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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-- This plan not offered in 2010 -- | S5884 -141 | ||||||||||||||
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 Windsor Rx (PDP) | $14.20 | $310 | No Gap Coverage | Yes | S2505 -003 | $5.00 | 20% | 25% | 45% | 3,802 members | |||||
2011 Windsor Rx (PDP) | $23.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $34.00 | $70.00 | 25% | tbd members | ||||||
2010 SilverScript Value (PDP) | $30.80 | $310 | No Gap Coverage | No | S5601 -038 | $7.00 | $18.00 | $95.00 | 25% | 2,487 members | |||||
2011 CVS Caremark Value (PDP) | $26.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $34.50 | $95.00 | 25% | tbd members | ||||||
2010 Community CCRx Basic (PDP) | $25.60 | $310 | No Gap Coverage | Yes | S5803 -088 | $0.00 | 30% | 65% | 36,276 members | ||||||
2011 Community CCRx Basic (PDP) | $28.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 31% | 66% | 25% | tbd members | ||||||
2010 Advantage Star Plan by RxAmerica (PDP) | $30.80 | $310 | No Gap Coverage | No | S5644 -194 | $3.25 | 25% | 25% | 45% | 465 members | |||||
2011 Advantage Star Plan by RxAmerica (PDP) | $28.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.50 | 25% | $95.00 | 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 WellCare Classic (PDP) | $23.20 | $310 | No Gap Coverage | -- | S5967 -156 | $4.00 | $32.00 | $63.00 | 25% | 10,081 members | |||||
2011 WellCare Classic (PDP) | $29.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $41.00 | $83.00 | 25% | tbd members | ||||||
2010 MedicareRx Rewards Standard (PDP) | $24.80 | $310 | No Gap Coverage | Yes | S5960 -125 | $5.50 | 25% | 25% | 25% | 5,341 members | |||||
2011 MedicareRx Rewards Standard (PDP) | $29.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $7.00 | $33.00 | 25% | tbd members | ||||||
2010 EnvisionRxPlus Silver (PDP) | $31.50 | $310 | No Gap Coverage | No | S7694 -019 | 25% | 25% | 25% | 25% | 14 members | |||||
2011 EnvisionRxPlus Silver (PDP) | $30.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 HealthSpring Prescription Drug Plan-Reg 19 (PDP) | $24.50 | $310 | No Gap Coverage | Yes | S5932 -018 | 25% | 25% | 2,006 members | |||||||
2011 HealthSpring Prescription Drug Plan-Reg 19 (PDP) | $30.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | ||||||||
2010 Health Net Orange Option 1 (PDP) | $26.40 | $310 | No Gap Coverage | Yes | S5678 -044 | $4.00 | $38.00 | $95.00 | 25% | 961 members | |||||
2011 Health Net Orange Option 1 (PDP) | $30.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $34.00 | $75.00 | 25% | tbd members | ||||||
2010 Aetna Medicare Rx Essentials (PDP) | $24.80 | $310 | No Gap Coverage | Yes | S5810 -053 | $3.00 | $28.00 | $29.00 | $70.00 | 5,790 members | |||||
2011 Aetna Medicare Rx Essentials (PDP) | $30.30 | $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 Medco Medicare Prescription Plan - Value (PDP) | $28.40 | $310 | No Gap Coverage | Yes | S5660 -121 | 25% | 25% | 25% | 25% | 7,676 members | |||||
2011 Medco Medicare Prescription Plan - Value (PDP) | $30.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 BravoRx (PDP) | $29.70 | $310 | No Gap Coverage | No | S5998 -024 | 25% | 25% | 25% | 12 members | ||||||
2011 BravoRx (PDP) | $30.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 First Health Part D-Premier (PDP) | $20.10 | $150 | No Gap Coverage | Yes | S5768 -043 | $8.00 | 10% | 40% | 29% | 7,843 members | |||||
2011 First Health Part D Premier (PDP) | $31.10 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | $10.00 | 15% | 33% | 29% | tbd members | ||||||
2010 AR Blue Cross - Medi-Pak Rx Basic (PDP) | $25.90 | $200 | No Gap Coverage | Yes | S5795 -003 | $6.00 | $36.00 | $76.00 | 25% | 33,025 members | |||||
2011 AR Blue Cross - Medi-Pak Rx Basic (PDP) | $31.30 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $39.00 | $69.00 | 25% | tbd members | ||||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $44.50 | $0 | No Gap Coverage | No | S5755 -022 | $10.00 | $39.00 | $78.00 | 33% | 1,232 members | |||||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $32.20 | $110 | No additional gap coverage, only the Donut Hole Discount | Yes | $10.00 | $45.00 | $95.00 | 30% | tbd members | ||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $24.50 | $310 | No Gap Coverage | Yes | S5617 -225 | $3.00 | $31.00 | $82.00 | 25% | 2,080 members | |||||
