2010 / 2011 Medicare Part D Plan Information Click here to jump to the Chart Legend | |||||||||||||||
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Plan Name | Monthly Premium |
Deduct- ible |
(Donut Hole) Additional Gap Coverage |
$0 Prem. with Full LIS? |
Plan ID |
Cost-Sharing | Members In This Plan | ||||||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
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2010 Humana Value S5884-116 (PDP) | $27.70 | $150 | No Gap Coverage | No | S5884 -116 | $5.00 | $35.00 | 35% | 81 members | ||||||
2011 Humana Walmart-Preferred Rx Plan (PDP) | $14.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | $5.00 | 20% | 35% | tbd members | ||||||
2010 First Health Part D-Premier (PDP) | $33.30 | $150 | No Gap Coverage | Yes | S5768 -117 | $8.00 | 10% | 41% | 29% | 1,873 members | |||||
2011 First Health Part D Premier (PDP) | $26.10 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | $11.00 | 16% | 31% | 29% | tbd members | ||||||
2010 HealthSpring Prescription Drug Plan-Reg 34 (PDP) | $25.80 | $310 | No Gap Coverage | Yes | S5932 -033 | 25% | 25% | 1,827 members | |||||||
2011 HealthSpring Prescription Drug Plan-Reg 34 (PDP) | $28.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | ||||||||
2010 AARP MedicareRx Preferred (PDP) | $47.00 | $0 | No Gap Coverage | No | S5820 -033 | $7.00 | $43.00 | $95.00 | 33% | 5,435 members | |||||
2011 AARP MedicareRx Preferred (PDP) | $35.80 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $7.00 | $43.00 | $79.00 | 33% | tbd members | ||||||
2010 WellCare Classic (PDP) | $33.30 | $310 | No Gap Coverage | -- | S5967 -171 | $3.00 | $33.00 | $60.00 | 25% | 1,947 members | |||||
2011 WellCare Classic (PDP) | $37.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $40.00 | $87.00 | 25% | tbd members | ||||||
Plan Name | Monthly Premium |
Deduct- ible |
Additional Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | ||||||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | |||||||||
2010 Sterling Rx (PDP) | $50.10 | $310 | No Gap Coverage | No | S4802 -032 | $10.00 | $32.00 | 25% | 13 members | ||||||
2011 Sterling Rx (PDP) | $39.60 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $23.00 | $37.00 | 25% | tbd members | ||||||
2010 MedicareRx Rewards Standard (PDP) | $37.30 | $310 | No Gap Coverage | Yes | S5960 -140 | $6.00 | 25% | 25% | 25% | 1,437 members | |||||
2011 MedicareRx Rewards Standard (PDP) | $39.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $29.00 | 25% | tbd members | ||||||
2010 SilverScript Value (PDP) | $41.70 | $310 | No Gap Coverage | No | S5601 -068 | $7.00 | $16.25 | $95.00 | 25% | 622 members | |||||
2011 CVS Caremark Value (PDP) | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $29.00 | $95.00 | 25% | tbd members | ||||||
2010 Advantage Star Plan by RxAmerica (PDP) | $49.80 | $310 | No Gap Coverage | No | S5644 -201 | $2.25 | 25% | 25% | 45% | 124 members | |||||
2011 Advantage Star Plan by RxAmerica (PDP) | $42.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $4.75 | 25% | $95.00 | 25% | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $42.70 | $310 | No Gap Coverage | No | S5660 -136 | 25% | 25% | 25% | 25% | 96 members | |||||
2011 Medco Medicare Prescription Plan - Value (PDP) | $45.50 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 Community CCRx Basic (PDP) | $40.50 | $310 | No Gap Coverage | No | S5803 -103 | $0.00 | 25% | 65% | 1,217 members | ||||||
2011 Community CCRx Basic (PDP) | $47.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | 28% | 55% | 25% | tbd members | ||||||
Plan Name | Monthly Premium |
Deduct- ible |
