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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-- This plan not offered in 2013 -- | S5884 -152 | ||||||||||||||
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 Humana Walmart-Preferred Rx Plan (PDP) | $18.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5884 -104 | $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 WellCare Classic (PDP) | $38.50 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | S5967 -143 | $5.00 | $43.00 | $91.00 | 33% | 2835 2013 Formulary | |||||
2014 WellCare Classic (PDP) | $23.10 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $12.00 | $40.00 | $90.00 | 2844 2014 Formulary | ||||||
2013 AARP MedicareRx Saver Plus (PDP) | $15.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5921 -351 | $1.00 | $2.00 | $25.00 | $45.00 | 3282 2013 Formulary | |||||
2014 AARP MedicareRx Saver Plus (PDP) | $25.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $2.00 | $20.00 | $35.00 | 3219 2014 Formulary | ||||||
2013 SilverScript Basic (PDP) | $34.00 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5601 -012 | $2.00 | 23% | 45% | 33% | 2875 2013 Formulary | |||||
2014 SilverScript Basic (PDP) | $30.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 20% | 43% | 25% | |||||||
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 Express Scripts Medicare - Value (PDP) | $36.90 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5660 -108 | $4.00 | $6.00 | 25% | 46% | 3381 2013 Formulary | |||||
2014 Express Scripts Medicare - Value (PDP) | $32.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $7.00 | 25% | 50% | 3171 2014 Formulary | ||||||
2013 Cigna Medicare Rx Plan One (PDP) | $36.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5617 -215 | $0.00 | $8.00 | $34.00 | $83.00 | 3494 2013 Formulary | |||||
2014 Cigna Medicare Rx Secure (PDP) | $33.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $5.00 | $29.00 | $63.00 | 3414 2014 Formulary | ||||||
2013 Reader's Digest Value Rx (PDP) | $35.80 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S0128 -007 | $1.00 | $2.50 | $35.00 | 27% | 3112 2013 Formulary | |||||
new | new | new | |||||||||||||
2014 HealthMarkets Value Rx (PDP) | $33.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $2.00 | 25% | 40% | 3000 2014 Formulary | ||||||
2013 HealthSpring Prescription Drug Plan -Reg 6 (PDP) | $38.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5932 -006 | 25% | 3027 2013 Formulary | ||||||||
2014 Cigna-HealthSpring Rx -Reg 6 (PDP) | $33.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 2946 2014 Formulary | |||||||||
2013 SilverScript Choice (PDP) | $29.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5601 -115 | $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 United American - Select (PDP) | $36.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5755 -077 | $1.00 | $4.00 | $35.00 | $95.00 | 3131 2013 Formulary | |||||
2014 United American - Select (PDP) | $34.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $1.00 | $5.00 | $35.00 | $95.00 | 3184 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 SecureAdvantage Rx - Option 1 (PDP) | $35.60 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S9014 -003 | 25% | 25% | 25% | 25% | 3381 2013 Formulary | |||||
new | new | new | |||||||||||||
2014 SecureAdvantage Rx - Option 1 (PDP) | $35.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | 3124 2014 Formulary | ||||||
2013 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $32.50 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5810 -040 | $2.00 | $5.00 | $45.00 | 46% | 3300 2013 Formulary | |||||
2014 Aetna CVS/pharmacy Prescription Drug Plan (PDP) | $35.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $37.00 | $95.00 | 25% | 3017 2014 Formulary | ||||||
2013 EnvisionRxPlus Silver (PDP) | $35.20 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -006 | 25% | 25% | 23% | 28% | 2711 2013 Formulary | |||||
