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 -- | S5921 -352 | |||||||||||
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 -132 | $1.00 | $5.00 | 20% | 35% | 37,573 members | ||
2013 Humana Walmart-Preferred Rx Plan (PDP) | $18.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $7.00 | 20% | 35% | tbd members | |||
2012 First Health Part D Value Plus (PDP) | $24.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -130 | $0.00 | 25% | 39% | 33% | 13,166 members | ||
2013 First Health Part D Value Plus (PDP) | $26.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $70.00 | 33% | tbd members | |||
-- This plan not offered in 2012 -- | S5601 -116 | |||||||||||
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 CVS Caremark Value (PDP) | $31.20 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -014 | $5.50 | $45.00 | $95.00 | 25% | 14,661 members | ||
2013 SilverScript Basic (PDP) | $29.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 23% | 45% | 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 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $26.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5810 -041 | $3.00 | $16.00 | $35.00 | 40% | 6,043 members | ||
2013 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $29.90 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $5.00 | $45.00 | 43% | tbd members | |||
-- This plan not offered in 2012 -- | S2505 -009 | |||||||||||
2013 Windsor Rx (PDP) | $29.90 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $38.00 | $80.00 | 25% | tbd members | |||
2012 EnvisionRxPlus Silver (PDP) | $27.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -007 | 25% | 25% | 25% | 25% | 16,144 members | ||
2013 EnvisionRxPlus Silver (PDP) | $30.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 23% | 28% | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -007 | |||||||||||
2013 SmartD Rx Saver (PDP) | $31.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $20.00 | $31.00 | $84.00 | tbd members | |||
2012 CIGNA Medicare Rx Plan One (PDP) | $27.70 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -216 | $3.00 | $20.00 | $31.00 | $83.00 | 31,373 members | ||
2013 Cigna Medicare Rx Plan One (PDP) | $31.40 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $8.00 | $32.00 | $81.00 | tbd members | |||
2012 United American - Select (PDP) | $30.90 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5755 -078 | $2.00 | $8.00 | $45.00 | $95.00 | 8,471 members | ||
2013 United American - Select (PDP) | $31.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $4.00 | $34.00 | $95.00 | 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 (PDP) | $27.40 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -010 | $5.00 | 20% | 37% | 26% | 27,955 members | ||
2013 First Health Part D Premier (PDP) | $31.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | 25% | 44% | tbd members | ||||
2012 WellCare Classic (PDP) | $33.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -144 | $0.00 | $41.00 | $91.00 | 25% | 6,586 members | ||
2013 WellCare Classic (PDP) | $34.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $45.00 | $94.00 | 33% | tbd members | |||
-- This plan not offered in 2012 -- | S0128 -008 | |||||||||||
new | new | new | ||||||||||
2013 Reader's Digest Value Rx (PDP) | $34.60 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $2.50 | $35.00 | 27% | tbd members | |||
2012 HealthSpring Prescription Drug Plan -Reg 7 (PDP) | $33.20 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5932 -007 | 25% | 25% | 2,751 members | ||||
2013 HealthSpring Prescription Drug Plan -Reg 7 (PDP) | $36.00 | $325 | No additional gap coverage, only the Donut Hole Discount | No | 25% | tbd members | ||||||
2012 AARP MedicareRx Preferred (PDP) | $36.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -006 | $4.00 | $8.00 | $42.00 | $92.00 | 115,087 members | ||
2013 AARP MedicareRx Preferred (PDP) | $36.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $5.00 | $40.00 | $85.00 | tbd members | |||
-- This plan not offered in 2012 -- | S5967 -179 | |||||||||||
2013 WellCare Extra (PDP) | $39.00 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | 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 Blue MedicareRx Standard (PDP) | $32.50 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5596 -005 | $2.00 | $7.00 | $37.00 | $90.00 | 18,753 members | ||
2013 Blue MedicareRx Standard (PDP) | $41.60 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $6.00 | $33.00 | $85.00 | tbd members | |||
2012 Humana Enhanced (PDP) | $37.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -065 | $7.00 | $38.00 | $71.00 | 33% | 43,477 members | ||
2013 Humana Enhanced (PDP) | $41.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $41.00 | $90.00 | tbd members | |||
