| Company Name | Plan Name | Benefit Type | $0 Premium with Full Low Income Subsidy? |
Monthly Drug Premium |
Annual Drug Deductible |
Type of Extra Coverage Differed in the Gap |
Contract ID |
Plan ID |
Aetna Medicare 1-800-213-4599 |
Aetna Medicare Rx Essentials | Basic | $32.90 | $220 | No Gap Coverage | S5810 | 038 | |
| Aetna Medicare Rx Plus | Enhanced | $66.00 | $0 | Some Generics | S5810 | 140 | ||
| Aetna Medicare Rx Premier | Enhanced | $130.20 | $0 | Many Generics | S5810 | 174 | ||
| AmeriHealth Rx 1-800-898-3492 amerihealth65.com |
AmeriHealth NJ Rx Option 1 | Basic | $32.20 | $295 | No Gap Coverage | S4496 | 001 | |
| AmeriHealth NJ Rx Option 2 | Enhanced | $40.20 | $0 | No Gap Coverage | S4496 | 003 | ||
| Bravo Health 1-800-723-9209 |
Bravo Rx | Basic | $39.20 | $295 | No Gap Coverage | S5998 | 003 | |
CIGNA Medicare Rx 1-800-735-1459 |
CIGNA Medicare Rx Plan One | Basic | $34.90 | $295 | No Gap Coverage | S5617 | 018 | |
| CIGNA Medicare Rx Plan Two | Enhanced | $43.80 | $0 | No Gap Coverage | S5617 | 020 | ||
| CIGNA Medicare Rx Plan Three | Enhanced | $88.50 | $0 | Some Generics | S5617 | 174 | ||
Coventry AdvantraRx 1-800-882-3822 |
AdvantraRx Value | Enhanced | $24.60 | $0 | No Gap Coverage | S5674 | 014 | |
| AdvantraRx Premier | Basic | $40.80 | $0 | No Gap Coverage | S5674 | 015 | ||
| AdvantraRx Premier Plus | Enhanced | $56.80 | $0 | Many Generics | S5674 | 017 | ||
EnvisionRx Plus |
EnvisionRxPlus Silver | Basic | $33.20 | $295 | No Gap Coverage | S7694 | 004 | |
| EnvisionRxPlus Gold | Enhanced | $69.00 | $0 | No Gap Coverage | S7694 | 038 | ||
| First Health Part D 1-800-588-3322 firsthealthpartd.com |
First Health Part D-Secure | Enhanced | $16.70 | $175 | No Gap Coverage | S5768 | 086 | |
| First Health Part D-Premier | Basic | YES | $29.10 | $0 | No Gap Coverage | S5768 | 007 | |
| Fox Insurance 1-888-369-7979 foxrxcare.com |
Fox Value Plan | Basic | YES | $24.60 | $295 | No Gap Coverage | S5557 | 023 |
| Fox Grand Plan | Enhanced | $41.60 | $285 | Some Generics | S5557 | 013 | ||
| Health Net 1-800-606-3604 heathnet.com |
Health Net Orange Option 1 | Basic | $32.90 | $295 | No Gap Coverage | S5678 | 005 | |
| Health Net Orange Option 2 | Enhanced | $52.10 | $0 | No Gap Coverage | S5678 | 011 | ||
| HealthSpring 1-800-331-6293 healthspring.com |
HealthSpring Prescription Drug Plan -Reg 4 *Will Not work with PAAD Beneficiaries | Basic | YES | $26.60 | $295 | No Gap Coverage | S5932 | 005 |
| Horizon Blue Cross Blue Shield of NJ 1-800-224-1234 horizonblue.com |
Horizon Medicare Blue Rx Standard | Basic | $42.30 | $295 | No Gap Coverage | S5993 | 001 | |
| Horizon Medicare Blue Rx Plus | Enhanced | $72.90 | $0 | Many Generics | S5993 | 003 | ||
Humana Insurance 1-800-706-0872 |
Humana PDP Enhanced | Enhanced | $33.70 | $0 | No Gap Coverage | S5884 | 003 | |
