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 -138 | $2.00 | $5.00 | 20% | 35% | 37,878 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 -138 | |||||||||||
2012 First Health Part D Value Plus (PDP) | $25.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | 25% | 39% | 33% | tbd members | |||
2011 Aetna Medicare Rx Essentials (PDP) | $38.00 | $310 | n/a | S5810 -049 | 19,542 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 | $29.00 | 41% | tbd members | |||
2011 CIGNA Medicare Rx Plan One (PDP) | $37.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -222 | $3.00 | $30.00 | $86.00 | 25% | 29,905 members | ||
2012 CIGNA Medicare Rx Plan One (PDP) | $31.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $20.00 | $35.00 | $79.00 | tbd members | |||
2011 EnvisionRxPlus Silver (PDP) | $37.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S7694 -015 | 25% | 25% | 25% | 25% | 490 members | ||
2012 EnvisionRxPlus Silver (PDP) | $33.30 | $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) | $31.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -084 | $2.00 | 31% | 60% | 25% | 83,667 members | ||
2012 Community CCRx Basic (PDP) | $33.60 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 25% | 46% | 25% | tbd members | |||
2011 First Health Part D Premier (PDP) | $37.80 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -018 | $8.00 | 17% | 36% | 29% | 82,059 members | ||
2012 First Health Part D Premier (PDP) | $33.60 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | 21% | 36% | 26% | tbd members | |||
-- This plan not offered in 2011 -- | S5755 -086 | |||||||||||
2012 United American - Select (PDP) | $35.10 | $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) | $37.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -117 | 25% | 25% | 25% | 25% | 21,399 members | ||
2012 Medco Medicare Prescription Plan - Value (PDP) | $35.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $8.00 | 25% | 40% | tbd members | |||
2011 CVS Caremark Value (PDP) | $35.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -030 | $5.00 | $38.25 | $95.00 | 25% | 11,376 members | ||
2012 CVS Caremark Value (PDP) | $35.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $45.00 | $95.00 | 25% | tbd members | |||
2011 BravoRx (PDP) | $34.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -021 | 25% | 25% | 25% | 25% | 5,100 members | ||
2012 BravoRx (PDP) | $36.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 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 WellCare Classic (PDP) | $36.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -152 | $0.00 | $43.00 | $92.00 | 25% | 15,628 members | ||
2012 WellCare Classic (PDP) | $37.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $43.00 | $95.00 | 25% | tbd members | |||
2011 Health Net Orange Option 1 (PDP) | $33.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -036 | $4.00 | $34.00 | $75.00 | 25% | 1,246 members | ||
2012 Health Net Orange Option 1 (PDP) | $37.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $45.00 | $85.00 | 25% | tbd members | |||
2011 HealthSpring Prescription Drug Plan-Reg 15 (PDP) | $37.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -014 | 25% | 25% | 20,805 members | ||||
2012 HealthSpring Prescription Drug Plan-Reg 15 (PDP) | $37.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2011 Humana Enhanced (PDP) | $48.60 | $0 | Few Generics | No | S5884 -073 | $6.00 | $39.00 | $70.00 | 33% | 68,764 members | ||
2012 Humana Enhanced (PDP) | $40.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | $39.00 | $70.00 | 33% | tbd members | |||
2011 Blue MedicareRx Standard (PDP) | $37.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5596 -017 | $4.00 | $7.00 | $36.00 | 25% | 34,042 members | ||
2012 Blue MedicareRx Standard (PDP) | $42.30 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $7.00 | $38.00 | $90.00 | tbd members | |||
2011 AARP MedicareRx Preferred (PDP) | $34.50 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5820 -014 | $7.00 | $45.00 | $75.00 | 33% | 222,605 members | ||
2012 AARP MedicareRx Preferred (PDP) | $42.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $40.00 | $89.00 | 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 UA Medicare Part D Prescription Drug Cov (PDP) | $53.20 | $60 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -018 | $10.00 | $45.00 | $95.00 | 31% | 3,335 members | ||