Additional Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | ||||||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | |||||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $33.60 | $310 | No Gap Coverage | Yes | S5617 -227 | $3.00 | $27.00 | $71.00 | 25% | 1,070 members | |||||
2011 CIGNA Medicare Rx Plan One (PDP) | $47.30 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $26.00 | $71.00 | 25% | tbd members | ||||||
2010 MedicareRx Rewards Plus (PDP) | $38.80 | $0 | No Gap Coverage | No | S5960 -162 | $7.00 | $43.00 | $85.00 | 33% | 52 members | |||||
2011 MedicareRx Rewards Plus (PDP) | $52.00 | $0 | Some Generics | No | $4.00 | $7.00 | $43.00 | $85.00 | tbd members | ||||||
2010 Humana Standard S5884-094 (PDP) | $49.70 | $310 | No Gap Coverage | No | S5884 -094 | 15% | 25% | 45% | 171 members | ||||||
2011 Humana Enhanced (PDP) | $52.50 | $50 | Few Generics | No | $7.00 | $37.00 | $82.00 | 31% | tbd members | ||||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $55.60 | $0 | No Gap Coverage | No | S5755 -039 | $10.00 | $39.00 | $78.00 | 33% | 28 members | |||||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $55.00 | $70 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $45.00 | $95.00 | 31% | tbd members | ||||||
2010 EnvisionRxPlus Silver (PDP) | $51.70 | $310 | No Gap Coverage | No | S7694 -034 | 25% | 25% | 25% | 25% | < 10 members | |||||
2011 EnvisionRxPlus Silver (PDP) | $56.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 Aetna Medicare Rx Essentials (PDP) | $39.10 | $310 | No Gap Coverage | No | S5810 -068 | $3.00 | $29.00 | $30.00 | $72.00 | 107 members | |||||
2011 Aetna Medicare Rx Essentials (PDP) | $57.00 | $310 | n/a | tbd | tbd members | ||||||||||
Plan Name | Monthly Premium |
Deduct- ible |
Additional Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | ||||||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | |||||||||
2010 Health Net Orange Option 1 (PDP) | $45.00 | $310 | No Gap Coverage | No | S5678 -068 | $4.00 | $38.00 | $95.00 | 25% | 25 members | |||||
2011 Health Net Orange Option 1 (PDP) | $59.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $33.00 | $75.00 | 25% | tbd members | ||||||
2010 WellCare Signature (PDP) | $34.50 | $0 | No Gap Coverage | -- | S5967 -068 | $0.00 | $42.00 | $85.00 | 33% | 608 members | |||||
2011 WellCare Signature (PDP) | $60.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $70.00 | 33% | tbd members | ||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $23.80 | $0 | No Gap Coverage | No | S5810 -238 | $2.00 | $28.00 | $34.00 | $80.00 | 724 members | |||||
2011 Aetna Medicare Rx Costco Plus Plan (PDP) | $60.10 | $0 | n/a | tbd | tbd members | ||||||||||
2010 EnvisionRxPlus Gold (PDP) | $55.30 | $150 | No Gap Coverage | No | S7694 -068 | $4.00 | $30.00 | $25.00 | 25% | 16 members | |||||
2011 EnvisionRxPlus Gold (PDP) | $60.30 | $150 | Many Generics | No | $4.00 | 25% | $25.00 | 25% | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $99.80 | $0 | Many Generics | No | S5660 -204 | $6.00 | $40.00 | 75% | 33% | 24 members | |||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $70.40 | $250 | Many Generics | No | $6.00 | $40.00 | $95.00 | 26% | tbd members | ||||||
2010 SilverScript CVS Caremark Plus (PDP) | $68.90 | $50 | No Gap Coverage | No | S5601 -069 | $2.50 | $7.50 | $25.00 | $30.00 | 50 members | |||||
2011 CVS Caremark Plus (PDP) | $74.30 | $0 | Many Generics | No | $2.00 | $5.00 | $35.00 | $90.00 | tbd members | ||||||
Plan Name | Monthly Premium |
Deduct- ible |
Additional Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | ||||||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | |||||||||
2010 Health Net Value Orange Option 2 (PDP) | $64.40 | $0 | No Gap Coverage | No | S5678 -067 | $0.00 | $42.00 | $95.00 | 33% | 34 members | |||||