2014 EnvisionRxPlus Silver (PDP) | $37.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $9.00 | 25% | $45.00 | 45% | 2630 2014 Formulary | ||||||
2013 First Health Part D Value Plus (PDP) | $28.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5768 -129 | $0.00 | $35.00 | $70.00 | 33% | 3118 2013 Formulary | |||||
2014 First Health Part D Value Plus (PDP) | $40.20 | $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) | $37.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5820 -005 | $3.00 | $5.00 | $40.00 | $85.00 | 3829 2013 Formulary | |||||
2014 AARP MedicareRx Preferred (PDP) | $41.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $6.00 | $39.00 | $80.00 | 3707 2014 Formulary | ||||||
-- This plan not offered in 2013 -- | S9579 -005 | ||||||||||||||
2014 Transamerica MedicareRx Classic (PDP) | $45.20 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $8.00 | $45.00 | $95.00 | 3032 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 Humana Enhanced (PDP) | $42.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S5884 -005 | $2.00 | $5.00 | $42.00 | $90.00 | 3923 2013 Formulary | |||||
2014 Humana Enhanced (PDP) | $46.10 | $0 | Few Brands | No | $2.00 | $5.00 | $42.00 | $92.00 | 3745 2014 Formulary | ||||||
2013 MedicareRx Rewards Standard (PDP) | $50.60 | $325 | No additional gap coverage, only the Donut Hole Discount | No | S5960 -112 | $2.00 | $7.00 | $31.00 | $85.00 | 2838 2013 Formulary | |||||
2014 MedicareRx Rewards Standard (PDP) | $48.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $5.00 | $38.00 | $86.00 | 2463 2014 Formulary | ||||||
2013 First Health Part D Premier (PDP) | $37.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S5768 -009 | $1.00 | 25% | 45% | 3113 2013 Formulary | ||||||
2014 First Health Part D Essentials (PDP) | $50.30 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | 15% | 46% | 2981 2014 Formulary | |||||||
-- This plan not offered in 2013 -- | S9579 -038 | ||||||||||||||
2014 Transamerica MedicareRx Choice (PDP) | $55.20 | $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) | $49.10 | $0 | Many Generics | No | S5967 -178 | $0.00 | 25% | 25% | 50% | 2835 2013 Formulary | |||||
2014 WellCare Extra (PDP) | $57.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $0.00 | $35.00 | $63.00 | 2844 2014 Formulary | ||||||
-- This plan not offered in 2013 -- | S5617 -251 | ||||||||||||||
2014 Cigna Medicare Rx Secure-Xtra (PDP) | $62.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $5.00 | $38.00 | $87.00 | 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 SecureRx - Option 3 (PDP) | $63.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | S8067 -001 | $6.00 | $21.00 | $45.00 | 33% | 3021 2013 Formulary | |||||
2014 SecureRx - Option 3 (PDP) | $64.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $19.00 | $40.00 | 33% | 3025 2014 Formulary | ||||||
2013 United American - Enhanced (PDP) | $56.80 | $100 | No additional gap coverage, only the Donut Hole Discount | No | S5755 -009 | $1.00 | $1.00 | $40.00 | $95.00 | 3381 2013 Formulary | |||||
2014 United American - Enhanced (PDP) | $66.90 | $80 | No additional gap coverage, only the Donut Hole Discount | No | $1.00 | $7.00 | $37.00 | $95.00 | 5136 2014 Formulary | ||||||
2013 SmartD Rx Plus (PDP) | $72.40 | $0 | Some Generics | No | S0064 -041 | $0.00 | $20.00 | $31.00 | $85.00 | 3178 2013 Formulary | |||||
2014 SmartD Rx Plus (PDP) | $68.20 | $0 | Call Plan for details | No | tbd | ||||||||||
2013 SecureAdvantage Rx - Option II (PDP) | $64.10 | $0 | Many Generics | No | S9014 -004 | $3.00 | $10.00 | $35.00 | $95.00 | 3381 2013 Formulary | |||||
new | new | new | |||||||||||||
2014 SecureAdvantage Rx - Option II (PDP) | $72.90 | $0 | Many Generics | No | $3.00 | $10.00 | $45.00 | 33% | 3124 2014 Formulary | ||||||
2013 AmeriHealth Rx Option I (PDP) | $52.20 | $315 | No additional gap coverage, only the Donut Hole Discount | No | S2321 -005 | $5.00 | $45.00 | $85.00 | 25% | 3921 2013 Formulary | |||||
