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2010 California Medicare Part D Plan Archive

California State Flag - Medicare Part D Providers California .
It's thought that the name California comes from a sixteenth century novel, Las Sergas de Esplandian by Garcia Ordonez de Montalvo. Spanish explorers Hernando Cortez and Ortuno Ximenez were familiar with the work of Montalvo and probably named the territory after the gold laden island described in the novel. (Source: Shearer, Benjamin F. and Barbara S. State Names, Seals, Flags and Symbols Greenwood Press, Westport, Connecticut - 2001)

2010 Medicare Part D Plans for Residents of California

California is CMS Region 32.

Were you really looking for 2020 Plans in California?   Choose a link below:



Below is a summary of national Medicare Prescription Drug plans (PDP) for California.

Other 2010 Q1Medicare.com Plan Tools:


2010 Medicare Part D - California Plan Information
Print  |  Medicare Advantage Plans 2016   Archive:  | 2015 | 2014 | 2013 | 2012 | 2011 | 2009 | 2008 | 2007 | 2006
Plan Name Monthly
Premium
Deductible Qualifies
for $0
Premium
with Full
Low-Income
Subsidy?
Coverage Gap
(Donut Hole)
Coverage
Benefit Type
Available
Plan ID
AARP Plans by United HealthCare
AARP MedicareRx Saver (PDP)
$37.30$310NoNo Gap CoverageBasicS5921-001
AARP MedicareRx Preferred (PDP)
$37.60$0NoNo Gap CoverageBasicS5820-031
AARP MedicareRx Enhanced (PDP)
$86.20$0NoMany GenericsEnhancedS5921-003
Aetna Life Insurance Company
Aetna is currently sanctioned by CMS and cannot accept new enrollments.
Current members are not affected.
» Summary of Benefits Aetna Essentials & Premier Plans
» Summary of Benefits Costco Plus Plan
» Aetna Plans - Benefits at a Glance Brochure
» Aetna Costco Plan - Benefits at a Glance Brochure
» Aetna Comprehensive Drug List
Aetna Medicare Rx Essentials (PDP)
$47.80$310NoNo Gap CoverageBasicS5810-066
Aetna Medicare Rx Costco Plus Plan (PDP)
$43.20$0NoNo Gap CoverageEnhancedS5810-236
Aetna Medicare Rx Premier (PDP)
$98.00$0NoMany GenericsEnhancedS5810-202
Blue Cross and Blue Shield
Blue Cross MedicareRx Standard (PDP)
$28.40$310YesNo Gap CoverageBasicS5596-033
Blue Cross MedicareRx Plus (PDP)
$42.10$0NoNo Gap CoverageEnhancedS5596-034
Blue Cross MedicareRx Gold (PDP)
$78.50$0NoMany GenericsEnhancedS5596-035
Blue Shield Medicare Rx Plan (PDP)
$46.40$310NoNo Gap CoverageBasicS2468-002
Blue Shield Medicare Rx Enhanced Plan (PDP)
$51.00$0NoNo Gap CoverageEnhancedS2468-001
Cigna Insurance Company
» Summary of Benefits All CIGNA Plans » Plan One Formulary
» Plan Two Formulary
» Plan Three Formulary
CIGNA Medicare Rx Plan Two (PDP)
$43.90$100NoNo Gap CoverageBasicS5617-160
CIGNA Medicare Rx Plan One (PDP)
$51.70$310NoNo Gap CoverageBasicS5617-158
CIGNA Medicare Rx Plan Three (PDP)
$73.20$0NoMany Generics and Few BrandEnhancedS5617-202
Coventry AdvantraRx
» Summary of Benefits All AdvantraRx Plans
» Evidence of Coverage Value Plan
» Evidence of Coverage Premier Plan
» Evidence of Coverage Premier Plus Plan
» Value Plan Formulary
» Premier Plan Formulary
» Premier Plus Plan Formulary
AdvantraRx Premier (PDP)
$47.20$0NoNo Gap CoverageBasicS5674-057
AdvantraRx Value (PDP)
$41.10$100NoNo Gap CoverageEnhancedS5674-056
AdvantraRx Premier Plus (PDP)
$62.80$0NoMany GenericsEnhancedS5674-059
EnvisionRx Plus
» Summary of Benefits Silver Plan
» Summary of Benefits Gold Plan
» Evidence of Coverage Silver Plan
» Evidence of Coverage Gold Plan
» Silver Plan Formulary
» Gold Plan Formulary
EnvisionRxPlus Silver (PDP)
$30.90$310NoNo Gap CoverageBasicS7694-032
EnvisionRxPlus Gold (PDP)
$72.00$150NoNo Gap CoverageEnhancedS7694-066
First Health Part D
» Summary of Benefits All FirstHealth Plans
» Evidence of Coverage Secure Plan
» Evidence of Coverage Premier Plan
» Secure Plan Formulary
» Premier Plan Formulary
First Health Part D-Premier (PDP)
$27.40$150YesNo Gap CoverageBasicS5768-082
First Health Part D-Secure (PDP)
$17.60$175NoNo Gap CoverageEnhancedS5768-114
Health Net
Health Net Orange Option 1 (PDP)
$28.40$310YesNo Gap CoverageBasicS5678-002
Health Net Orange Option 2 (PDP)
$64.60$0NoNo Gap CoverageEnhancedS5678-008
Humana Health Insurance Company
» Humana Summary of Benefits All 3 Plans » Humana Value/Basic Plan Formulary
» Humana Standard Plan Formulary
» Humana Enhanced/Complete Plan Formulary
Humana Enhanced S5884-030 (PDP)
$40.40$0NoNo Gap CoverageBasicS5884-030
Humana Value S5884-114 (PDP)
$24.00$150NoNo Gap CoverageEnhancedS5884-114
Humana Complete S5884-060 (PDP)
$105.50$0NoMany GenericsEnhancedS5884-060
Medco Medicare Prescription Plan
» Summary of Benefits
» Evidence of Coverage
» Medco Formulary
Medco Medicare Prescription Plan - Value (PDP)
$42.00$310NoNo Gap CoverageBasicS5660-134
Medco Medicare Prescription Plan - Choice (PDP)
$50.30$100NoNo Gap CoverageEnhancedS5660-032
Medco Medicare Prescription Plan - Access (PDP)
$77.50$0NoMany GenericsEnhancedS5660-202
Prescriba (formerly Prescription Pathway)
» Summary of Benefits All Prescriba Plans » Prescriba Formulary
PrescribaRx Gold (PDP)
$40.30$150NoNo Gap CoverageEnhancedS5597-064
RxAmerica
» Summary of Benefits Star Plan
» Summary of Benefits Freedom Plan
» Evidence of Coverage Star Plan
» Evidence of Coverage Freedom Plan
» 2010 Formulary Star Plan
» 2010 Formulary Freedom Plan
Advantage Star Plan by RxAmerica (PDP)
$27.80$310YesNo Gap CoverageBasicS5644-084
Advantage Freedom Plan by RxAmerica (PDP)
$49.40$0NoNo Gap CoverageEnhancedS5644-064
SilverScript
» Summary of Benefits Value Plans
» Summary of Benefits Plus Plans
» Summary of Benefits Complete Plans
» Value Plan Formulary
» Plus Plan Formulary
» Complete Plan Formulary
SilverScript Value (PDP)
$50.80$310NoNo Gap CoverageBasicS5601-064
SilverScript CVS Caremark Plus (PDP)
$66.30$50NoNo Gap CoverageEnhancedS5601-065
SilverScript CVS Caremark Complete (PDP)
$90.70$0NoMany GenericsEnhancedS5601-103
Sterling Prescription Drug Plan
Sterling Rx (PDP)
$37.90$310NoNo Gap CoverageBasicS4802-067
United American Insurance Company
» Summary of Benefits UA Medicare Plans
» Evidence of Coverage
» Formulary UA Medicare Plans
UA Medicare Part D Rx Covg - Silver Plan (PDP)
$46.00$195NoNo Gap CoverageBasicS5755-070
UA Medicare Part D Prescription Drug Cov (PDP)
$45.90$0NoNo Gap CoverageEnhancedS5755-035
Universal American - Community CCRx
» Summary of Benefits All CCRx Plans » CCRx Basic Plan (Select) Formulary
» CCRx Choice & Gold (Optimal) Formulary
Community CCRx Choice (PDP)
$44.00$150NoNo Gap CoverageEnhancedS5803-169
Community CCRx Gold (PDP)
$87.80$0NoAll GenericsEnhancedS5803-249
WellCare Health Plans
» Summary of Benefits All Plans
» Evidence Of Coverage Signature Plan
» Evidence Of Coverage Classic Plan
» Formulary for All WellCare PDP Plans
WellCare Classic (PDP)
$24.30$310tbdNo Gap CoverageBasicS5967-169
WellCare Signature (PDP)
$33.10$0tbdNo Gap CoverageEnhancedS5967-066

