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 -106 | $2.00 | $5.00 | 20% | 35% | 43,074 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 | |||
-- This plan not offered in 2011 -- | S5768 -135 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $25.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 25% | 41% | 33% | tbd members | |||
2011 Aetna Medicare Rx Essentials (PDP) | $51.50 | $310 | n/a | S5810 -046 | 1,394 members | |||||||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $14.00 | $36.00 | 41% | tbd members | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $32.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -220 | $3.00 | $30.00 | $79.00 | 25% | 49,000 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $28.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $31.00 | $81.00 | tbd members | |||
2011 Windsor Rx (PDP) | $31.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S2505 -001 | $3.00 | $37.00 | $70.00 | 25% | 24,933 members | ||
2012 Windsor Rx (PDP) | $29.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $41.00 | $80.00 | 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 Community CCRx Basic (PDP) | $29.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -081 | $2.00 | 31% | 60% | 25% | 94,715 members | ||
2012 Community CCRx Basic (PDP) | $30.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 47% | 25% | tbd members | |||
2011 First Health Part D Premier (PDP) | $42.80 | $150 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -015 | $8.00 | 17% | 35% | 29% | 34,026 members | ||
2012 First Health Part D Premier (PDP) | $30.50 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | 20% | 39% | 26% | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $32.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -012 | 25% | 25% | 25% | 25% | 12,570 members | ||
2012 EnvisionRxPlus Silver (PDP) | $30.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 CVS Caremark Value (PDP) | $31.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -024 | $5.00 | $37.25 | $95.00 | 25% | 11,082 members | ||
2012 CVS Caremark Value (PDP) | $30.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.75 | $45.00 | $95.00 | 25% | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -083 | |||||||||||
2012 United American - Select (PDP) | $31.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $7.00 | $45.00 | $95.00 | tbd members | |||
2011 Medco Medicare Prescription Plan - Value (PDP) | $33.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -114 | 25% | 25% | 25% | 25% | 39,839 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $31.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | 25% | 40% | 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 HealthSpring Prescription Drug Plan -Reg12 (PDP) | $31.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -001 | 25% | 25% | 57,109 members | ||||
2012 HealthSpring Prescription Drug Plan -Reg12 (PDP) | $33.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2011 Health Net Orange Option 1 (PDP) | $32.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -030 | $4.00 | $34.00 | $75.00 | 25% | 1,705 members | ||
2012 Health Net Orange Option 1 (PDP) | $33.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $41.00 | $82.00 | 25% | tbd members | |||
2011 WellCare Classic (PDP) | $32.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -149 | $0.00 | $42.00 | $88.00 | 25% | 27,821 members | ||
2012 WellCare Classic (PDP) | $34.50 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $42.00 | $90.00 | 25% | tbd members | |||
2011 BlueRx Option I (PDP) | $41.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S1030 -006 | $4.00 | $35.00 | $70.00 | 25% | 22,829 members | ||
2012 BlueRx Option I (PDP) | $42.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $35.00 | $85.00 | 25% | tbd members | |||
2011 Humana Enhanced (PDP) | $46.40 | $0 | Few Generics | No | S5884 -001 | $6.00 | $38.00 | $70.00 | 33% | 72,067 members | ||
2012 Humana Enhanced (PDP) | $42.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | $38.00 | $70.00 | 33% | tbd members | |||
2011 AARP MedicareRx Preferred (PDP) | $39.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -011 | $7.00 | $44.00 | $75.00 | 33% | 144,665 members | ||
2012 AARP MedicareRx Preferred (PDP) | $44.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $38.00 | $95.00 | 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 MedicareRx Rewards Standard (PDP) | $43.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -118 | $4.00 | $7.00 | $33.00 | 25% | 5,726 members | ||