2011 Health Net Value Orange Option 2 (PDP) | $82.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | ||||||
2010 Community CCRx Choice (PDP) | $46.40 | $150 | No Gap Coverage | No | S5803 -171 | $5.00 | $35.00 | $65.00 | 29% | 56 members | |||||
2011 Community CCRx Choice (PDP) | $86.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2010 AdvantraRx Premier Plus (PDP) | $82.10 | $0 | Many Generics | No | S5674 -071 | $5.00 | $25.00 | 20% | 75% | 27 members | |||||
2011 First Health Part D Premier Plus (PDP) | $91.00 | $0 | Some Generics, Some Brands |
No | $0.00 | $25.00 | 30% | 57% | tbd members | ||||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $75.20 | $0 | Many Generics, Few Brands |
No | S5617 -204 | $6.00 | $35.00 | $60.00 | 33% | 16 members | |||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $91.30 | $0 | Few Generics | No | $0.00 | $3.00 | $31.00 | $78.00 | tbd members | ||||||
2010 AARP MedicareRx Enhanced (PDP) | $80.80 | $0 | Many Generics | No | S5921 -013 | $7.00 | $42.00 | $90.00 | 33% | 194 members | |||||
2011 AARP MedicareRx Enhanced (PDP) | $92.90 | $0 | Some Generics | No | $4.00 | $40.00 | $73.00 | 33% | tbd members | ||||||
2010 Aetna Medicare Rx Premier (PDP) | $89.40 | $0 | Many Generics | No | S5810 -204 | $7.00 | $37.00 | $38.00 | $91.00 | 112 members | |||||
2011 Aetna Medicare Rx Premier (PDP) | $119.90 | $0 | n/a | tbd | tbd members | ||||||||||
Plan Name | Monthly Premium |
Deduct- ible |
Additional Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | ||||||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | |||||||||
2010 AARP MedicareRx Saver (PDP) | $33.30 | $310 | No Gap Coverage | Yes | S5921 -011 | $6.00 | $25.00 | $61.00 | 25% | 4,987 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $64.90 | $100 | No Gap Coverage | No | S5660 -034 | $6.00 | $39.00 | 75% | 30% | 204 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Community CCRx Gold (PDP) | $81.00 | $0 | All Generics | No | S5803 -251 | $6.00 | $35.00 | $65.00 | 33% | 56 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $67.40 | $155 | No Gap Coverage | No | S5755 -072 | $4.00 | $45.00 | $90.00 | 25% | < 10 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Premier (PDP) | $73.40 | $0 | No Gap Coverage | No | S5674 -069 | $12.00 | 16% | 52% | 33% | 27 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Value (PDP) | $40.80 | $100 | No Gap Coverage | No | S5674 -068 | $6.00 | 20% | 66% | 30% | 110 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
Plan Name | Monthly Premium |
Deduct- ible |
Additional Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | ||||||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | |||||||||
2010 SilverScript CVS Caremark Complete (PDP) | $80.50 | $0 | Many Generics | No | S5601 -105 | $2.50 | $7.50 | $39.00 | $98.00 | 24 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 First Health Part D-Secure (PDP) | $36.50 | $175 | No Gap Coverage | No | S5768 -116 | $4.00 | 20% | 52% | 28% | 27 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Fox Value Plan (PDP) | $38.60 | $310 | No Gap Coverage | No | S5557 -056 | members | |||||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $40.50 | $100 | No Gap Coverage | No | S5617 -170 | $0.00 | $8.00 | $35.00 | $80.00 | 427 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $57.80 | $0 | No Gap Coverage | No | S5644 -187 | $2.50 | $5.00 | 33% | 33% | 28 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Humana Enhanced S5884-097 (PDP) | $52.90 | $0 | No Gap Coverage | No | S5884 -097 | $7.00 | $45.00 | $75.00 | 33% | 344 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
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