2013 / 2014 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 | Total Formulary Drugs | ||||||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
|||||||||
-- This plan not offered in 2013 -- | S5884 -148 | ||||||||||||||
2014 Humana Walmart Rx Plan (PDP) | $12.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $4.00 | 20% | 39% | 3189 2014 Formulary | ||||||
2013 WellCare Classic (PDP) | $33.50 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -138 | $7.00 | $43.00 | $95.00 | 33% | 2835 2013 Formulary | |||||
2014 WellCare Classic (PDP) | $21.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $10.00 | $40.00 | $90.00 | 2844 2014 Formulary | ||||||
-- This plan not offered in 2013 -- | S5921 -378 | ||||||||||||||
2014 AARP MedicareRx Saver Plus (PDP) | $21.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.00 | $20.00 | $35.00 | 3219 2014 Formulary | ||||||
2013 Humana Walmart-Preferred Rx Plan (PDP) | $18.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5884 -101 | $1.00 | $5.00 | 20% | 35% | 3251 2013 Formulary | |||||
2014 Humana Preferred Rx Plan (PDP) | $22.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.00 | 20% | 35% | 3043 2014 Formulary | ||||||
2013 Blue MedicareRx Standard (PDP) | $36.80 | $325 | No additional gap coverage, only the Donut Hole Discount | No | 046 -046 | $2.00 | $7.00 | $44.00 | $85.00 | ||||||
2014 Blue MedicareRx Standard (PDP) | $26.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $7.00 | $40.00 | $89.00 | |||||||
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 -- | S0522 -002 | ||||||||||||||
-- | -- | -- | |||||||||||||
2014 Symphonix Rite Aid Value Rx (PDP) | $26.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $10.00 | $38.00 | $85.00 | 3382 2014 Formulary | ||||||
2013 Reader's Digest Value Rx (PDP) | $33.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S0128 -003 | $1.00 | $2.50 | $35.00 | 27% | 3112 2013 Formulary | |||||
new | new | new | |||||||||||||
2014 HealthMarkets Value Rx (PDP) | $28.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $2.00 | 25% | 40% | 3000 2014 Formulary | ||||||
2013 Cigna Medicare Rx Plan One (PDP) | $32.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -003 | $0.00 | $8.00 | $25.00 | $87.00 | 3494 2013 Formulary | |||||
2014 Cigna Medicare Rx Secure (PDP) | $28.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $3.00 | $30.00 | $65.00 | 3414 2014 Formulary | ||||||
2013 First Health Part D Premier (PDP) | $32.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -005 | $1.00 | 25% | 46% | 3113 2013 Formulary | ||||||
2014 First Health Part D Essentials (PDP) | $32.30 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | 15% | 42% | 2981 2014 Formulary | |||||||
2013 EnvisionRxPlus Silver (PDP) | $34.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -001 | 25% | 25% | 23% | 28% | 2711 2013 Formulary | |||||
2014 EnvisionRxPlus Silver (PDP) | $33.20 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | 25% | $45.00 | 45% | 2630 2014 Formulary | ||||||
2013 HealthSpring Prescription Drug Plan -Reg 1 (PDP) | $42.20 | $325 | No additional gap coverage, only the Donut Hole Discount | No | S5932 -002 | 25% | 3027 2013 Formulary | ||||||||
2014 Cigna-HealthSpring Rx -Reg 1 (PDP) | $33.50 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 2946 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 SilverScript Choice (PDP) | $29.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -110 | $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 AARP MedicareRx Preferred (PDP) | $35.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -001 | $3.00 | $5.00 | $40.00 | $90.00 | 3829 2013 Formulary | |||||
2014 AARP MedicareRx Preferred (PDP) | $35.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $5.00 | $40.00 | $85.00 | 3707 2014 Formulary | ||||||
2013 United American - Select (PDP) | $32.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5755 -073 | $1.00 | $4.00 | $36.00 | $95.00 | 3131 2013 Formulary | |||||
2014 United American - Select (PDP) | $37.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $5.00 | $32.00 | $95.00 | 3184 2014 Formulary | ||||||
-- This plan not offered in 2013 -- | S9579 -001 | ||||||||||||||
2014 Transamerica MedicareRx Classic (PDP) | $41.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $8.00 | $45.00 | $95.00 | 3032 2014 Formulary | ||||||
2013 First Health Part D Value Plus (PDP) | $28.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -125 | $0.00 | $35.00 | $70.00 | 33% | 3118 2013 Formulary | |||||
2014 First Health Part D Value Plus (PDP) | $41.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $11.00 | $37.00 | $88.00 | 3006 2014 Formulary | ||||||