2012 MedicareRx Rewards Standard (PDP) | $48.50 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $29.00 | $90.00 | tbd members | |||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $47.80 | $60 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -015 | $10.00 | $45.00 | $95.00 | 31% | 5,531 members | ||
2012 United American - Preferred (PDP) | $49.90 | $80 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
2011 CIGNA Medicare Rx Plan Two (PDP) | $63.20 | $0 | Few Generics | No | S5617 -182 | $0.00 | $3.00 | $35.00 | $78.00 | 2,661 members | ||
2012 CIGNA Medicare Rx Plan Two (PDP) | $63.80 | $0 | Few Generics | No | $0.00 | $5.00 | $41.00 | $85.00 | tbd members | |||
2011 WellCare Signature (PDP) | $61.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -046 | $0.00 | $40.00 | $78.00 | 33% | 11,061 members | ||
2012 WellCare Signature (PDP) | $65.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $45.00 | $85.00 | tbd members | |||
-- This plan not offered in 2011 -- | S7694 -083 | |||||||||||
2012 Rite Aid EnvisionRxPlus (PDP) | $69.20 | $0 | Some Generics | No | $0.00 | 20% | 15% | 30% | tbd members | |||
2011 Health Net Value Orange Option 2 (PDP) | $71.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -029 | $0.00 | $32.00 | $64.00 | 33% | 1,181 members | ||
2012 Health Net Value Orange Option 2 (PDP) | $69.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | 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 Medco Medicare Prescription Plan - Choice (PDP) | $62.40 | $250 | Many Generics | No | S5660 -182 | $6.00 | $40.00 | $95.00 | 26% | 5,787 members | ||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $74.90 | $150 | Many Generics | No | $6.00 | $12.00 | $45.00 | $95.00 | tbd members | |||
2011 CVS Caremark Plus (PDP) | $69.60 | $0 | Many Generics | No | S5601 -025 | $2.00 | $5.00 | $35.00 | $90.00 | 2,240 members | ||
2012 CVS Caremark Plus (PDP) | $78.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $90.00 | 33% | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $109.40 | $0 | n/a | S5810 -182 | 1,782 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $80.10 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 Community CCRx Choice (PDP) | $90.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -149 | $0.00 | $35.00 | $65.00 | 33% | 9,685 members | ||
2012 Community CCRx Choice (PDP) | $84.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $70.00 | 33% | tbd members | |||
2011 MedicareRx Rewards Plus (PDP) | $47.60 | $0 | Some Generics | No | S5960 -148 | $4.00 | $7.00 | $43.00 | $85.00 | 2,778 members | ||
2012 MedicareRx Rewards Plus (PDP) | $87.40 | $0 | Some Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 AARP MedicareRx Enhanced (PDP) | $96.10 | $0 | Some Generics | No | S5921 -153 | $4.00 | $40.00 | $74.00 | 33% | 3,364 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $88.40 | $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 BlueRx Option II (PDP) | $80.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S1030 -001 | $4.00 | $40.00 | $65.00 | 33% | 22,829 members | ||
2012 BlueRx Option II (PDP) | $90.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $40.00 | $65.00 | 33% | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $95.50 | $0 | Some Generics, Some Brands |
No | S5670 -066 | $0.00 | $25.00 | 30% | 55% | 4,374 members | ||
2012 First Health Part D Premier Plus (PDP) | $102.80 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 44% | tbd members | |||
2011 Humana Complete (PDP) | $110.00 | $0 | Many Generics, Some Brands |
No | S5884 -040 | $4.00 | $36.00 | $70.00 | 33% | 4,736 members | ||
2012 Humana Complete (PDP) | $110.10 | $0 | Many Generics, Some Brands |
No | $4.00 | $36.00 | $70.00 | 33% | tbd members | |||
2011 Sterling Rx (PDP) | $49.20 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -033 | $4.00 | $20.00 | $35.00 | 25% | 226 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $29.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5644 -012 | $4.50 | 25% | $95.00 | 25% | 10,331 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 BravoRx (PDP) | $34.20 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5998 -020 | 25% | 25% | 25% | 25% | 176 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 Aetna Medicare Rx Plus (PDP) | $66.10 | $0 | n/a | S5810 -216 | 2,226 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $85.90 | $150 | Many Generics | No | S7694 -046 | $4.00 | 25% | $25.00 | 25% | 220 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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