2013 / 2014 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 | Total Formulary Drugs | ||||||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
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2013 WellCare Classic (PDP) | $33.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5967 -169 | $6.00 | $45.00 | $95.00 | 33% | 2835 2013 Formulary | |||||
2014 WellCare Classic (PDP) | $22.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $15.00 | $40.00 | $90.00 | 2844 2014 Formulary | ||||||
2013 SilverScript Choice (PDP) | $29.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -141 | $0.00 | $34.00 | 35% | 33% | 2875 2013 Formulary | |||||
2014 SilverScript Choice (PDP) | $33.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $24.00 | 35% | 33% | 0 | ||||||
2013 First Health Part D Value Plus (PDP) | $24.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -155 | $0.00 | $35.00 | $70.00 | 33% | 3118 2013 Formulary | |||||
2014 First Health Part D Value Plus (PDP) | $41.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $11.00 | $37.00 | $88.00 | 3006 2014 Formulary | ||||||
2013 AARP MedicareRx Preferred (PDP) | $47.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -031 | $3.00 | $5.00 | $40.00 | $85.00 | 3829 2013 Formulary | |||||
2014 AARP MedicareRx Preferred (PDP) | $51.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $40.00 | $85.00 | 3707 2014 Formulary | ||||||
2013 Humana Enhanced (PDP) | $47.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -030 | $2.00 | $5.00 | $44.00 | $90.00 | 3923 2013 Formulary | |||||
2014 Humana Enhanced (PDP) | $51.20 | $0 | Few Brands | No | $2.00 | $5.00 | $42.00 | $92.00 | 3745 2014 Formulary | ||||||
Plan Name | Monthly Premium |
Deduct- ible |
Additional Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Total Drugs | ||||||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | |||||||||
-- This plan not offered in 2013 -- | S9579 -064 | ||||||||||||||
2014 Transamerica MedicareRx Choice (PDP) | $57.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $20.00 | $45.00 | $95.00 | 3169 2014 Formulary | ||||||
2013 WellCare Extra (PDP) | $49.00 | $0 | Many Generics | No | S5967 -203 | $0.00 | 25% | 25% | 50% | 2835 2013 Formulary | |||||
2014 WellCare Extra (PDP) | $57.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $0.00 | $38.00 | $73.00 | 2844 2014 Formulary | ||||||
-- This plan not offered in 2013 -- | S5617 -277 | ||||||||||||||
2014 Cigna Medicare Rx Secure-Xtra (PDP) | $57.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $5.00 | $38.00 | $87.00 | 3618 2014 Formulary | ||||||
2013 SmartD Rx Plus (PDP) | $73.00 | $0 | Some Generics | No | S0064 -067 | $0.00 | $20.00 | $32.00 | $85.00 | 3178 2013 Formulary | |||||
2014 SmartD Rx Plus (PDP) | $65.70 | $0 | Call Plan for details | No | tbd | ||||||||||
2013 Blue Cross MedicareRx Plus (PDP) | $76.80 | $0 | Few Generics | No | S5596 -034 | $2.00 | $7.00 | $45.00 | $90.00 | 3107 2013 Formulary | |||||
2014 Blue Cross MedicareRx Plus (PDP) | $66.10 | $0 | Some Generics | No | $1.00 | $7.00 | $40.00 | $90.00 | 2854 2014 Formulary | ||||||
2013 Express Scripts Medicare - Choice (PDP) | $91.60 | $200 | Many Generics | No | S5660 -202 | $8.00 | $45.00 | $95.00 | 28% | 3408 2013 Formulary | |||||
2014 Express Scripts Medicare - Choice (PDP) | $70.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $10.00 | $40.00 | $90.00 | 3250 2014 Formulary | ||||||
Plan Name | Monthly Premium |
Deduct- ible |
Additional Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Total Drugs | ||||||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | |||||||||
2013 Blue Shield Medicare Enhanced Plan (PDP) | $72.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S2468 -004 | $5.00 | $45.00 | $90.00 | 25% | 3331 2013 Formulary | |||||
2014 Blue Shield Medicare Enhanced Plan (PDP) | $74.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $6.00 | $40.00 | $88.00 | 3231 2014 Formulary | ||||||
2013 First Health Part D Premier Plus (PDP) | $102.40 | $0 | Some Generics, Some Brands |
No | S5674 -059 | $0.00 | $20.00 | 25% | 43% | 3173 2013 Formulary | |||||
2014 First Health Part D Premier Plus (PDP) | $105.80 | $0 | Some Generics, Some Brands |
No | $1.00 | $25.00 | 25% | 43% | 3104 2014 Formulary | ||||||
2013 Blue Cross MedicareRx Gold (PDP) | $113.00 | $0 | Many Generics, Some Brands |
No | S5596 -035 | $2.00 | $7.00 | $45.00 | $90.00 | 4173 2013 Formulary | |||||
2014 Blue Cross MedicareRx Gold (PDP) | $108.80 | $0 | Some Generics, Some Brands |
No | $1.00 | $7.00 | $40.00 | $90.00 | 3609 2014 Formulary | ||||||
2013 AARP MedicareRx Enhanced (PDP) | $98.00 | $0 | Some Generics, Some Brands |
No | S5921 -003 | $2.00 | $5.00 | $40.00 | $76.00 | 4971 2013 Formulary | |||||
2014 AARP MedicareRx Enhanced (PDP) | $112.80 | $0 | Some Generics, Some Brands |
No | $2.00 | $4.00 | $27.00 | $65.00 | 4904 2014 Formulary | ||||||
-- This plan not offered in 2013 -- | S5617 -243 | ||||||||||||||
2014 Cigna Medicare Rx Secure-Max (PDP) | $114.80 | $0 | Many Generics, Some Brands |
No | $0.00 | $4.00 | $25.00 | $74.00 | 3766 2014 Formulary | ||||||
2013 SilverScript Plus (PDP) | $113.10 | $0 | Many Generics, Some Brands |
No | S5601 -065 | $0.00 | $34.00 | 35% | 33% | 2875 2013 Formulary | |||||
2014 SilverScript Plus (PDP) | $137.00 | $0 | Many Generics, Some Brands |
No | $0.00 | $17.00 | $41.00 | 33% | |||||||
Plan Name | Monthly Premium |
Deduct- ible |
Additional Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Total Drugs | ||||||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | |||||||||
2013 Aetna Medicare Rx Premier (PDP) | $118.40 | $0 | Many Generics, Some Brands |
No | S5810 -202 | $5.00 | $33.00 | $45.00 | tbd | 3364 2013 Formulary | |||||
2014 Aetna Medicare Rx Premier (PDP) | $147.00 | $0 | Few Generics | No | $4.00 | 25% | 44% | 33% | 3134 2014 Formulary | ||||||
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