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There are 33 Stand-Alone 2014 Medicare Part D plans that meet your criteria.
Click below to access enrollment options (including download, online, and telephone).
2014 Medicare Part D Plan Information
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Plan Name Monthly
Prem.
Deduct-
ible
(Donut Hole)
Gap
Coverage
$0 Prem.
with Full
LIS?
Plan
ID
Preferred Pharmacy
Copay/
Coinsurance
30-Day Supply
Total Formulary Drugs
Cust.
Service
Rating
Member
Plan
Exper.
RxCost
Info
Rating
Humana Walmart Rx Plan (PDP).


        
$12.60 $310 No Gap Coverage No S5884
-171
Preferred Generic: $1.00
Non-Preferred Generic: $4.00
Preferred Brand: 20%
Non-Preferred Brand: 39%
Specialty Tier: 25%
3310

Browse Formulary
Humana Walmart Rx Plan (PDP). Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Humana Walmart Rx Plan (PDP). Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Fair) Humana Walmart Rx Plan (PDP). Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Good) ! Non-preferred network pharmacies have higher cost-sharing. Click for details:
Humana Preferred Rx Plan (PDP).


        
$22.80 $310 No Gap Coverage Yes S5884
-145
Preferred Generic: $1.00
Non-Preferred Generic: $2.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
3183

Browse Formulary
Humana Preferred Rx Plan (PDP). Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Humana Preferred Rx Plan (PDP). Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Fair) Humana Preferred Rx Plan (PDP). Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Good) ! Non-preferred network pharmacies have higher cost-sharing. Click for details:
WellCare Classic (PDP).


        
$23.00 $0 No Gap Coverage Yes S5967
-162
Preferred Generic: $0.00
Non-Preferred Generic: $12.00
Preferred Brand: $40.00
Non-Preferred Brand: $90.00
Specialty Tier: 33%
2986

Browse Formulary
WellCare Classic (PDP). Medicare Part D Plan Customer Service Rating - 4 Stars (Very Good) WellCare Classic (PDP). Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Very Good) WellCare Classic (PDP). Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Good) ! Non-preferred network pharmacies have higher cost-sharing. Click for details:
AARP MedicareRx Saver Plus (PDP).


        
$26.90 $310 No Gap Coverage Yes S5921
-370
Preferred Generic: $1.00
Non-Preferred Generic: $2.00
Preferred Brand: $20.00
Non-Preferred Brand: $35.00
Specialty Tier: 25%
3354

Browse Formulary
AARP MedicareRx Saver Plus (PDP). Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) AARP MedicareRx Saver Plus (PDP). Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Very Good) AARP MedicareRx Saver Plus (PDP). Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Very Good) ! Non-preferred network pharmacies have higher cost-sharing. Click for details:
Symphonix Value Rx (PDP)


        
$30.30 $310 No Gap Coverage Yes S0522
-042
Preferred Generic: $1.00
Non-Preferred Generic: $14.00
Preferred Brand: $45.00
Non-Preferred Brand: $85.00
Specialty Tier: 25%
3552

Browse Formulary
new new new  
Plan Name Monthly
Prem.
Deduct-
ible
Gap
Coverage
$0 Prem
LIS?
Plan
ID
Preferred Pharmacy
Copay/
Coinsurance
Total Drugs
Service Exper. CostInfo
HealthMarkets Value Rx (PDP)


        
$30.70 $310 No Gap Coverage Yes S0128
-026
Preferred Generic: $0.00
Non-Preferred Generic: $2.00
Preferred Brand: 25%
Non-Preferred Brand: 40%
Specialty Tier: 25%
3098

Browse Formulary
HealthMarkets Value Rx (PDP) Medicare Part D Plan Customer Service Rating - 3 Stars (Good) -- -- ! Non-preferred network pharmacies have higher cost-sharing. Click for details:
Aetna CVS/pharmacy Prescription Drug Plan (PDP).


