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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2012 RxBLUE BASIC (PDP) | $38.70 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5937 -001 | $3.00 | $46.00 | 25% | 12,187 members | |||
2013 RxBLUE BASIC (PDP) | $51.20 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | $44.00 | 25% | tbd members | ||||
2012 RxBLUE PLUS (PDP) | $98.20 | $0 | Many Generics | No | S5937 -002 | $3.00 | $35.00 | $70.00 | 33% | 1,691 members | ||
2013 RxBLUE PLUS (PDP) | $118.00 | $0 | Many Generics | No | $5.00 | $35.00 | 30% | tbd members | ||||
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