| 2012 Medicare Part D Plan Details |
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| Plan Name: | EnvisionRxPlus Silver (PDP)
by EnvisionRx Plus |
| State: | New Hampshire |
| Plan ID: | S7694 - 001 Click to see other plans |
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Click here for the EnvisionRxPlus Silver (PDP) enrollment options and to have a copy of this chart sent to your email.
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| Plan Materials for New Hampshire: | Click here to jump to plan materials (Formulary, Summary of Benefits, etc.) |
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| — Plan Features — |
| Monthly Premium: | $29.80 |
| Annual Deductible: | $320 |
| $0 Premium if Full LIS Benefits: | Yes, this plan does qualify for the $0 Premium. |
| Initial Coverage Limit (ICL): | $2,930 |
| Gap Coverage: | No Gap Coverage |
| Total Number of Formulary Drugs: | 2618 Browse Plan Formulary |
| Formulary Drug Details: | Tier 1 | Tier 2 | Tier 3 | Tier 4 | Tier 5 |
— Cost-Sharing during
initial coverage phase: | 25% | 25% | 25% | 25% | 25% |
| — Number of Drugs per Tier: | 556 | 1128 | 355 | 327 | 252 |
| Plan Offers Mail Order: | No |
| Plan Type (Reach): | National Plan |
| Number of Members enrolled in this plan in your CMS Region: | 1,996 |
| Number of Members enrolled in this plan nationally: | 368,522 |
| Plan’s Summary Star Rating: | 2.50 out of 5 Stars. |
| - Customer Service Rating: | 4 out of 5 Stars. |
| - Member Experience Rating: | 2 out of 5 Stars. |
| - Drug Cost Accuracy Rating: | 3 out of 5 Stars. |