2013 Express Scripts Medicare - Value (PDP) | $49.10 | $325 | No additional gap coverage, only the Donut Hole Discount | No | S5660 -104 | $4.00 | $7.00 | 25% | 50% | 3381 2013 Formulary | |||||
2014 Express Scripts Medicare - Value (PDP) | $48.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $8.00 | 25% | 50% | 3171 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 -034 | ||||||||||||||
2014 Transamerica MedicareRx Choice (PDP) | $49.60 | $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) | $39.00 | $0 | Many Generics | No | S5967 -173 | $0.00 | 25% | 25% | 50% | 2835 2013 Formulary | |||||
2014 WellCare Extra (PDP) | $50.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $0.00 | $35.00 | $55.00 | 2844 2014 Formulary | ||||||
2013 Blue MedicareRx Plus (PDP) | $65.80 | $0 | Few Generics | No | 001 -001 | $2.00 | $7.00 | $45.00 | $90.00 | ||||||
2014 Blue MedicareRx Plus (PDP) | $52.20 | $0 | Some Generics | No | $1.00 | $7.00 | $40.00 | $90.00 | |||||||
2013 Humana Enhanced (PDP) | $48.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -092 | $2.00 | $5.00 | $43.00 | $90.00 | 3923 2013 Formulary | |||||
2014 Humana Enhanced (PDP) | $52.70 | $0 | Few Brands | No | $2.00 | $5.00 | $42.00 | $92.00 | 3745 2014 Formulary | ||||||
2013 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $30.30 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | 035 -035 | $2.00 | $5.00 | $40.00 | 48% | ||||||
2014 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $54.20 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $35.00 | $90.00 | 25% | |||||||
-- This plan not offered in 2013 -- | S5617 -246 | ||||||||||||||
2014 Cigna Medicare Rx Secure-Xtra (PDP) | $60.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $5.00 | $35.00 | $84.00 | 3618 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 SmartD Rx Plus (PDP) | $66.80 | $0 | Some Generics | No | S0064 -036 | $0.00 | $10.00 | $25.00 | $62.00 | 3178 2013 Formulary | |||||
2014 SmartD Rx Plus (PDP) | $67.60 | $0 | Call Plan for details | No | tbd | ||||||||||
2013 Express Scripts Medicare - Choice (PDP) | $81.40 | $200 | Many Generics | No | S5660 -172 | $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 | ||||||
2013 First Health Part D Premier Plus (PDP) | $85.90 | $0 | Some Generics, Some Brands |
No | S5674 -005 | $0.00 | $20.00 | 25% | 43% | 3173 2013 Formulary | |||||
2014 First Health Part D Premier Plus (PDP) | $93.60 | $0 | Some Generics, Some Brands |
No | $1.00 | $25.00 | 25% | 43% | 3104 2014 Formulary | ||||||
2013 Blue MedicareRx Premier (PDP) | $103.70 | $0 | Many Generics, Some Brands |
No | S5596 -003 | $2.00 | $7.00 | $45.00 | $90.00 | 4173 2013 Formulary | |||||
2014 Blue MedicareRx Premier (PDP) | $94.50 | $0 | Some Generics, Some Brands |
No | $1.00 | $7.00 | $40.00 | $90.00 | 3609 2014 Formulary | ||||||
2013 AARP MedicareRx Enhanced (PDP) | $95.90 | $0 | Some Generics, Some Brands |
No | S5921 -173 | $2.00 | $5.00 | $24.00 | $65.00 | 4971 2013 Formulary | |||||
2014 AARP MedicareRx Enhanced (PDP) | $99.90 | $0 | Some Generics, Some Brands |
No | $2.00 | $4.00 | $27.00 | $65.00 | 4904 2014 Formulary | ||||||
-- This plan not offered in 2013 -- | S5617 -228 | ||||||||||||||
2014 Cigna Medicare Rx Secure-Max (PDP) | $116.90 | $0 | Many Generics, Some Brands |
No | $0.00 | $4.00 | $22.00 | $71.00 | 3766 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 United American - Enhanced (PDP) | $53.70 | $110 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -005 | $1.00 | $1.00 | $40.00 | $95.00 | 3381 2013 Formulary | |||||
-- Members will be assigned to United American - Select (PDP) S5755-073 -- | |||||||||||||||
2013 Aetna Medicare Rx Premier (PDP) | $103.40 | $0 | Many Generics, Some Brands |
No | S5810 -171 | $5.00 | $33.00 | $45.00 | 46% | 3364 2013 Formulary | |||||
-- This plan not offered in 2014 -- | |||||||||||||||
2013 SilverScript Basic (PDP) | $33.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -002 | $2.00 | 22% | 43% | 33% | 2875 2013 Formulary | |||||
-- This plan not offered in 2014 -- | |||||||||||||||
2013 SilverScript Plus (PDP) | $91.30 | $0 | Many Generics, Some Brands |
No | S5601 -003 | $0.00 | $34.00 | 35% | 33% | 2875 2013 Formulary | |||||
-- This plan not offered in 2014 -- | |||||||||||||||
2013 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | Some Generics | No | S7694 -072 | $2.00 | $5.00 | $25.00 | 30% | 2747 2013 Formulary | |||||
-- This plan not offered in 2014 -- | |||||||||||||||
2013 SmartD Rx Saver (PDP) | $32.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S0064 -001 | $0.00 | $10.00 | $25.00 | $62.00 | 3178 2013 Formulary | |||||
-- This plan not offered in 2014 -- | |||||||||||||||
|