        
$31.40 $310 No Gap Coverage Yes S5810
-059
Generic: $2.00
Preferred Brand: $35.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%
Select Care Drugs: $1.00
3136

Browse Formulary
Aetna CVS/pharmacy Prescription Drug Plan (PDP). Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Aetna CVS/pharmacy Prescription Drug Plan (PDP). Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Very Good) Aetna CVS/pharmacy Prescription Drug Plan (PDP). Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Good) ! Non-preferred network pharmacies have higher cost-sharing. Click for details:
SilverScript Basic (PDP)


        
$31.50 $310 No Gap Coverage Yes S5601
-050
Generic: $2.00
Preferred Brand: 20%
Non-Preferred Brand: 41%
Specialty Tier: 25%
3073

Browse Formulary
SilverScript Basic (PDP) Medicare Part D Plan Customer Service Rating - 4 Stars (Very Good) SilverScript Basic (PDP) Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Good) SilverScript Basic (PDP) Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Good)  
Cigna Medicare Rx Secure (PDP).


        
$31.80 $310 No Gap Coverage Yes S5617
-123
Preferred Generic: $0.00
Non-Preferred Generic: $3.00
Preferred Brand: $36.00
Non-Preferred Brand: $66.00
Specialty Tier: 25%
3575

Browse Formulary
Cigna Medicare Rx Secure (PDP). Medicare Part D Plan Customer Service Rating - 3 Stars (Good) Cigna Medicare Rx Secure (PDP). Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Cigna Medicare Rx Secure (PDP). Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Good) ! Non-preferred network pharmacies have higher cost-sharing. Click for details:
EnvisionRxPlus Silver (PDP)


        
$33.40 $310 No Gap Coverage Yes S7694
-025
Preferred Generic: $10.00
Non-Preferred Generic: 25%
Preferred Brand: $45.00
Non-Preferred Brand: 45%
Specialty Tier: 25%
Select Care Drugs: $10.00
2801

Browse Formulary
EnvisionRxPlus Silver (PDP) Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) EnvisionRxPlus Silver (PDP) Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Fair) EnvisionRxPlus Silver (PDP) Medicare Part D Plan Drug Pricing and Patient Safety - 2 Stars (Fair)  
SmartD Rx Saver (PDP)


        
$33.40 $310 No Gap Coverage Yes S0064
-025
cost-sharing data not available.tbd

Browse Formulary
-- -- --  
Plan Name Monthly
Prem.
Deduct-
ible
Gap
Coverage
$0 Prem
LIS?
Plan
ID
Preferred Pharmacy
Copay/
Coinsurance
Total Drugs
Service Exper. CostInfo
SilverScript Choice (PDP)


        
$33.80 $0 No Gap Coverage No S5601
-134
Generic: $0.00
Preferred Brand: $24.00
Non-Preferred Brand: 35%
Specialty Tier: 33%
3073

Browse Formulary
SilverScript Choice (PDP) Medicare Part D Plan Customer Service Rating - 4 Stars (Very Good) SilverScript Choice (PDP) Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Good) SilverScript Choice (PDP) Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Good)  
First Health Part D Value Plus (PDP).


        
$39.90 $0 No Gap Coverage No S5768
-148
Preferred Generic: $3.00
Non-Preferred Generic: $11.00
Preferred Brand: $37.00
Non-Preferred Brand: $88.00
Specialty Tier: 33%
3129

Browse Formulary
First Health Part D Value Plus (PDP). Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) First Health Part D Value Plus (PDP). Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) First Health Part D Value Plus (PDP). Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Good) ! Non-preferred network pharmacies have higher cost-sharing. Click for details:
Express Scripts Medicare - Value (PDP)


        
$41.70 $310 No Gap Coverage No S5660
-127
Preferred Generic: $2.00
Non-Preferred Generic: $7.00
Preferred Brand: 25%
Non-Preferred Brand: 50%
Specialty Tier: 25%
3359

Browse Formulary
Express Scripts Medicare - Value (PDP) Medicare Part D Plan Customer Service Rating - 3 Stars (Good) Express Scripts Medicare - Value (PDP) Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Express Scripts Medicare - Value (PDP) Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Very Good)  
MedicareBlue Rx Standard (PDP)


        
$41.90 $160 No Gap Coverage No S5743
-001
Preferred Generic: $4.00
Non-Preferred Generic: $18.00
Preferred Brand: $38.00
Non-Preferred Brand: 48%
2990

Browse Formulary
MedicareBlue Rx Standard (PDP) Medicare Part D Plan Customer Service Rating - 2 Stars (Fair) MedicareBlue Rx Standard (PDP) Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) MedicareBlue Rx Standard (PDP) Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
United American - Select (PDP)


        
$42.60 $310 No Gap Coverage No S5755
-096
Preferred Generic: $1.00
Non-Preferred Generic: $5.00
Preferred Brand: $35.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%
3384

Browse Formulary
United American - Select (PDP) Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) United American - Select (PDP) Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Good) United American - Select (PDP) Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Good) ! Non-preferred network pharmacies have higher cost-sharing. Click for details:
Humana Enhanced (PDP).


