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 PICA Alante (PDP) | $2.00 | $219 | No additional gap coverage, only the Donut Hole Discount | No | S5775 -002 | $6.00 | $30.00 | $60.00 | 27% | 1,959 members | |||||
2012 PICA Alante (PDP) | $0.00 | $239 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | $30.00 | $60.00 | 27% | tbd members | ||||||
2011 Humana Walmart-Preferred Rx Plan (PDP) | $14.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S2874 -004 | $2.00 | $5.00 | 20% | 35% | 77 members | |||||
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2012 Humana Walmart-Preferred Rx Plan (PDP) | $4.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $5.00 | 20% | 35% | tbd members | ||||||
2011 MediMax One (PDP) | $7.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S0043 -009 | $5.00 | $32.00 | $65.00 | 25% | 361 members | |||||
2012 MediMax One (PDP) | $13.30 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $30.00 | $60.00 | 25% | tbd members | ||||||
2011 PharmaPlus (PDP) | $13.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5840 -001 | 25% | 25% | 25% | 25% | 113 members | |||||
2012 PharmaPlus (PDP) | $17.90 | $320 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2011 MCS Classicare Rx Standard (PDP) | $41.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5555 -003 | 25% | 25% | 25% | 25% | 21 members | |||||
2012 MCS Classicare Rx Standard (PDP) | $20.90 | $320 | No additional gap coverage, only the Donut Hole Discount | No | 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 Humana Enhanced (PDP) | $23.80 | $200 | Few Generics | No | S2874 -001 | $7.00 | $28.00 | $45.00 | 27% | 247 members | |||||
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2012 Humana Enhanced (PDP) | $23.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $28.00 | $65.00 | 33% | tbd members | ||||||
2011 Medco Medicare Prescription Plan - Value (PDP) | $40.50 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -137 | 25% | 25% | 25% | 25% | < 10 members | |||||
2012 Medco Medicare Prescription Plan - Value (PDP) | $36.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | 25% | 40% | tbd members | ||||||
2011 AARP MedicareRx Preferred (PDP) | $34.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -037 | $7.00 | $38.00 | $93.00 | 33% | 3,636 members | |||||
2012 AARP MedicareRx Preferred (PDP) | $43.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $8.00 | $35.00 | $95.00 | tbd members | ||||||
2011 MediMax Plus (PDP) | $47.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S0043 -010 | $5.00 | $25.00 | $45.00 | 25% | 1,067 members | |||||
2012 MediMax Plus (PDP) | $46.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $25.00 | $45.00 | 25% | tbd members | ||||||
2011 MCS Classicare Rx (PDP) | $70.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5555 -001 | $4.00 | $28.00 | $48.00 | 25% | 617 members | |||||
2012 MCS Classicare Rx (PDP) | $47.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $28.00 | $48.00 | 25% | tbd members | ||||||
2011 Triple-S FarmaMed (PDP) | $58.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | S5907 -001 | $7.00 | $21.00 | $30.00 | 25% | 1,864 members | |||||
2012 Triple-S FarmaMed (PDP) | $54.40 | $320 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $25.00 | 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 PICA Primero (PDP) | $59.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5775 -001 | $2.00 | $25.00 | $50.00 | 33% | 8,897 members | |||||
2012 PICA Primero (PDP) | $60.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $25.00 | $50.00 | 33% | tbd members | ||||||
2011 PharmaPremium (PDP) | $57.40 | $0 | All Generics | No | S5840 -002 | $0.50 | $15.00 | $30.00 | 25% | 258 members | |||||
2012 PharmaPremium (PDP) | $60.60 | $0 | All Generics | No | $4.00 | $20.00 | $45.00 | 25% | tbd members | ||||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $62.10 | $250 | Many Generics | No | S5660 -205 | $6.00 | $40.00 | $95.00 | 26% | < 10 members | |||||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $63.00 | $150 | Many Generics | No | $6.00 | $12.00 | $45.00 | $95.00 | tbd members | ||||||
2011 MediMax Elite (PDP) | $57.50 | $0 | Some Generics | No | S0043 -013 | members | |||||||||
2012 MediMax Elite (PDP) | $63.00 | $0 | Many Generics | No | tbd | tbd members | |||||||||
2011 Triple-S FarmaMed Plus (PDP) | $78.40 | $0 | Many Generics | No | S5907 -002 | $5.00 | $30.00 | $40.00 | 25% | 1,974 members | |||||
2012 Triple-S FarmaMed Plus (PDP) | $75.90 | $0 | Many Generics | No | $5.00 | $30.00 | 25% | 25% | tbd members | ||||||
2011 AARP MedicareRx Enhanced (PDP) | $85.60 | $0 | Some Generics | No | S5820 -145 | $3.50 | $40.00 | $70.00 | 33% | 232 members | |||||
-- This plan not offered in 2012 -- | |||||||||||||||
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