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Note: *Stand-alone Medicare Prescription Drug Plans (PDP)s only. Data for MA-PD plans not included. The data for the sanctioned Aetna plans is NOT included on this page.
**The plan premium weighted averages are calculated by multiplying the plan premium by the number of enrollees in the plan to give more "weight" to plans with more members.
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: : Details of the 2012 CMS Standard Plan including cost sharing, LIS benchmarks, etc.
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| 2012 Premium Changes for Persons Staying in their 2011 Plan |
| Premium Change Range | Total number of Plans in this Change Range | | $-25 to $-21 | * -- total: 1 plan | | $-20 to $-16 | 0 plans | | $-15 to $-11 | * * -- total: 2 plans | | $-10 to $-6 | 0 plans | | $-5 to $-1 | * * * * -- total: 4 plans | | $0 to $4 | * * * * * * * * * * * * -- total: 12 plans | | $5 to $9 | * * * * * * * * -- total: 8 plans | | $10 to $14 | * -- total: 1 plan | | $15 to $19 | * * -- total: 2 plans | | $20 to $24 | * -- total: 1 plan | | $25 to $29 | 0 plans | | $30 to $34 | 0 plans | | $35 to $39 | 0 plans | | $40 to $44 | 0 plans | |
: : Click to see change details on a per plan basis
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| Details for the Min. and Max. Premium Plans in 2012 |
| H/L | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type | | Low | PA WV | Humana Walmart-Preferred Rx Plan (PDP) | $15.10 | $320.00 | No Gap Coverage | Basic | | High | PA WV | SecureRx - Option 1 (PDP) | $115.60 | $0.00 | Many Generics | Enhanced |
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| : : Click to see 2012 Part D Plan details for Pennsylvania. |
| The chart above shows the details of the least expensive and most expensive |
plans available for 2012.
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| Min. and Max. Premium Plans in 2011 and their change in 2012 |
| H/L | Year | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type | | Low | 2011 | PA WV | Humana Walmart-Preferred Rx Plan (PDP) | $14.80 | $310.00 | No Gap Coverage | Basic | | Low | 2012 | PA WV | Humana Walmart-Preferred Rx Plan (PDP) | $15.10 | $320.00 | No Gap Coverage | Basic |
| | High | 2011 | PA WV | SecureRx - Option 1 (PDP) | $120.30 | $0.00 | Many Generics | Enhanced | | High | 2012 | PA WV | SecureRx - Option 1 (PDP) | $115.60 | $0.00 | Many Generics | Enhanced |
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| : : Click to see change details for all plans in Pennsylvania. |
| The chart above details the least (and most) expensive plan in 2011 and |
plan features and costs should you stay in the same plan in 2012.
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| Gap Coverage Types and Minimum Premium for 2012 Part D Plans |
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| Notes: Click the Gap Coverage Type above to see plan details for 2012 Pennsylvania plans. |
Gap coverage descriptions apply to formulary drugs only. The Healthcare Reform provides that for Plan Year 2012, ALL formulary generics will have at least a 14% discount and ALL brand drugs will have at least a 50% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. The percentage of "Generic" and "Brand" drugs covered in the gap are each separately calculated and the following descriptions are used:
- "All": 100% of formulary drugs of this type (generic or brand as noted) are covered through the gap. Ex: "All Generics". A label of "All Formulary Drugs" is applied for plans that cover 100% of "generic" and 100% of "brand" products (either by covering all formulary drug products in the gap or by having no initial coverage limit),
- "Many": >=65% to <100% of formulary drugs of this type (generic or brand as noted) are covered through the gap. Ex: "Many Generics",
- "Some": >=10% to <65 % of formulary drugs of this type (generic or brand as noted) are covered through the gap. Ex: "Some Generics",
- "Few": >0% to <10% of formulary drugs of this type (generic or brand as noted) are covered through the gap (and must also be >15 products covered through the gap),
- "No Gap Coverage": 0% of drugs are covered through the gap (or <=15 products covered through the gap).
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| 2012 Pennsylvania $0 Premium LIS Qualified Part D Plans |
| 2012 LIS Qualifying Plans | | Plan Name | Plan ID | | Aetna CVS/pharmacy Prescription Drug Plan (PDP) | S5810-040 | | CIGNA Medicare Rx Plan One (PDP) | S5617-215 | | Community CCRx Basic (PDP) | S5803-075 | | CVS Caremark Value (PDP) | S5601-012 | | EnvisionRxPlus Silver (PDP) | S7694-006 | | First Health Part D Premier (PDP) | S5768-009 | | Health Net Orange Option 1 (PDP) | S5678-018 | | HealthSpring Prescription Drug Plan -Reg 6 (PDP) | S5932-006 | | Humana Walmart-Preferred Rx Plan (PDP) | S5884-104 | | Medco Medicare Prescription Plan - Value (PDP) | S5660-108 | | United American - Select (PDP) | S5755-077 | | WellCare Classic (PDP) | S5967-143 |
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| 2011 LIS Qualifying Plans | | Plan Name | Plan ID | | AARP MedicareRx Preferred (PDP) | S5820-005 | | Advantage Star Plan by RxAmerica (PDP) | S5644-072 | | BravoRx (PDP) | S5998-005 | | CIGNA Medicare Rx Plan One (PDP) | S5617-215 | | Community CCRx Basic (PDP) | S5803-075 | | CVS Caremark Value (PDP) | S5601-012 | | EnvisionRxPlus Silver (PDP) | S7694-006 | | Health Net Orange Option 1 (PDP) | S5678-018 | | HealthSpring Prescription Drug Plan -Reg 6 (PDP) | S5932-006 | | Humana Walmart-Preferred Rx Plan (PDP) | S5884-104 | | Medco Medicare Prescription Plan - Value (PDP) | S5660-108 | | WellCare Classic (PDP) | S5967-143 |
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Note: Click heading above to see details LIS qualifying plans in Pennsylvania.
Please note, not all plans are available in every state.
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| List of National PDP Providers with Plans available in Pennsylvania |
| 2012 National PDP Providers | | Aetna Medicare | | CIGNA Medicare Rx | | Community CCRx PDP | | EnvisionRx Plus | | First Health Part D | | HealthSpring Prescription Drug Plan | | Humana Insurance Company | | Medco Medicare Prescription Plan | | SilverScript Insurance Company | | UniCare | | United American Insurance Company | | UnitedHealthcare |
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| 2011 National PDP Providers | | AETNA LIFE INSURANCE COMPANY | | CIGNA Medicare Rx | | EnvisionRx Plus | | First Health Part D | | HealthSpring Prescription Drug Plan | | Humana Insurance Company | | Medco Medicare Prescription Plan | | RxAmerica | | SilverScript Insurance Company | | UniCare | | United American Insurance Company | | UnitedHealthcare | | Universal American |
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Note: Click heading above to see PDP plans and details for Pennsylvania.
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| : : Charts & Figures : : Summarized in Plain Text : : Print Version |
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