        
$43.40 $0 Few Brands No S5884
-083
Preferred Generic: $2.00
Non-Preferred Generic: $5.00
Preferred Brand: $42.00
Non-Preferred Brand: $92.00
Specialty Tier: 33%
3891

Browse Formulary
Humana Enhanced (PDP). Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Humana Enhanced (PDP). Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Fair) Humana Enhanced (PDP). Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Good) ! Non-preferred network pharmacies have higher cost-sharing. Click for details:
Plan Name Monthly
Prem.
Deduct-
ible
Gap
Coverage
$0 Prem
LIS?
Plan
ID
Preferred Pharmacy
Copay/
Coinsurance
Total Drugs
Service Exper. CostInfo
AARP MedicareRx Preferred (PDP).


        
$46.40 $0 No Gap Coverage No S5820
-024
Preferred Generic: $2.00
Non-Preferred Generic: $5.00
Preferred Brand: $40.00
Non-Preferred Brand: $85.00
Specialty Tier: 33%
3873

Browse Formulary
AARP MedicareRx Preferred (PDP). Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) AARP MedicareRx Preferred (PDP). Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) AARP MedicareRx Preferred (PDP). Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Good) ! Non-preferred network pharmacies have higher cost-sharing. Click for details:
Transamerica MedicareRx Classic (PDP)


        
$48.30 $310 No Gap Coverage No S9579
-024
Preferred Generic: $0.00
Non-Preferred Generic: $8.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%
3182

Browse Formulary
Transamerica MedicareRx Classic (PDP) Medicare Part D Plan Customer Service Rating - 4 Stars (Very Good) Transamerica MedicareRx Classic (PDP) Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Good) Transamerica MedicareRx Classic (PDP) Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Very Good)  
Cigna-HealthSpring Rx -Reg 25 (PDP)


        
$50.00 $310 No Gap Coverage No S5932
-024
On Formulary: 25%
3079

Browse Formulary
Cigna-HealthSpring Rx -Reg 25 (PDP) Medicare Part D Plan Customer Service Rating - 3 Stars (Good) Cigna-HealthSpring Rx -Reg 25 (PDP) Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Very Good) Cigna-HealthSpring Rx -Reg 25 (PDP) Medicare Part D Plan Drug Pricing and Patient Safety - 2 Stars (Fair)  
First Health Part D Essentials (PDP).


        
$50.50 $310 No Gap Coverage No S5768
-122
Preferred Generic: $1.00
Preferred Brand: 15%
Non-Preferred Brand: 46%
3105

Browse Formulary
First Health Part D Essentials (PDP). Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) First Health Part D Essentials (PDP). Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) First Health Part D Essentials (PDP). Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Good) ! Non-preferred network pharmacies have higher cost-sharing. Click for details:
Transamerica MedicareRx Choice (PDP)


        
$55.70 $0 No Gap Coverage No S9579
-057
Preferred Generic: $0.00
Non-Preferred Generic: $20.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 33%
3312

Browse Formulary
Transamerica MedicareRx Choice (PDP) Medicare Part D Plan Customer Service Rating - 4 Stars (Very Good) Transamerica MedicareRx Choice (PDP) Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Good) Transamerica MedicareRx Choice (PDP) Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Very Good)  
WellCare Extra (PDP).


        
$56.20 $0 No Gap Coverage No S5967
-196
Preferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $38.00
Non-Preferred Brand: $60.00
Specialty Tier: 33%
2986

Browse Formulary
WellCare Extra (PDP). Medicare Part D Plan Customer Service Rating - 4 Stars (Very Good) WellCare Extra (PDP). Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Very Good) WellCare Extra (PDP). Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Good) ! Non-preferred network pharmacies have higher cost-sharing. Click for details:
Plan Name Monthly
Prem.
Deduct-
ible
Gap
Coverage
$0 Prem
LIS?
Plan
ID
Preferred Pharmacy
Copay/
Coinsurance
Total Drugs
Service Exper. CostInfo
MedicareRx Rewards Standard (PDP)


        
$59.30 $310 No Gap Coverage No S5960
-131
Preferred Generic: $1.00
Non-Preferred Generic: $2.00
Preferred Brand: $24.00
Non-Preferred Brand: $76.00
Injectable Drugs: $95.00
Specialty Tier: 25%
2578

Browse Formulary
MedicareRx Rewards Standard (PDP) Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) MedicareRx Rewards Standard (PDP) Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Good) MedicareRx Rewards Standard (PDP) Medicare Part D Plan Drug Pricing and Patient Safety - 2 Stars (Fair) ! Non-preferred network pharmacies have higher cost-sharing. Click for details:
Cigna Medicare Rx Secure-Xtra (PDP).


