -133 | 25% | 25% | 25% | 25% | 5,571 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $38.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | 25% | 40% | tbd members | |||
2011 Health Net Orange Option 1 (PDP) | $42.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -064 | $4.00 | $34.00 | $75.00 | 25% | 1,363 members | ||
2012 Health Net Orange Option 1 (PDP) | $40.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $45.00 | $95.00 | 25% | tbd members | |||
2011 BravoRx (PDP) | $38.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -034 | 25% | 25% | 25% | 25% | 3,895 members | ||
2012 BravoRx (PDP) | $40.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | tbd members | ||||
2011 WellCare Classic (PDP) | $39.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -168 | $0.00 | $44.00 | $93.00 | 25% | 2,709 members | ||
2012 WellCare Classic (PDP) | $41.00 | $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 CIGNA Medicare Rx Plan One (PDP) | $42.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -153 | $3.00 | $29.00 | $83.00 | 25% | 2,153 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $42.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $35.00 | $87.00 | tbd members | |||
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