2012 / 2013 Medicare Part D Plan Information Click here to jump to the Chart Legend | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
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 |
||||||
-- This plan not offered in 2012 -- | S5921 -349 | |||||||||||
2013 AARP MedicareRx Saver Plus (PDP) | $15.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.00 | $25.00 | $45.00 | tbd members | |||
2012 Humana Walmart-Preferred Rx Plan (PDP) | $15.10 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5884 -131 | $1.00 | $5.00 | 20% | 35% | 34,172 members | ||
2013 Humana Walmart-Preferred Rx Plan (PDP) | $18.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | 20% | 35% | tbd members | |||
-- This plan not offered in 2012 -- | S5601 -113 | |||||||||||
2013 SilverScript Choice (PDP) | $29.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $34.00 | 35% | 33% | tbd members | |||
2012 First Health Part D Value Plus (PDP) | $27.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -127 | $0.00 | 26% | 40% | 33% | 8,508 members | ||
2013 First Health Part D Value Plus (PDP) | $30.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $70.00 | 33% | tbd members | |||
2012 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5810 -038 | $3.00 | $17.00 | $40.00 | 37% | 6,031 members | ||
2013 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $32.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $5.00 | $45.00 | 44% | 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 CVS Caremark Value (PDP) | $34.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -008 | $8.75 | $45.00 | $95.00 | 25% | 102,659 members | ||
2013 SilverScript Basic (PDP) | $35.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 21% | 42% | 33% | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -004 | |||||||||||
2013 SmartD Rx Saver (PDP) | $35.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $20.00 | $35.00 | $81.00 | tbd members | |||
2012 WellCare Classic (PDP) | $37.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -141 | $6.00 | $45.00 | $95.00 | 33% | 6,290 members | ||
2013 WellCare Classic (PDP) | $36.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $7.00 | $42.00 | $93.00 | 33% | tbd members | |||
-- This plan not offered in 2012 -- | S0128 -005 | |||||||||||
new | new | new | ||||||||||
2013 Reader's Digest Value Rx (PDP) | $36.90 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.50 | $37.00 | 27% | tbd members | |||
2012 EnvisionRxPlus Silver (PDP) | $34.80 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -004 | 25% | 25% | 25% | 25% | 23,318 members | ||
2013 EnvisionRxPlus Silver (PDP) | $37.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | |||
2012 Medco Medicare Prescription Plan - Value (PDP) | $34.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -106 | $4.00 | $8.00 | 25% | 40% | 46,051 members | ||
2013 Express Scripts Medicare - Value (PDP) | $37.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $7.00 | 25% | 44% | 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 United American - Select (PDP) | $34.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5755 -075 | $2.00 | $9.00 | $45.00 | $95.00 | 7,191 members | ||
2013 United American - Select (PDP) | $38.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | $40.00 | $95.00 | tbd members | |||
2012 AARP MedicareRx Preferred (PDP) | $38.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -003 | $4.00 | $8.00 | $42.00 | $93.00 | 198,636 members | ||
2013 AARP MedicareRx Preferred (PDP) | $39.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $5.00 | $40.00 | $85.00 | tbd members | |||
2012 First Health Part D Premier (PDP) | $33.90 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -007 | $7.00 | 18% | 33% | 26% | 23,608 members | ||
2013 First Health Part D Premier (PDP) | $40.80 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | 25% | 41% | tbd members | ||||
2012 Humana Enhanced (PDP) | $39.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -062 | $7.00 | $34.00 | $83.00 | 33% | 37,054 members | ||
2013 Humana Enhanced (PDP) | $43.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $40.00 | $90.00 | tbd members | |||
-- 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 HealthSpring Prescription Drug Plan -Reg 4 (PDP) | $43.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5932 -005 | 25% | 25% | 804 members | ||||
2013 HealthSpring Prescription Drug Plan -Reg 4 (PDP) | $45.90 | $325 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 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 CIGNA Medicare Rx Plan One (PDP) | $44.10 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5617 -018 | $3.00 | $20.00 | $35.00 | $82.00 | 3,173 members | ||
2013 Cigna Medicare Rx Plan One (PDP) | $47.00 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $8.00 | $37.00 | $85.00 | 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 | |||
2012 United American - Preferred (PDP) | $48.90 | $130 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -007 | $3.00 | $9.00 | $45.00 | $95.00 | 2,193 members | ||
2013 United American - Enhanced (PDP) | $54.90 | $130 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $1.00 | $40.00 | $95.00 | tbd members | |||
2012 Horizon Medicare Blue Rx Standard (PDP) | $50.60 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5993 -001 | $5.00 | $39.00 | $78.00 | 25% | 8,009 members | ||
2013 Horizon Medicare Blue Rx Standard (PDP) | $56.10 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $6.00 | $40.00 | $80.00 | 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 MedicareRx Rewards Standard (PDP) | $58.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -110 | $4.00 | $7.00 | $36.00 | $80.00 | 1,385 members | ||
2013 MedicareRx Rewards Standard (PDP) | $66.50 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $7.00 | $41.00 | $85.00 | 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 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 | |||
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 | |||
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) | $37.30 | $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 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 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 -- | ||||||||||||
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 -- | ||||||||||||
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 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 -- | ||||||||||||
|