        
$70.10 $0 No Gap Coverage No S5617
-270
Preferred Generic: $0.00
Non-Preferred Generic: $5.00
Preferred Brand: $38.00
Non-Preferred Brand: $87.00
Specialty Tier: 33%
3781

Browse Formulary
Cigna Medicare Rx Secure-Xtra (PDP). Medicare Part D Plan Customer Service Rating - 3 Stars (Good) Cigna Medicare Rx Secure-Xtra (PDP). Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Cigna Medicare Rx Secure-Xtra (PDP). Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Good) ! Non-preferred network pharmacies have higher cost-sharing. Click for details:
Express Scripts Medicare - Choice (PDP)


        
$70.60 $0 No Gap Coverage No S5660
-195
Preferred Generic: $2.00
Non-Preferred Generic: $10.00
Preferred Brand: $40.00
Non-Preferred Brand: $90.00
Specialty Tier: 33%
3435

Browse Formulary
Express Scripts Medicare - Choice (PDP) Medicare Part D Plan Customer Service Rating - 3 Stars (Good) Express Scripts Medicare - Choice (PDP) Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Express Scripts Medicare - Choice (PDP) Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Very Good) ! Non-preferred network pharmacies have higher cost-sharing. Click for details:
SmartD Rx Plus (PDP)


        
$71.40 $0 Call Plan for details No S0064
-060
cost-sharing data not available.tbd

Browse Formulary
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United American - Enhanced (PDP)


        
$72.40 $20 No Gap Coverage No S5755
-028
Preferred Generic: $1.00
Non-Preferred Generic: $7.00
Preferred Brand: $37.00
Non-Preferred Brand: $95.00
Specialty Tier: 30%
5340

Browse Formulary
United American - Enhanced (PDP) Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) United American - Enhanced (PDP) Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Good) United American - Enhanced (PDP) Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Good) ! Non-preferred network pharmacies have higher cost-sharing. Click for details:
AARP MedicareRx Enhanced (PDP).


        
$105.10 $0 Some Generics,
Some Brands
No S5921
-249
Preferred Generic: $2.00
Non-Preferred Generic: $4.00
Preferred Brand: $27.00
Non-Preferred Brand: $65.00
Specialty Tier: 33%
5084

Browse Formulary
AARP MedicareRx Enhanced (PDP). Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) AARP MedicareRx Enhanced (PDP). Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Very Good) AARP MedicareRx Enhanced (PDP). Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Very Good) ! Non-preferred network pharmacies have higher cost-sharing. Click for details:
Plan Name Monthly
Prem.
Deduct-
ible
Gap
Coverage
$0 Prem
LIS?
Plan
ID
Preferred Pharmacy
Copay/
Coinsurance
Total Drugs
Service Exper. CostInfo
First Health Part D Premier Plus (PDP).


        
$105.20 $0 Some Generics,
Some Brands
No S5674
-035
Preferred Generic: $1.00
Non-Preferred Generic: $25.00
Preferred Brand: 25%
Non-Preferred Brand: 41%
Specialty Tier: 33%
3238

Browse Formulary
First Health Part D Premier Plus (PDP). Medicare Part D Plan Customer Service Rating - 4 Stars (Very Good) First Health Part D Premier Plus (PDP). Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) First Health Part D Premier Plus (PDP). Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Very Good)  
MedicareBlue Rx Premier (PDP)


        
$106.30 $0 Many Generics No S5743
-004
Preferred Generic: $3.00
Non-Preferred Generic: $8.00
Preferred Brand: $35.00
Non-Preferred Brand: 45%
2990

Browse Formulary
MedicareBlue Rx Premier (PDP) Medicare Part D Plan Customer Service Rating - 2 Stars (Fair) MedicareBlue Rx Premier (PDP) Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) MedicareBlue Rx Premier (PDP) Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Cigna Medicare Rx Secure-Max (PDP).