2014 AmeriHealth Rx Option I (PDP) | $73.50 | $290 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $10.00 | $45.00 | $85.00 | 3833 2014 Formulary | ||||||
2013 Blue Rx Plus (PDP) | $61.40 | $250 | No additional gap coverage, only the Donut Hole Discount | No | S5593 -002 | $4.00 | $12.00 | 25% | 48% | 4362 2013 Formulary | |||||
2014 Blue Rx Plus (PDP) | $74.30 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $11.00 | 25% | 50% | 4342 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 Express Scripts Medicare - Choice (PDP) | $95.40 | $200 | Many Generics | No | S5660 -176 | $8.00 | $45.00 | $95.00 | 28% | 3408 2013 Formulary | |||||
2014 Express Scripts Medicare - Choice (PDP) | $80.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $10.00 | $40.00 | $90.00 | 3250 2014 Formulary | ||||||
2013 AARP MedicareRx Enhanced (PDP) | $87.30 | $0 | Some Generics, Some Brands |
No | S5921 -093 | $2.00 | $5.00 | $40.00 | $76.00 | 4971 2013 Formulary | |||||
2014 AARP MedicareRx Enhanced (PDP) | $92.10 | $0 | Some Generics, Some Brands |
No | $2.00 | $5.00 | $24.00 | $75.00 | 4904 2014 Formulary | ||||||
2013 First Health Part D Premier Plus (PDP) | $95.10 | $0 | Some Generics, Some Brands |
No | S5670 -036 | $0.00 | $20.00 | 25% | 43% | 3173 2013 Formulary | |||||
2014 First Health Part D Premier Plus (PDP) | $99.60 | $0 | Some Generics, Some Brands |
No | $1.00 | $25.00 | 25% | 43% | 3104 2014 Formulary | ||||||
2013 Cigna Medicare Rx Plan Two (PDP) | $76.00 | $0 | Few Generics | No | S5617 -176 | $0.00 | $10.00 | $45.00 | $90.00 | 3657 2013 Formulary | |||||
2014 Cigna Medicare Rx Secure-Max (PDP) | $116.10 | $0 | Many Generics, Some Brands |
No | $0.00 | $4.00 | $25.00 | $74.00 | 3766 2014 Formulary | ||||||
2013 SecureRx - Option 1 (PDP) | $121.80 | $0 | Many Generics | No | S8067 -003 | $5.00 | $20.00 | $40.00 | $85.00 | 4995 2013 Formulary | |||||
2014 SecureRx - Option 1 (PDP) | $121.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $15.00 | $38.00 | $89.00 | 4967 2014 Formulary | ||||||
2013 SilverScript Plus (PDP) | $100.60 | $0 | Many Generics, Some Brands |
No | S5601 -013 | $0.00 | $34.00 | 35% | 33% | 2875 2013 Formulary | |||||
2014 SilverScript Plus (PDP) | $124.40 | $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) | $104.50 | $0 | Many Generics, Some Brands |
No | S5810 -176 | $5.00 | $33.00 | $45.00 | tbd | 3364 2013 Formulary | |||||
2014 Aetna Medicare Rx Premier (PDP) | $127.40 | $0 | Few Generics | No | $4.00 | 25% | 43% | 33% | 3134 2014 Formulary | ||||||
2013 Blue Rx Complete (PDP) | $113.20 | $0 | Many Generics | No | S5593 -003 | $7.00 | $40.00 | $70.00 | 33% | 5246 2013 Formulary | |||||
2014 Blue Rx Complete (PDP) | $130.80 | $0 | Many Generics | No | $7.00 | $40.00 | $70.00 | 33% | 5227 2014 Formulary | ||||||
2013 AmeriHealth Rx Option II (PDP) | $120.70 | $0 | Many Generics | No | S2321 -002 | $5.00 | $10.00 | $30.00 | $65.00 | 5233 2013 Formulary | |||||
2014 AmeriHealth Rx Option II (PDP) | $169.00 | $0 | Many Generics | No | $5.00 | $10.00 | $30.00 | $65.00 | 5236 2014 Formulary | ||||||
2013 Humana Complete (PDP) | $113.10 | $0 | Some Generics, Some Brands |
No | S5884 -034 | $5.00 | $37.00 | $72.00 | 33% | 3937 2013 Formulary | |||||
-- Members will be assigned to Humana Enhanced (PDP) S5884-005 -- | |||||||||||||||
2013 MedicareRx Rewards Plus (PDP) | $107.70 | $0 | Few Generics | No | S5960 -144 | $4.00 | $7.00 | $45.00 | $90.00 | 3107 2013 Formulary | |||||
-- Members will be assigned to MedicareRx Rewards Standard (PDP) S5960-112 -- | |||||||||||||||
2013 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | Some Generics | No | S7694 -077 | $2.00 | $5.00 | $25.00 | 30% | 2747 2013 Formulary | |||||
-- This plan not offered in 2014 -- | |||||||||||||||
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 Saver (PDP) | $35.10 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S0064 -006 | $0.00 | $20.00 | $31.00 | $85.00 | 3178 2013 Formulary | |||||
-- This plan not offered in 2014 -- | |||||||||||||||
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