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 EnvisionRxPlus Silver (PDP) | $46.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -025 | 25% | 25% | 25% | 25% | 238 members | ||
2012 EnvisionRxPlus Silver (PDP) | $35.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
-- This plan not offered in 2011 -- | S7694 -095 | |||||||||||
2012 EnvisionRxPlus Gold (PDP) | $70.80 | $0 | Some Generics | No | $2.00 | 15% | 15% | 30% | tbd members | |||
2011 EnvisionRxPlus Gold (PDP) | $69.50 | $150 | Many Generics | No | S7694 -059 | $4.00 | 25% | $25.00 | 25% | 385 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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