        
$117.90 $0 Many Generics,
Some Brands
No S5617
-195
Preferred Generic: $0.00
Non-Preferred Generic: $4.00
Preferred Brand: $25.00
Non-Preferred Brand: $74.00
Specialty Tier: 33%
3925

Browse Formulary
Cigna Medicare Rx Secure-Max (PDP). Medicare Part D Plan Customer Service Rating - 3 Stars (Good) Cigna Medicare Rx Secure-Max (PDP). Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Cigna Medicare Rx Secure-Max (PDP). Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Good) ! Non-preferred network pharmacies have higher cost-sharing. Click for details:
SilverScript Plus (PDP)


        
$123.60 $0 Many Generics,
Some Brands
No S5601
-051
Generic: $0.00
Preferred Brand: $17.00
Non-Preferred Brand: $41.00
Specialty Tier: 33%
3073

Browse Formulary
SilverScript Plus (PDP) Medicare Part D Plan Customer Service Rating - 4 Stars (Very Good) SilverScript Plus (PDP) Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Good) SilverScript Plus (PDP) Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Good)  



A few notes to help with the understanding of the 2014 Medicare Part D Prescription Drug Plan chart above and Search Tips to help you narrow down your list of plans to those that best meet your needs.
  • Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS). The same plan name generally has a different plan id in each state. (Search Tip: If you would like to reduce the plans shown to just plans for one or two specific carriers, you can select the carrier name in the "Plan Family" fields 1 and 2. Select the empty (blank) option at the top of the list to remove the criteria. You can also click the "National Plans" checkbox to limit your search to just national plans.)

  • CMS Plan Ratings: these are found under the Plan Name at the left side of the chart.

    This is a 1 to 5 star rating system with five (5) stars as excellent, four (4) stars as very good, three (3) stars as good, two (2) stars as fair and one (1) star as poor.

    Cust. Service Rating - Drug Plan Customer Service - Medicare and members rate the drug plan and how well a drug plan provides customer service.

    This category includes measures of how drug plans rate on the following areas:
    • Time on Hold When Customer and Pharmacist Calls Drug Plan.
    • Calls Disconnected When Customer and Pharmacist Calls Drug Plan.
    • Drug Plan’s Timeliness in Giving a Decision for Members Who Make an Appeal.
    • Fairness of Drug Plan’s Denials to a Member’s Appeal, Based on an Independent Reviewer.

  • Member Plan Exper. - Member Experience with Drug Plan - This category shows how well drug plans make prescription drugs available to their members.

    This category includes measures of how drug plans rate on the following areas:
    • Drug Plan Provides Information or Help When Members Need It.
    • Members’ Overall Rating of Drug Plan.
    • Members’ Ability to Get Prescriptions Filled Easily When Using the Drug Plan.

  • RxCost Info Rating - This category shows how well drug plans are doing with pricing prescriptions and providing information on the Medicare website.

    This category includes measures of how drug plans rate on the following areas:
    • Completeness of the Drug Plan’s Information on Members Who Need Extra Help.
    • Drug Plan Provides Current Information on Costs and Coverage for Medicare’s Website (the same data is used on this Q1Medicare.com).
    • Drug Plan’s Prices that Did Not Increase More Than Expected During the Year.
    • Drug Plan’s Prices on Medicare’s Website (and this website) Are Similar to the Prices Members Pay at the Pharmacy.
    • Drug Plan’s Members 65 and Older Who Received Prescriptions for Certain Drugs with a High Risk of Side Effects, when There May Be Safer Drug Choices.

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  • Monthly Premium: This is the amount you must pay each month to use the plan. This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase. (Search Tip: If you would like to reduce the plans shown to just plans under a certain premium, enter this value in the "Maximum Premium" field.)

  • Deductible: This is the $310 deductible that was presented in the CMS Standard Plan. Many provider’s plans do not have a deductible, however the premium may be higher. (Search Tip: If you would like to reduce the plans shown to just plans with a deductible under a certain value, enter this value in the "Maximum Deductible field" field.)

