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 -183 | |||||||||||
2013 WellCare Extra (PDP) | $39.00 | $0 | Many Generics | No | $0.00 | 25% | 25% | 50% | tbd members | |||
2012 Health First Prime Prescription Drug Plan (PDP) | $56.20 | $0 | Some Generics | No | S0223 -002 | $2.00 | $10.00 | $45.00 | $95.00 | 96 members | ||
-- | -- | |||||||||||
2013 Health First Prime Prescription Drug Plan (PDP) | $47.90 | $0 | Some Generics | No | $2.00 | $10.00 | $45.00 | $95.00 | tbd members | |||
2012 EnvisionRxPlus Gold (PDP) | $59.80 | $0 | Some Generics | No | S7694 -082 | $2.00 | 15% | 15% | 30% | 760 members | ||
2013 EnvisionRxPlus Gold (PDP) | $54.50 | $150 | Some Generics | No | $2.00 | $5.00 | $25.00 | 30% | tbd members | |||
-- This plan not offered in 2012 -- | S0064 -046 | |||||||||||
2013 SmartD Rx Plus (PDP) | $71.10 | $0 | Some Generics | No | $0.00 | $24.00 | $35.00 | $85.00 | tbd members | |||
2012 CIGNA Medicare Rx Plan Two (PDP) | $69.10 | $0 | Few Generics | No | S5617 -181 | $0.00 | $5.00 | $41.00 | $85.00 | 2,100 members | ||
2013 Cigna Medicare Rx Plan Two (PDP) | $78.70 | $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 Medco Medicare Prescription Plan - Choice (PDP) | $69.00 | $150 | Many Generics | No | S5660 -181 | $6.00 | $12.00 | $45.00 | $95.00 | 5,678 members | ||
2013 Express Scripts Medicare - Choice (PDP) | $81.30 | $200 | Many Generics | No | $8.00 | $45.00 | $95.00 | 28% | tbd members | |||
2012 AARP MedicareRx Enhanced (PDP) | $86.50 | $0 | Some Generics | No | S5921 -143 | $4.00 | $7.00 | $40.00 | $76.00 | 10,841 members | ||
2013 AARP MedicareRx Enhanced (PDP) | $87.00 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $40.00 | $76.00 | tbd members | |||
2012 First Health Part D Premier Plus (PDP) | $96.50 | $0 | Some Generics, Some Brands |
No | S5674 -023 | $0.00 | $20.00 | 25% | 43% | 6,399 members | ||
2013 First Health Part D Premier Plus (PDP) | $93.20 | $0 | Some Generics, Some Brands |
No | $0.00 | $20.00 | 25% | 43% | tbd members | |||
2012 CVS Caremark Plus (PDP) | $85.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -023 | $0.00 | $40.00 | $90.00 | 33% | 2,375 members | ||
2013 SilverScript Plus (PDP) | $96.40 | $0 | Many Generics, Some Brands |
No | $0.00 | $34.00 | 35% | 33% | tbd members | |||
2012 MedicareRx Rewards Plus (PDP) | $78.90 | $0 | Some Generics | No | S5960 -147 | $4.00 | $7.00 | $45.00 | $90.00 | 3,775 members | ||
2013 MedicareRx Rewards Plus (PDP) | $99.00 | $0 | Few Generics | No | $4.00 | $7.00 | $45.00 | $90.00 | tbd members | |||
2012 Aetna Medicare Rx Premier (PDP) | $86.50 | $0 | Many Generics | No | S5810 -240 | $4.00 | $25.00 | $35.00 | $80.00 | 2,444 members | ||
2013 Aetna Medicare Rx Premier (PDP) | $104.20 | $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) | $109.80 | $0 | Many Generics, Some Brands |
No | S5884 -039 | $4.00 | $37.00 | $68.00 | 33% | 2,956 members | ||
2013 Humana Complete (PDP) | $113.60 | $0 | Some Generics, Some Brands |
No | $4.00 | $37.00 | $68.00 | 33% | tbd members | |||
2012 BlueMedicare Rx-Option 2 (PDP) | $125.00 | $0 | All Generics | No | S5904 -002 | $6.00 | $35.00 | $90.00 | 33% | 11,974 members | ||
2013 BlueMedicare Rx-Option 2 (PDP) | $127.60 | $0 | All Generics | No | $2.00 | $6.00 | $35.00 | $85.00 | tbd members | |||
2012 Community CCRx Basic (PDP) | $25.40 | $320 | No additional gap coverage, only the Donut Hole Discount | Yes | S5803 -080 | $2.00 | 24% | 45% | 25% | 124,617 members | ||
-- Members will be assigned to SilverScript Basic S5601-022 -- | ||||||||||||
2012 Health Net Orange Option 1 (PDP) | $27.90 | $320 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -028 | $4.00 | $44.00 | $80.00 | 25% | 11,303 members | ||
-- Members will be assigned to SilverScript Basic S5601-022 -- | ||||||||||||
2012 Community CCRx Choice (PDP) | $79.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5803 -148 | $0.00 | $40.00 | $70.00 | 33% | 7,334 members | ||
-- Members will be assigned to SilverScript Plus S5601-023 -- | ||||||||||||
2012 Health Net Value Orange Option 2 (PDP) | $75.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5678 -027 | $0.00 | $32.00 | $64.00 | 33% | 1,129 members | ||
-- Members will be assigned to SilverScript Plus S5601-023 -- | ||||||||||||
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 WellCare Signature (PDP) | $55.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -045 | $0.00 | $20.00 | $45.00 | $85.00 | 20,060 members | ||
-- Members will be assigned to WellCare Classic S5967-148 -- | ||||||||||||
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