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 -135 | $2.00 | $5.00 | 20% | 35% | 20,355 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 -133 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $25.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 25% | 41% | 33% | tbd members | |||
2011 Aetna Medicare Rx Essentials (PDP) | $31.90 | $310 | n/a | S5810 -044 | 23,216 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 | $34.00 | 41% | tbd members | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $31.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -219 | $3.00 | $28.00 | $79.00 | 25% | 21,574 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $28.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $32.00 | $84.00 | tbd members | |||
2011 Community CCRx Basic (PDP) | $28.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -079 | $2.00 | 31% | 65% | 25% | 98,431 members | ||
2012 Community CCRx Basic (PDP) | $28.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 47% | 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 EnvisionRxPlus Silver (PDP) | $30.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -010 | 25% | 25% | 25% | 25% | 4,866 members | ||
2012 EnvisionRxPlus Silver (PDP) | $29.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2011 First Health Part D Premier (PDP) | $31.50 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -040 | $9.00 | 17% | 34% | 29% | 44,913 members | ||
2012 First Health Part D Premier (PDP) | $30.90 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | 20% | 39% | 26% | tbd members | |||
2011 CVS Caremark Value (PDP) | $29.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -020 | $5.00 | $37.00 | $95.00 | 25% | 5,509 members | ||
2012 CVS Caremark Value (PDP) | $31.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.50 | $45.00 | $95.00 | 25% | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -081 | |||||||||||
2012 United American - Select (PDP) | $31.10 | $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) | $32.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -112 | 25% | 25% | 25% | 25% | 9,013 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $31.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | 25% | 40% | tbd members | |||
2011 WellCare Classic (PDP) | $29.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -147 | $0.00 | $41.00 | $84.00 | 25% | 26,731 members | ||
2012 WellCare Classic (PDP) | $32.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $41.00 | $92.00 | 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 BravoRx (PDP) | $29.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -019 | 25% | 25% | 25% | 25% | 4,051 members | ||
2012 BravoRx (PDP) | $32.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | tbd members | ||||
2011 Blue MedicareRx Standard (PDP) | $30.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5596 -009 | $4.00 | $7.00 | $35.00 | 25% | 20,561 members | ||
2012 Blue MedicareRx Standard (PDP) | $32.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $7.00 | $35.00 | $90.00 | tbd members | |||
2011 HealthSpring Prescription Drug Plan-Reg 10 (PDP) | $32.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -010 | 25% | 25% | 5,701 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 10 (PDP) | $33.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | tbd members | |||||
2011 Health Net Orange Option 1 (PDP) | $31.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -026 | $4.00 | $32.00 | $75.00 | 25% | 753 members | ||
2012 Health Net Orange Option 1 (PDP) | $34.50 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $40.00 | $83.00 | 25% | tbd members | |||
2011 AARP MedicareRx Preferred (PDP) | $39.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -009 | $7.00 | $44.00 | $76.00 | 33% | 118,875 members | ||
2012 AARP MedicareRx Preferred (PDP) | $42.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $39.00 | $93.00 | tbd members | |||
2011 Humana Enhanced (PDP) | $47.30 | $0 | Few Generics | No | S5884 -009 | $6.00 | $38.00 | $72.00 | 33% | 30,090 members | ||
2012 Humana Enhanced (PDP) | $42.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | $38.00 | $72.00 | 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 UA Medicare Part D Prescription Drug Cov (PDP) | $50.10 | $60 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -013 | $10.00 | $45.00 | $95.00 | 31% | 5,741 members | ||
2012 United American - Preferred (PDP) | $52.20 | $80 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $9.00 | $45.00 | $95.00 | tbd members | |||
2011 Blue MedicareRx Plus (PDP) | $54.50 | $0 | Some Generics | No | S5596 -010 | $4.00 | $7.00 | $43.00 | $85.00 | 9,662 members | ||
2012 Blue MedicareRx Plus (PDP) | $61.50 | $0 | Some Generics | No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 WellCare Signature (PDP) | $56.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -044 | $0.00 | $40.00 | $70.00 | 33% | 7,616 members | ||
2012 WellCare Signature (PDP) | $61.90 | $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 -081 | |||||||||||
2012 Rite Aid EnvisionRxPlus (PDP) | $67.10 | $0 | Some Generics | No | $0.00 | 20% | 15% | 30% | tbd members | |||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $61.90 | $250 | Many Generics | No | S5660 -180 | $6.00 | $40.00 | $95.00 | 26% | 4,629 members | ||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $68.70 | $150 | Many Generics | No | $6.00 | $12.00 | $45.00 | $95.00 | tbd members | |||
2011 Health Net Value Orange Option 2 (PDP) | $76.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -025 | $0.00 | $32.00 | $64.00 | 33% | 583 members | ||
2012 Health Net Value Orange Option 2 (PDP) | $71.60 | $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 Community CCRx Choice (PDP) | $87.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -147 | $0.00 | $35.00 | $65.00 | 33% | 10,499 members | ||
2012 Community CCRx Choice (PDP) | $75.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $70.00 | 33% | tbd members | |||
2011 CVS Caremark Plus (PDP) | $77.90 | $0 | Many Generics | No | S5601 -021 | $2.00 | $5.00 | $35.00 | $90.00 | 1,094 members | ||
2012 CVS Caremark Plus (PDP) | $78.50 | $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) | $107.90 | $0 | n/a | S5810 -180 | 1,038 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $80.30 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 AARP MedicareRx Enhanced (PDP) | $95.00 | $0 | Some Generics | No | S5921 -133 | $4.00 | $40.00 | $76.00 | 33% | 3,212 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $89.40 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $91.20 | $0 | Some Generics, Some Brands |
No | S5670 -060 | $0.00 | $25.00 | 30% | 57% | 3,401 members | ||
2012 First Health Part D Premier Plus (PDP) | $100.00 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 44% | tbd members | |||
2011 Blue MedicareRx Premier (PDP) | $94.80 | $0 | Many Generics, Some Brands |
No | S5596 -011 | $6.00 | $43.00 | $85.00 | 33% | 7,080 members | ||
2012 Blue MedicareRx Premier (PDP) | $108.00 | $0 | Many Generics, Some Brands |
No | $2.00 | $7.00 | $45.00 | $90.00 | 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 Humana Complete (PDP) | $117.40 | $0 | Many Generics, Some Brands |
No | S5884 -038 | $4.00 | $37.00 | $69.00 | 33% | 1,706 members | ||
2012 Humana Complete (PDP) | $117.50 | $0 | Many Generics, Some Brands |
No | $4.00 | $37.00 | $69.00 | 33% | tbd members | |||
2011 Sterling Rx (PDP) | $38.50 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -007 | $4.00 | $21.00 | $37.00 | 25% | 504 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $27.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5644 -076 | $4.50 | 25% | $95.00 | 25% | 5,888 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Aetna Medicare Rx Plus (PDP) | $60.40 | $0 | n/a | S5810 -214 | 2,651 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $62.80 | $150 | Many Generics | No | S7694 -044 | $4.00 | 25% | $25.00 | 25% | 190 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $69.90 | $0 | Few Generics | No | S5617 -180 | $0.00 | $3.00 | $33.00 | $78.00 | 866 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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