  • Gap Coverage: the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3605 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2014, ALL formulary generics will have at least a 28% discount and ALL brand drugs will have at least a 52.5% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
    • No Gap Coverage: you must pay the $3605;

    • Few Generics: less than 10% of formulary generics are covered, but you must pay for Brand Drugs up to $3605;

    • Some Generics: 10% to 65% of formulary generics are covered, but you must pay for Brand Drugs up to $3605;

    • Many Generics: 65% to 100% of formulary generics are covered, but you must pay for Brand Drugs up to $3605;

    • All Generics : All formulary Generics are covered, but you must pay for Brand Drugs up to $3605;

    • Many Generics & Some Brands: These Medicare prescription drug plans cover 65% to 100% of formulary generics and a some (10% to 65%) of Brand drugs on the plan’s formulary.

    • Some Generics & Some Brands: These Medicare prescription drug plans cover 10% to 65% of Generic and Brand drugs on the plan’s formulary. (Search Tip: If you would like to reduce the plans shown to just plans with a certain type of gap coverage, select this type of coverage in the "Type of Gap Coverage" field.)

  • $0 Premium with Full LIS - Does the plan Qualify for $0 Premium with Full Low-Income Subsidy?: If Yes is in the field, then you would pay a $0 premium if you have a Full Low-Income Subsidy (LIS). If No is in the field, then you would be responsible for the difference between what the state provides as the Full Low-Income Subsidy and the actual cost of the plan even if you have a Full Low-Income Subsidy. (Search Tip: If you would like to reduce the plans shown to just plans that qualify for the $0 premium (Benchmark plans), select "Yes..." in the "Full Low-Income Subsidy?" field.)

  • Plan ID: This is the unique id for this particular plan.

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  • Copay / Coinsurance - Cost Sharing - These figures apply to the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on which tier the drug is in. Plans can form their own tiers, so you should contact the plan or reference it’s summary of benefits to find out what copays and limitations are associated with each tier. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. (Search Tip: If you would like to reduce the plans shown to just plans that have a tier 1 (Generics) co-pay of up to a certain value (ex: $0 co-pay), enter the value (ex: 0) in the "Max. Co-pay Tier 1 (Generics)" field.)

Additional Information Fields:
You can select one of the following additional pieces of plan information to display (Search Tip: to change the type of information shown in the last column of the chart, select the data to be shown in the "Additional Info" field.)
  • Total Formulary Drugs (default) - This is the total number of medications on the plans formulary or drug list. For 2014 Medicare Part D plans, the smallest formularies include the Blue Cross MedicareRx Basic (IL, NM, OK, TX), Blue MedicareRx Value (AZ) and Standard (NC) plan formularies with 2,244 total medications and the largest formulary is the AmeriHealth Rx Option II formulary (PA & WV) with 5,236 total formulary drugs. This total drug count does not include "Bonus Drugs". These are non-Medicare Part D drugs which are covered by the plan, however they do not count toward your plan deductible, retail drug cost, or TrOOP.
  • Offers Mail Order - "Yes" is displayed if this plan offers mail order on any medications. It does NOT mean that ALL medications are available through mail order.
  • Members in This State (updated: June 2014 figures) - This is the total number of members in this plan for this CMS Region. For regions which contain more than one state, this is the total for all of those states combined. We are showing the latest Medicare Part D plan enrollment figures. We update this figure as new enrollment statistics are released by Medicare.
  • Members Nation Wide (updated: June 2014 figures) - This is the total number of member for this plan in all CMS Regions (States) combined. We are showing the latest Medicare Part D plan enrollment figures. We update this figure as new enrollment statistics are released by Medicare.

  • Initial Coverage Limit (ICL) - The initial coverage limit phase of a Medicare Part D plan is the phase AFTER the initial deductible is met (if the plan has an initial deductible) and BEFORE the coverage gap (or donut hole) begins. The ICL is the phase of the prescription drug plan during which you and your plan share your prescription costs. During this phase you will pay either a co-payment (a flat fee per prescription) or co-insurance (a percentage of the drug cost). The details of the cost-sharing for the plan are shown in the Cost-Sharing column directly to the left of this column. The CMS standard Initial Coverage Limit for 2014 is $2850 and increases each year.
  • National or Regional Plans - This column simply displays the word "National" if the plan is sponsored by a national carrier or "Regional" if the plan sponsor is a regional carrier.


(Chart Source: various files provided by the Centers for Medicare and Medicaid Services along with data from the Medicare.gov website plan finder.)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information.