A few notes to help with the understanding of the 2010 Medicare Part D Plan chart above.
  • Plan Name: This is the official plan name from CMS
  • 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.
  • Qualifies 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. 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.
  • Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3610 in drug costs (the Donut Hole). Many provider's plans cover the costs that fall into this category for an additional premium. In our chart, you will see one of the following:
    • No Gap Coverage: you must pay the $3453.75;

    • Some Generics: 10% to 65% of formulary generics are covered, but you must pay for Brand Drugs up to $3453.75;

    • Many Generics: 65% to 100% of formulary generics are covered, but you must pay for Brand Drugs up to $3453.75;

    • All Generics : All formulary Generics are covered, but you must pay for Brand Drugs up to $3453.75;

    • All Generics & Few Brands: One regional plan (Alliance Medicare RX), only available in Michigan covers all Generics and a few (less than 10%) of Brand drugs on the plan's formulary.

    • Many Generics & Few Brands: two regional plans, only available in Florida (Quality Rx Plus) and Wisconsin (DeanCare Rx Enhanced) cover many Generics (65%-100% of formulary generics) and a few (less than 10%) of formulary Brands.

  • Benefit Type: Basic means that this plan follows the standard CMS plan. Enhanced means that this plan has features above and beyond the standard CMS plan.
  • Plan ID: This is the unique id for this particular plan.


(Chart Source: Centers for Medicare and Medicaid file 2010LandscapeSourceData_PDP_09_18_08.xls)

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. Through the application process we will provide you with the most up-to-the-minute information/pricing.


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Last updated on: 09/28/2009



Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.