2011 / 2012 Medicare Part D Plan Information Click here to jump to the Chart Legend | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
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 |
||||||
-- This plan not offered in 2011 -- | S5596 -057 | |||||||||||
2012 Blue MedicareRx Plus (PDP) | $64.60 | $0 | Some Generics | No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $99.30 | $0 | n/a | S5810 -186 | 966 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $76.60 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
-- This plan not offered in 2011 -- | S7694 -086 | |||||||||||
2012 EnvisionRxPlus Gold (PDP) | $78.20 | $0 | Some Generics | No | $2.00 | 15% | 15% | 30% | tbd members | |||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $74.70 | $250 | Many Generics | No | S5660 -186 | $6.00 | $40.00 | $95.00 | 26% | 1,615 members | ||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $81.70 | $150 | Many Generics | No | $6.00 | $12.00 | $45.00 | $95.00 | tbd members | |||
2011 AARP MedicareRx Enhanced (PDP) | $92.00 | $0 | Some Generics | No | S5921 -073 | $5.00 | $40.00 | $77.00 | 33% | 1,452 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $93.20 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | 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 First Health Part D Premier Plus (PDP) | $91.50 | $0 | Some Generics, Some Brands |
No | S5670 -084 | $0.00 | $25.00 | 30% | 57% | 3,107 members | ||
2012 First Health Part D Premier Plus (PDP) | $103.70 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 41% | tbd members | |||
2011 Humana Complete (PDP) | $109.10 | $0 | Many Generics, Some Brands |
No | S5884 -044 | $6.00 | $41.00 | $73.00 | 33% | 1,280 members | ||
2012 Humana Complete (PDP) | $109.20 | $0 | Many Generics, Some Brands |
No | $6.00 | $41.00 | $73.00 | 33% | tbd members | |||
2011 WPS MedicareRx Plan 2 (PDP) | $93.50 | $0 | Many Generics | No | S5753 -007 | $3.00 | $8.00 | $39.00 | $89.00 | 7,821 members | ||
2012 WPS MedicareRx Plan 2 (PDP) | $111.20 | $0 | Many Generics | No | $6.00 | $15.00 | $39.00 | 50% | tbd members | |||
-- This plan not offered in 2011 -- | S5596 -058 | |||||||||||
2012 Blue MedicareRx Premier (PDP) | $114.70 | $0 | Many Generics, Some Brands |
No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 Sterling Rx (PDP) | $50.70 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -027 | $4.00 | $23.00 | $38.00 | 25% | 86 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Aetna Medicare Rx Plus (PDP) | $66.30 | $0 | n/a | S5810 -220 | 1,242 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 BravoRx (PDP) | $38.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -022 | 25% | 25% | 25% | 25% | 5,703 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $38.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5644 -191 | $5.00 | 25% | $95.00 | 25% | 698 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $65.30 | $150 | Many Generics | No | S7694 -050 | $4.00 | 25% | $25.00 | 25% | 238 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $73.70 | $0 | Few Generics | No | S5617 -186 | $0.00 | $3.00 | $39.00 | $78.00 | 345 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Blue MedicareRx Premier (PDP) | $96.50 | $0 | Many Generics, Some Brands |
No | S5596 -023 | $6.00 | $43.00 | $85.00 | 33% | 2,485 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Blue MedicareRx Plus (PDP) | $56.10 | $0 | Some Generics | No | S5596 -022 | $4.00 | $7.00 | $43.00 | $85.00 | 5,199 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 Blue MedicareRx Standard (PDP) | $41.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5596 -021 | $4.00 | $7.00 | $36.00 | 25% | 3,673 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
|