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 -176 | |||||||||||
2013 WellCare Extra (PDP) | $44.10 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | |||
2012 Rite Aid EnvisionRxPlus (PDP) | $65.10 | $0 | Some Generics | No | S7694 -075 | $0.00 | 20% | 15% | 30% | 237 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 -039 | |||||||||||
2013 SmartD Rx Plus (PDP) | $65.90 | $0 | Some Generics | No | $0.00 | $20.00 | $35.00 | $81.00 | tbd members | |||
2012 First Health Part D Premier Plus (PDP) | $92.60 | $0 | Some Generics, Some Brands |
No | S5674 -017 | $0.00 | $20.00 | 25% | 43% | 2,346 members | ||
2013 First Health Part D Premier Plus (PDP) | $92.30 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2012 Horizon Medicare Blue Rx Enhanced (PDP) | $88.30 | $0 | Many Generics | No | S5993 -003 | $7.00 | $37.00 | $74.00 | 33% | 20,421 members | ||
2013 Horizon Medicare Blue Rx Enhanced (PDP) | $97.00 | $0 | Many Generics | No | $0.00 | $5.00 | $38.00 | $76.00 | 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) | $90.10 | $0 | Some Generics | No | S5921 -293 | $4.00 | $7.00 | $40.00 | $76.00 | 6,143 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $98.30 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $40.00 | $76.00 | tbd members | |||
2012 CVS Caremark Plus (PDP) | $75.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -009 | $0.00 | $40.00 | $90.00 | 33% | 2,745 members | ||
2013 SilverScript Plus (PDP) | $105.90 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 33% | tbd members | |||
2012 Aetna Medicare Rx Premier (PDP) | $89.90 | $0 | Many Generics | No | S5810 -174 | $4.00 | $25.00 | $35.00 | $80.00 | 1,843 members | ||
2013 Aetna Medicare Rx Premier (PDP) | $112.70 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | tbd members | |||
2012 Humana Complete (PDP) | $112.90 | $0 | Many Generics, Some Brands |
No | S5884 -032 | $6.00 | $40.00 | $71.00 | 33% | 1,414 members | ||
2013 Humana Complete (PDP) | $116.70 | $0 | Some Generics, Some Brands |
No | $5.00 | $38.00 | $71.00 | 33% | tbd members | |||
2012 BravoRx (PDP) | $37.30 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5998 -003 | 25% | 25% | 25% | 677 members | |||
-- Members will be assigned to HealthSpring Prescription Drug Plan S5932-005 -- | ||||||||||||
2012 Health Net Orange Option 1 (PDP) | $56.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -005 | $4.00 | $45.00 | $82.00 | 25% | 993 members | ||
-- Members will be assigned to SilverScript Basic S5601-008 -- | ||||||||||||
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 Community CCRx Basic (PDP) | $42.40 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -073 | $2.00 | 25% | 46% | 25% | 1,797 members | ||
-- Members will be assigned to SilverScript Basic S5601-008 -- | ||||||||||||
2012 Health Net Value Orange Option 2 (PDP) | $96.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -011 | $0.00 | $32.00 | $64.00 | 33% | 618 members | ||
-- Members will be assigned to SilverScript Plus S5601-009 -- | ||||||||||||
2012 Community CCRx Choice (PDP) | $80.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -141 | $0.00 | $40.00 | $70.00 | 33% | 1,055 members | ||
-- Members will be assigned to SilverScript Plus S5601-009 -- | ||||||||||||
2012 WellCare Signature (PDP) | $67.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -038 | $0.00 | $0.00 | $40.00 | $70.00 | 3,565 members | ||
-- Members will be assigned to WellCare Classic S5967-141 -- | ||||||||||||
2012 MedicareRx Rewards Plus (PDP) | $99.60 | $0 | Some Generics | No | S5960 -142 | $4.00 | $7.00 | $45.00 | $90.00 | 353 members | ||
-- This plan not offered in 2013 -- | ||||||||||||
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