2014 MEDICARE PART D STAND-ALONE PRESCRIPTION DRUG PLANS IN NEW JERSEY
Data as of October 9, 2013
Company Name
UnitedHealthcare
aarpmedicarerx.com
Plan Name
Benefit
Type
$0 Premium
with
Medicaid or
Low-Income
Subsidy
〈
Monthly Drug
Premium
Annual Drug
Deductible
Type of
Extra Coverage
Offered in the Gap
Contract ID
Plan
ID
AARP MedicareRx Saver Plus
Basic
〈
$25.50
$310
No Gap
Coverage
S5921
349
AARP MedicareRx Preferred
Enhanced
$46.30
$0
No Gap
Coverage
S5820
003
AARP MedicareRx Enhanced
Enhanced
$105.70
$0
Some Generics
and Some Brands
S5921
293
Aetna CVS Pharmacy Prescription
Drug Plan
Basic
$35.20
$310
No Gap
Coverage
S5810
038
Aetna Medicare Rx Premier
Enhanced
$138.50
$0
Few Generics
S5810
174
CIGNA Medicare Rx Secure (formerly
Basic
$47.30
$310
No Gap
Coverage
S5617
018
CIGNA Medicare Rx
Secure-Xtra
Enhanced
$50.30
$0
No Gap
Coverage
S5617
249
CIGNA Medicare Rx
Secure-Max
Enhanced
$103.00
$0
Many Generics,
Some Brands
S5617
230
Cigna-HealthSpring Rx-Reg 4
Basic
$49.40
$310
No Gap
Coverage
S5932
005
1-888-867-5564
Aetna Medicare
1-800-213-4599
aetnamedicare.com
called Plan One)
CIGNA Medicare Rx
1-800-735-1459
cignamedicarerx.com
Cigna-HealthSpring
1-877-357-1605
myhealthspring.com
〈
Plans in yellow have $0 premium for those with Medicaid or Low Income Subsidy. All yellow plans are referred to as "benchmark" plans. Plans
working with PAAD are marked in green.
*Plan's Overall Performance Rating
determined by Medicare and based on 2013 data. Rating range is 1 to 5 stars, with 5 highest rating.
For assistance in choosing a Medicare Part D Drug Plan contact the NJ State Health Insurance Assistance Program (SHIP) at 1-800-792-8820
or call 1-800-MEDICARE.
Division of Aging Services, State Health Insurance Assistance Program
New Jersey Department of Human Services
Page 1 of 4
Plan Name
Benefit
Type
$0 Premium
with
Medicaid or
Low-Income
Subsidy
〈
EnvisionRx Plus Silver
Basic
〈
$37.80
$310
No Gap
Coverage
S7694
004
Express Scripts Medicare Value
Basic
〈
$32.90
$310
No Gap
Coverage
S5660
106
Express Scripts Medicare Choice
Enhanced
$49.50
0
No Gap
Coverage
S5660
207
First Health Part D Value Plus
Enhanced
$47.90
$0
No Gap
Coverage
S5768
127
Basic
$53.90
$310
No Gap
Coverage
S5768
007
Enhanced
$102.60
$0
Some Generics
and Some Brands
S5674
017
$34.10
$310
No Gap
Coverage
S0128
5
Basic
$62.70
$310
No Gap
Coverage
S5993
001
Enhanced
$101.00
$0
Many Generics
S5993
003
Company Name
EnvisionRx Plus
1-866-250-2005
Monthly Drug
Premium
Annual Drug
Deductible
Type of
Extra Coverage
Offered in the Gap
Contract ID
Plan
ID
envisionrxplus.com
Express Scripts
Medicare
1-866-477-5704
express-scriptsmedicare.com
First Health Part D
1-800-588-3322
First Health Part D Essentials
(formerly called Premier)
firsthealthpartd.com
First Health Part D Premier Plus
HealthMarkets
Insurance Co.
HealthMarkets Value Rx (formerly
called Reader's Digest Value)
1-888-625-5531
Basic
〈
hmic-medicare.com
Horizon Blue Cross Horizon Medicare Blue Rx Standard
Blue Shield of NJ
1-800-224-1234
horizonblue.com
Horizon Medicare Blue Rx
Enhanced
New Jersey Department of Human Services
Division of Aging Services, State Health Insurance Assistance Program
Page 2 of 4
Company Name
Plan Name
Humana Preferred Rx Plan
(formerly called Humana Walmart-Preferred )
Humana Insurance
Benefit
Type
$0 Premium
with
Medicaid or
Low-Income
Subsidy
〈
Monthly Drug
Premium
Annual Drug
Deductible
Type of
Extra Coverage
Offered in the Gap
Contract ID
Plan
ID
Basic
〈
$22.80
$310
No Gap
Coverage
S5884
131
Humana PDP Enhanced
Enhanced
$47.20
$0
Few Brands
S5884
062
Humana Walmart Rx Plan
Enhanced
$12.60
$310
No Gap
Coverage
S5884
150
MedicareRx Rewards Standard
Basic
$58.60
$310
No Gap
Coverage
S5960
110
currently
unavailable
cannot enroll
new members
under CMS
sanction
SilverScript Choice
currently
unavailable
cannot enroll
new members
under CMS
sanction
SilverScript Plus
currently
unavailable
cannot enroll
new members
under CMS
sanction
currently
unavailable
cannot enroll
new members
under CMS
sanction
currently
unavailable
cannot enroll
new members
under CMS
sanction
1-800-706-0872
humana-medicare.com
UniCare
(a WellPoint Company)
1-866-892-5335
unicare.com/medicare
SilverScript
Insurance (CVS/Caremark
1-866-
Company)
552-6106
SilverScript Basic
〈
silverscript.com
2014 info not available
SmartD Rx
SmartD Rx Saver
〈
855-976-2781
smartdrx.com
2014 info not available
New Jersey Department of Human Services
SmartD Rx Plus
Division of Aging Services, State Health Insurance Assistance Program
Page 3 of 4
Plan Name
Benefit
Type
$0 Premium
with
Medicaid or
Low-Income
Subsidy
〈
Transamerica Medicare Rx Classic
Basic
〈
Transamerica Medicare Rx Choice
Enhanced
Symphonix Rite Aid Value Rx
Basic
〈
$33.20
$310
No Gap
Coverage
S0522
4
United American - Select
Basic
〈
$35.60
$310
No Gap
Coverage
S5755
075
uamedicarepartd.com
United American - Enhanced
Enhanced
$65.00
$110
No Gap
Coverage
S5755
007
WellCare
WellCare Classic
Basic
$25.00
$0
No Gap
Coverage
S5967
141
1-888-423-5252
WellCare Extra
Enhanced
$55.90
$0
No Gap
Coverage
S5967
176
Company Name
Stonebridge Life
Insurance Company
1-877-527-1958
transamericamedicarerx.com
Symphonix Health
1-855-355-2280
Monthly Drug
Premium
Annual Drug
Deductible
Type of
Extra Coverage
Offered in the Gap
Contract ID
Plan
ID
$36.20
$310
No Gap
Coverage
S9579
3
$51.30
$0
No Gap
Coverage
S9579
36
symphonixhealth.com
United American
Insurance Co.
1-866-299-3406
wellcarepdp.com
New Jersey Department of Human Services
〈
Division of Aging Services, State Health Insurance Assistance Program
Page 4 of 4