Powered by Q1Group LLC
Education and Decision Support Tools for the Medicare Community

2014 California Medicare Part D Prescription Drug Plans

California State Flag - Medicare Part D Providers California .
California PDP & MAPD Plan Highlights:
» CA’s Lowest Cost Medicare Advantage Plan (Health & Drugs): $0.00
» Lowest Cost Medicare Part D Drug Plan (PDP) in California: $12.60
» Lowest Cost Drug Plan (PDP) in California with a $0 Deductible: $22.40

Below is a summary of the national Medicare Prescription Drug Only plans (PDP) for Residents of California - CMS PDP Region 32.

Click on the Enroll enroll icon or plan name below to access enrollment options OR Click on one of these links for further help finding a plan:
» Click here to see all California national and regional Medicare Part D (PDP) plan details
    (copays/ coinsurance, plan ratings, enrollment figures, etc. in a separate window)

» Browse the 2014 California Medicare Advantage Plans (MA, MAPD & SNP)
» Click here to compare 2014 California plan details with the 2013 plans
» Click here to show 2014 Medicare Part D plans for a different state

2014 Medicare Part D - California Plan Information
Print  |  Medicare Advantage Plans 2016   Archive:  | 2015 | 2013 | 2012 | 2011 | 2010 | 2009 | 2008 | 2007 | 2006
Plan Name Monthly
Deductible Qualifies
for $0
with Full
Coverage Gap
(Donut Hole)
Benefit Type
Plan ID
AARP Plans by United HealthCare
AARP MedicareRx Saver Plus (PDP)
Browse Formulary
$26.00$310YesNo Gap CoverageBasicS5921-376
AARP MedicareRx Preferred (PDP)
Browse Formulary
$51.10$0NoNo Gap CoverageEnhancedS5820-031
AARP MedicareRx Enhanced (PDP)
Browse Formulary
$112.80$0NoSome Generics, Some BrandsEnhancedS5921-003
Aetna Life Insurance Company
Aetna CVS/pharmacy Prescription Drug Plan (PDP)
Browse Formulary
$49.40$310NoNo Gap CoverageBasicS5810-066
Aetna Medicare Rx Premier (PDP)
Browse Formulary
$147.00$0NoFew GenericsEnhancedS5810-202
Blue Cross and Blue Shield
Blue Cross MedicareRx Standard (PDP)
Browse Formulary
$30.20$310NoNo Gap CoverageBasicS5596-033
Blue Cross MedicareRx Plus (PDP)
Browse Formulary
$66.10$0NoSome GenericsEnhancedS5596-034
Blue Cross MedicareRx Gold (PDP)
Browse Formulary
$108.80$0NoSome Generics, Some BrandsEnhancedS5596-035
Blue Shield Medicare Basic Plan (PDP)
Browse Formulary
$42.80$310NoNo Gap CoverageBasicS2468-003
Blue Shield Medicare Enhanced Plan (PDP)
Browse Formulary
$74.40$0NoNo Gap CoverageEnhancedS2468-004
Cigna Insurance Company
Cigna Medicare Rx Secure (PDP)
Browse Formulary
$51.90$310NoNo Gap CoverageBasicS5617-158
Cigna Medicare Rx Secure-Xtra (PDP)
Browse Formulary
$57.80$0NoNo Gap CoverageEnhancedS5617-277
Cigna Medicare Rx Secure-Max (PDP)
Browse Formulary
$114.80$0NoMany Generics, Some BrandsEnhancedS5617-243
Cigna-HealthSpring Rx -Reg 32 (PDP)
Browse Formulary
$44.10$310NoNo Gap CoverageBasicS5932-031
EnvisionRx Plus
EnvisionRxPlus Silver (PDP)
Browse Formulary
$27.20$310YesNo Gap CoverageBasicS7694-032
Express Scripts Prescription Drug Plans
Express Scripts Medicare - Value (PDP)
Browse Formulary
$62.10$310NoNo Gap CoverageBasicS5660-134
Express Scripts Medicare - Choice (PDP)
Browse Formulary
$70.50$0NoNo Gap CoverageEnhancedS5660-202
First Health Part D
First Health Part D Essentials (PDP)
Browse Formulary
$60.70$310NoNo Gap CoverageBasicS5768-082
First Health Part D Value Plus (PDP)
Browse Formulary
$41.60$0NoNo Gap CoverageEnhancedS5768-155
First Health Part D Premier Plus (PDP)
Browse Formulary
$105.80$0NoSome Generics, Some BrandsEnhancedS5674-059
HealthMarkets Prescription Drug Plan
HealthMarkets Value Rx (PDP)
Browse Formulary
$24.50$310YesNo Gap CoverageBasicS0128-033
Humana Health Insurance Company
Humana Preferred Rx Plan (PDP)
Browse Formulary
$22.80$310YesNo Gap CoverageBasicS5884-114
Humana Walmart Rx Plan (PDP)
Browse Formulary
$12.60$310NoNo Gap CoverageEnhancedS5884-178
Humana Enhanced (PDP)
Browse Formulary
$51.20$0NoFew BrandsEnhancedS5884-030
Symphonix Prescription Drug Plans
Symphonix Rite Aid Value Rx (PDP)
Browse Formulary
$23.80$310YesNo Gap CoverageBasicS0522-034
Transamerica MedicareRx Plans
Transamerica MedicareRx Classic (PDP)
Browse Formulary
$46.90$310NoNo Gap CoverageBasicS9579-031
Transamerica MedicareRx Choice (PDP)
Browse Formulary
$57.50$0NoNo Gap CoverageEnhancedS9579-064
United American Insurance Company
United American - Select (PDP)
Browse Formulary
$25.70$310YesNo Gap CoverageBasicS5755-103
United American - Enhanced (PDP)
Browse Formulary
$70.90$60NoNo Gap CoverageEnhancedS5755-035
WellCare Health Plans
WellCare Classic (PDP)
Browse Formulary
$22.40$0YesNo Gap CoverageBasicS5967-169
WellCare Extra (PDP)
Browse Formulary
$57.70$0NoNo Gap CoverageEnhancedS5967-203

A few notes to help with the understanding of the 2014 Medicare Part D Plan chart above.
  • Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (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 $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.)

  • 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 2014LandscapeSource file PDP.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.

» Top

Last updated on: 09/19/2013

Medicare Supplements
fill the gaps in your
Original Medicare
1. Enter Your ZIP Code:
» Medicare Supplement FAQs

Pets are Family Too!
Use your drug discount card to save on medications for the entire family ‐ including your pets.

  • No enrollment fee and no limits on usage
  • Everyone in your household can use the same card, including your pets
Your drug discount card is available to you at no cost.


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.