2012 Medco Medicare Prescription Plan - Value (PDP) | $41.40 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -109 | $4.00 | $8.00 | 25% | 40% | 5,477 members | ||
2013 Express Scripts Medicare - Value (PDP) | $47.60 | $325 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | 25% | 50% | tbd members | |||
2012 United American - Preferred (PDP) | $47.60 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -010 | $3.00 | $9.00 | $45.00 | $95.00 | 3,595 members | ||
2013 United American - Enhanced (PDP) | $53.60 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $1.00 | $40.00 | $95.00 | tbd members | |||
2012 Rite Aid EnvisionRxPlus (PDP) | $71.60 | $0 | Some Generics | No | S7694 -078 | $0.00 | 20% | 15% | 30% | 75 members | ||
2013 EnvisionRxPlus Gold (PDP) | $54.50 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | tbd members | |||
2012 CIGNA Medicare Rx Plan Two (PDP) | $62.30 | $0 | Few Generics | No | S5617 -177 | $0.00 | $5.00 | $41.00 | $85.00 | 1,965 members | ||
2013 Cigna Medicare Rx Plan Two (PDP) | $71.40 | $0 | Few Generics | No | $0.00 | $10.00 | $45.00 | $90.00 | 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 Blue MedicareRx Plus (PDP) | $68.00 | $0 | Some Generics | No | S5596 -006 | $2.00 | $7.00 | $45.00 | $90.00 | 19,661 members | ||
2013 Blue MedicareRx Plus (PDP) | $71.60 | $0 | Few Generics | No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -042 | |||||||||||
2013 SmartD Rx Plus (PDP) | $72.80 | $0 | Some Generics | No | $0.00 | $20.00 | $31.00 | $84.00 | tbd members | |||
2012 AARP MedicareRx Enhanced (PDP) | $86.30 | $0 | Some Generics | No | S5921 -103 | $4.00 | $7.00 | $40.00 | $76.00 | 3,663 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $82.80 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $40.00 | $76.00 | tbd members | |||
2012 CVS Caremark Plus (PDP) | $85.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -015 | $0.00 | $40.00 | $90.00 | 33% | 942 members | ||
2013 SilverScript Plus (PDP) | $91.80 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 33% | tbd members | |||
2012 First Health Part D Premier Plus (PDP) | $96.40 | $0 | Some Generics, Some Brands |
No | S5670 -042 | $0.00 | $20.00 | 25% | 41% | 3,362 members | ||
2013 First Health Part D Premier Plus (PDP) | $95.30 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 41% | tbd members | |||
2012 Aetna Medicare Rx Premier (PDP) | $78.10 | $0 | Many Generics | No | S5810 -177 | $4.00 | $25.00 | $35.00 | $80.00 | 2,725 members | ||
2013 Aetna Medicare Rx Premier (PDP) | $100.00 | $0 | Many Generics, Some Brands |
No | $5.00 | $33.00 | $45.00 | tbd | 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 Humana Complete (PDP) | $107.40 | $0 | Many Generics, Some Brands |
No | S5884 -035 | $6.00 | $37.00 | $72.00 | 33% | 2,533 members | ||
2013 Humana Complete (PDP) | $111.10 | $0 | Some Generics, Some Brands |
No | $5.00 | $37.00 | $72.00 | 33% | tbd members | |||
2012 Blue MedicareRx Premier (PDP) | $118.70 | $0 | Many Generics, Some Brands |
No | S5596 -007 | $2.00 | $7.00 | $45.00 | $90.00 | 9,627 members | ||
2013 Blue MedicareRx Premier (PDP) | $113.10 | $0 | Many Generics, Some Brands |
No | $2.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2012 BravoRx (PDP) | $38.00 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5998 -016 | 25% | 25% | 25% | 209 members | |||
-- Members will be assigned to HealthSpring Prescription Drug Plan S5932-007 -- | ||||||||||||
2012 Community CCRx Basic (PDP) | $30.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -076 | $2.00 | 25% | 47% | 25% | 36,533 members | ||
-- Members will be assigned to SilverScript Basic S5601-014 -- | ||||||||||||
2012 Health Net Orange Option 1 (PDP) | $33.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5678 -020 | $4.00 | $44.00 | $83.00 | 25% | 10,416 members | ||
-- Members will be assigned to SilverScript Basic S5601-014 -- | ||||||||||||
2012 Community CCRx Choice (PDP) | $78.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -144 | $0.00 | $40.00 | $70.00 | 33% | 3,247 members | ||
-- Members will be assigned to SilverScript Plus S5601-015 -- | ||||||||||||
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 Health Net Value Orange Option 2 (PDP) | $69.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -019 | $0.00 | $32.00 | $64.00 | 33% | 2,046 members | ||
-- Members will be assigned to SilverScript Plus S5601-015 -- | ||||||||||||
2012 WellCare Signature (PDP) | $62.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -041 | $0.00 | $20.00 | $45.00 | $85.00 | 4,933 members | ||
-- Members will be assigned to WellCare Classic S5967-144 -- | ||||||||||||
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