2012 / 2013 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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-- This plan not offered in 2012 -- | S5967 -203 | |||||||||||
2013 WellCare Extra (PDP) | $49.00 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | |||
2012 Rite Aid EnvisionRxPlus (PDP) | $78.60 | $0 | Some Generics | No | S7694 -102 | $0.00 | 20% | 15% | 30% | 206 members | ||
2013 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -067 | |||||||||||
2013 SmartD Rx Plus (PDP) | $73.00 | $0 | Some Generics | No | $0.00 | $20.00 | $32.00 | $85.00 | tbd members | |||
2012 Blue Cross MedicareRx Plus (PDP) | $62.80 | $0 | Some Generics | No | S5596 -034 | $2.00 | $7.00 | $45.00 | $90.00 | 48,041 members | ||
2013 Blue Cross MedicareRx Plus (PDP) | $76.80 | $0 | Few Generics | No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2012 Medco Medicare Prescription Plan - Choice (PDP) | $82.50 | $150 | Many Generics | No | S5660 -202 | $6.00 | $12.00 | $45.00 | $95.00 | 4,074 members | ||
2013 Express Scripts Medicare - Choice (PDP) | $91.60 | $200 | Many Generics | No | $8.00 | $45.00 | $95.00 | 28% | 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 | ||||||
2012 AARP MedicareRx Enhanced (PDP) | $96.10 | $0 | Some Generics | No | S5921 -003 | $4.00 | $7.00 | $40.00 | $76.00 | 9,841 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $98.00 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $40.00 | $76.00 | tbd members | |||
2012 First Health Part D Premier Plus (PDP) | $107.30 | $0 | Some Generics, Some Brands |
No | S5674 -059 | $0.00 | $20.00 | 25% | 43% | 2,649 members | ||
2013 First Health Part D Premier Plus (PDP) | $102.40 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2012 Blue Cross MedicareRx Gold (PDP) | $107.30 | $0 | Many Generics, Some Brands |
No | S5596 -035 | $2.00 | $7.00 | $45.00 | $90.00 | 47,615 members | ||
2013 Blue Cross MedicareRx Gold (PDP) | $113.00 | $0 | Many Generics, Some Brands |
No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2012 CVS Caremark Plus (PDP) | $81.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -065 | $0.00 | $40.00 | $90.00 | 33% | 3,596 members | ||
2013 SilverScript Plus (PDP) | $113.10 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 33% | tbd members | |||
2012 Aetna Medicare Rx Premier (PDP) | $92.20 | $0 | Many Generics | No | S5810 -202 | $4.00 | $25.00 | $35.00 | $80.00 | 4,181 members | ||
2013 Aetna Medicare Rx Premier (PDP) | $118.40 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | tbd members | |||
2012 Humana Complete (PDP) | $114.90 | $0 | Many Generics, Some Brands |
No | S5884 -060 | $5.00 | $37.00 | $69.00 | 33% | 3,647 members | ||
2013 Humana Complete (PDP) | $118.60 | $0 | Some Generics, Some Brands |
No | $5.00 | $37.00 | $69.00 | 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 | ||||||
2012 BravoRx (PDP) | $37.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5998 -013 | 25% | 25% | 25% | 16,400 members | |||
-- Members will be assigned to HealthSpring Prescription Drug Plan S5932-031 -- | ||||||||||||
2012 Health Net Orange Option 1 (PDP) | $31.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -002 | $4.00 | $41.00 | $85.00 | 25% | 190,389 members | ||
-- Members will be assigned to SilverScript Basic S5601-064 -- | ||||||||||||
2012 Community CCRx Basic (PDP) | $48.90 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -101 | $2.00 | 25% | 46% | 25% | 11,515 members | ||
-- Members will be assigned to SilverScript Basic S5601-064 -- | ||||||||||||
2012 Health Net Orange Option 2 (PDP) | $87.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -008 | $0.00 | $38.00 | $75.00 | 33% | 11,277 members | ||
-- Members will be assigned to SilverScript Plus S5601-065 -- | ||||||||||||
2012 Community CCRx Choice (PDP) | $91.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -169 | $0.00 | $40.00 | $70.00 | 33% | 2,939 members | ||
-- Members will be assigned to SilverScript Plus S5601-065 -- | ||||||||||||
2012 WellCare Signature (PDP) | $55.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -066 | $0.00 | $20.00 | $45.00 | $90.00 | 19,876 members | ||
-- Members will be assigned to WellCare Classic S5967-169 -- | ||||||||||||
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 | ||||||
2012 Blue Shield Medicare Premium Plan (PDP) | $108.20 | $0 | Many Generics, Some Brands |
No | S2468 -002 | $7.00 | $45.00 | $75.00 | 33% | 3,858 members | ||
-- This plan not offered in 2013 -- | ||||||||||||
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