| Humana PDP Standard | Basic | $38.90 | $295 | No Gap Coverage | S5884 | 062 | ||
| Humana PDP Complete | Enhanced | $98.90 | $0 | Many Generics | S5884 | 032 | ||
Medco Medicare 1-800-758-3605 |
Medco Medicare Prescription Plan - Value | Basic | YES | $27.70 | $295 | No Gap Coverage | S5660 | 106 |
| Medco Medicare Prescription Plan - Choice | Enhanced | $41.60 | $0 | No Gap Coverage | S5660 | 035 | ||
| Medco Medicare Prescription Plan - Access | Enhanced | $71.40 | $0 | All Generics | S5660 | 174 | ||
Pennsylvania Life 1-800-978-9500 |
Prescriba Rx Gold (formerly Prescription Pathways) |
Enhanced | $42.70 | $0 | No Gap Coverage | S5597 | 036 | |
| Prescriba Rx Bronze | Basic | $44.70 | $295 | No Gap Coverage | S5597 | 238 | ||
| Prescriba Rx Platinum | Enhanced | $74.90 | $0 | All Generics | S5597 | 201 | ||
RxAmerica 1-800-429-6686 |
Advantage Freedom Plan by RxAmerica | Enhanced | $28.60 | $0 | No Gap Coverage | S5644 | 049 | |
| Advantage Star Plan by RxAmerica | Basic | YES | $30.50 | $295 | No Gap Coverage | S5644 | 005 | |
| Sierra Health & Life 1-866-789-0565 sierrarx.com |
SierraRx Basic | Basic | $72.70 | $295 | No Gap Coverage | S5917 | 009 | |
SilverScript Insur. 1-866-552-6106 |
SilverScript Value | Basic | YES | $29.40 | $295 | No Gap Coverage | S5601 | 008 |
| SilverScript Plus | Enhanced | $50.10 | $50 | Many Generics | S5601 | 009 | ||
| SilverScript Complete | Enhanced | $74.30 | $0 | Many Generics | S5601 | 075 | ||
| Sterling Life Insur. 1-888-909-1713 sterlingplans.com |
Sterling Rx | Basic | $38.70 | $295 | No Gap Coverage | S4802 | 001 | |
UniCare 1-866-892-5335 |
MedicareRx Rewards Standard | Basic | $31.20 | $295 | No Gap Coverage | S5960 | 110 | |
| MedicareRx Rewards Value | Basic | $41.50 | $130 | No Gap Coverage | S5960 | 004 | ||
| United American Insurance Co. 1-866-299-3406 |
UA Medicare Part D Rx - Silver Plan | Basic | $41.50 | $160 | No Gap Coverage | S5755 | 042 | |
| UA Medicare Part D Prescription Drug Cov | Enhanced | $45.90 | $0 | No Gap Coverage | S5755 | 007 | ||
UnitedHealthcare 1-888-867-5564 |
AARP MedicareRx Saver | Basic | YES | $26.10 | $295 | No Gap Coverage | S5921 | 286 |
| AARP MedicareRx Preferred | Basic | $36.90 | $0 | No Gap Coverage | S5820 | 003 | ||
| UnitedHealth Rx Basic | Enhanced | $41.40 | $0 | No Gap Coverage | S5921 | 288 | ||
| AARP MedicareRx Enhanced | Enhanced | $73.30 | $0 | Many Generics | S5921 | 293 | ||
Universal American 1-866-684-5353 |
Community CCRx Basic | Basic | $43.90 | $295 | No Gap Coverage | S5803 | 073 | |
| Community CCRx Choice | Enhanced | $56.40 | $0 | No Gap Coverage | S5803 | 141 | ||
| Community CCRx Gold | Enhanced | $76.50 | $0 | All Generics | S5803 | 221 | ||
WellCare 1-888-423-5252 |
WellCare Classic | Basic | $33.60 | $295 | No Gap Coverage | S5967 | 141 | |
| WellCare Signature | Enhanced | $37.20 | $0 | No Gap Coverage | S5967 | 038 |