2012 United American - Preferred (PDP) | $55.30 | $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) | $69.50 | $0 | Few Generics | No | S5617 -185 | $0.00 | $3.00 | $36.00 | $78.00 | 1,748 members | ||
2012 CIGNA Medicare Rx Plan Two (PDP) | $67.40 | $0 | Few Generics | No | $0.00 | $5.00 | $41.00 | $85.00 | tbd members | |||
-- This plan not offered in 2011 -- | S7694 -085 | |||||||||||
2012 Rite Aid EnvisionRxPlus (PDP) | $68.10 | $0 | Some Generics | No | $0.00 | 20% | 15% | 30% | tbd members | |||
2011 WellCare Signature (PDP) | $59.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -049 | $0.00 | $40.00 | $86.00 | 33% | 12,957 members | ||
2012 WellCare Signature (PDP) | $68.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $45.00 | $90.00 | tbd members | |||
2011 Blue MedicareRx Plus (PDP) | $61.20 | $0 | Some Generics | No | S5596 -018 | $4.00 | $7.00 | $43.00 | $85.00 | 28,242 members | ||
2012 Blue MedicareRx Plus (PDP) | $70.90 | $0 | Some Generics | No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $62.60 | $250 | Many Generics | No | S5660 -185 | $6.00 | $40.00 | $95.00 | 26% | 7,670 members | ||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $70.90 | $150 | Many Generics | No | $6.00 | $12.00 | $45.00 | $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 Community CCRx Choice (PDP) | $84.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -152 | $0.00 | $35.00 | $65.00 | 33% | 7,820 members | ||
2012 Community CCRx Choice (PDP) | $79.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $70.00 | 33% | tbd members | |||
2011 Health Net Orange Option 2 (PDP) | $85.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -035 | $2.00 | $34.00 | $68.00 | 33% | 308 members | ||
2012 Health Net Value Orange Option 2 (PDP) | $80.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | |||
2011 Aetna Medicare Rx Premier (PDP) | $107.20 | $0 | n/a | S5810 -185 | 2,055 members | |||||||
2012 Aetna Medicare Rx Premier (PDP) | $84.90 | $0 | Many Generics | No | $4.00 | $25.00 | $35.00 | $80.00 | tbd members | |||
2011 CVS Caremark Plus (PDP) | $63.10 | $0 | Many Generics | No | S5601 -031 | $2.00 | $5.00 | $35.00 | $90.00 | 4,942 members | ||
2012 CVS Caremark Plus (PDP) | $85.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $90.00 | 33% | tbd members | |||
2011 AARP MedicareRx Enhanced (PDP) | $93.50 | $0 | Some Generics | No | S5921 -063 | $4.00 | $40.00 | $8.00 | 33% | 4,793 members | ||
2012 AARP MedicareRx Enhanced (PDP) | $91.80 | $0 | Some Generics | No | $4.00 | $7.00 | $40.00 | $76.00 | tbd members | |||
2011 First Health Part D Premier Plus (PDP) | $92.90 | $0 | Some Generics, Some Brands |
No | S5674 -029 | $0.00 | $25.00 | 30% | 56% | 6,848 members | ||
2012 First Health Part D Premier Plus (PDP) | $101.90 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 41% | 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) | $110.00 | $0 | Many Generics, Some Brands |
No | S5884 -043 | $4.00 | $37.00 | $70.00 | 33% | 4,917 members | ||
2012 Humana Complete (PDP) | $110.10 | $0 | Many Generics, Some Brands |
No | $4.00 | $37.00 | $70.00 | 33% | tbd members | |||
2011 Blue MedicareRx Premier (PDP) | $105.30 | $0 | Many Generics, Some Brands |
No | S5596 -019 | $6.00 | $43.00 | $85.00 | 33% | 17,553 members | ||
2012 Blue MedicareRx Premier (PDP) | $117.10 | $0 | Many Generics, Some Brands |
No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2011 Sterling Rx (PDP) | $41.40 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S4802 -009 | $4.00 | $23.00 | $40.00 | 25% | 587 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Advantage Star Plan by RxAmerica (PDP) | $33.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | S5644 -190 | $4.75 | 25% | $95.00 | 25% | 4,217 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
2011 Aetna Medicare Rx Plus (PDP) | $65.10 | $0 | n/a | S5810 -219 | 3,846 members | |||||||
-- This plan not offered in 2012 -- | ||||||||||||
2011 EnvisionRxPlus Gold (PDP) | $84.20 | $150 | Many Generics | No | S7694 -049 | $4.00 | 25% | $25.00 | 25% | 174 members | ||
-- This plan not offered in 2012 -- | ||||||||||||
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