2011 CIGNA Medicare Rx Plan One (PDP) | $33.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $29.00 | $82.00 | 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 AARP MedicareRx Preferred (PDP) | $40.60 | $0 | No Gap Coverage | No | S5820 -018 | $7.00 | $42.00 | $67.00 | 33% | 21,846 members | |||||
2011 AARP MedicareRx Preferred (PDP) | $37.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $45.00 | $72.00 | 33% | tbd members | ||||||
2010 EnvisionRxPlus Gold (PDP) | $45.90 | $150 | No Gap Coverage | No | S7694 -053 | $4.00 | $30.00 | $25.00 | 25% | 30 members | |||||
2011 EnvisionRxPlus Gold (PDP) | $39.90 | $150 | Many Generics | No | $4.00 | 25% | $25.00 | 25% | tbd members | ||||||
2010 MedicareRx Rewards Plus (PDP) | $28.60 | $0 | No Gap Coverage | No | S5960 -151 | $7.00 | $43.00 | $85.00 | 33% | 611 members | |||||
2011 MedicareRx Rewards Plus (PDP) | $40.40 | $0 | Some Generics | No | $4.00 | $7.00 | $43.00 | $85.00 | tbd members | ||||||
2010 Sterling Rx (PDP) | $64.60 | $310 | No Gap Coverage | No | S4802 -011 | $9.00 | $29.00 | 25% | 103 members | ||||||
2011 Sterling Rx (PDP) | $42.00 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $22.00 | $37.00 | 25% | tbd members | ||||||
2010 Humana Standard S5884-077 (PDP) | $41.20 | $310 | No Gap Coverage | No | S5884 -077 | 15% | 25% | 43% | 14,607 members | ||||||
2011 Humana Enhanced (PDP) | $44.00 | $50 | Few Generics | No | $7.00 | $35.00 | $69.00 | 31% | tbd members | ||||||
2010 WellCare Signature (PDP) | $41.30 | $0 | No Gap Coverage | -- | S5967 -053 | $0.00 | $42.00 | $85.00 | 33% | 3,540 members | |||||
2011 WellCare Signature (PDP) | $57.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $70.00 | 33% | 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 Aetna Medicare Rx Plus (PDP) | $27.20 | $0 | No Gap Coverage | No | S5810 -223 | $5.00 | $32.00 | $38.00 | $80.00 | 4,218 members | |||||
2011 Aetna Medicare Rx Plus (PDP) | $60.50 | $0 | n/a | tbd | tbd members | ||||||||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $60.80 | $0 | Many Generics, Few Brands |
No | S5617 -189 | $6.00 | $35.00 | $60.00 | 33% | 149 members | |||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $63.00 | $0 | Few Generics | No | $0.00 | $3.00 | $34.00 | $78.00 | tbd members | ||||||
2010 SilverScript CVS Caremark Plus (PDP) | $52.20 | $50 | No Gap Coverage | No | S5601 -039 | $2.50 | $7.50 | $25.00 | $30.00 | 187 members | |||||
2011 CVS Caremark Plus (PDP) | $64.30 | $0 | Many Generics | No | $2.00 | $5.00 | $35.00 | $90.00 | tbd members | ||||||
2010 Health Net Value Orange Option 2 (PDP) | $39.30 | $0 | No Gap Coverage | No | S5678 -043 | $0.00 | $42.00 | $95.00 | 33% | 1,215 members | |||||
2011 Health Net Value Orange Option 2 (PDP) | $72.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | ||||||
2010 AR Blue Cross - Medi-Pak Rx Premier (PDP) | $86.50 | $0 | Many Generics | No | S5795 -002 | $5.00 | $36.00 | $76.00 | 25% | 6,256 members | |||||
2011 AR Blue Cross - Medi-Pak Rx Premier (PDP) | $83.50 | $0 | Many Generics | No | $6.00 | $39.00 | $69.00 | 25% | tbd members | ||||||
2010 Community CCRx Choice (PDP) | $41.20 | $150 | No Gap Coverage | No | S5803 -156 | $5.00 | $35.00 | $65.00 | 29% | 5,329 members | |||||
2011 Community CCRx Choice (PDP) | $89.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $65.00 | 33% | 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 AdvantraRx Premier Plus (PDP) | $63.10 | $0 | Many Generics | No | S5670 -102 | $5.00 | $25.00 | 20% | 75% | 1,173 members | |||||
2011 First Health Part D Premier Plus (PDP) | $96.90 | $0 | Some Generics, Some Brands |
No | $0.00 | $25.00 | 30% | 57% | tbd members | ||||||
2010 AARP MedicareRx Enhanced (PDP) | $82.10 | $0 | Many Generics | No | S5921 -313 | $7.00 | $42.00 | $90.00 | 33% | 669 members | |||||
2011 AARP MedicareRx Enhanced (PDP) | $99.70 | $0 | Some Generics | No | $4.00 | $40.00 | $76.00 | 33% | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $76.90 | $0 | Many Generics | No | S5660 -189 | $6.00 | $40.00 | 75% | 33% | 306 members | |||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $105.90 | $250 | Many Generics | No | $6.00 | $40.00 | $95.00 | 26% | tbd members | ||||||
2010 Aetna Medicare Rx Premier (PDP) | $89.00 | $0 | Many Generics | No | S5810 -189 | $7.00 | $35.00 | $36.00 | $88.00 | 439 members | |||||
2011 Aetna Medicare Rx Premier (PDP) | $109.90 | $0 | n/a | tbd | tbd members | ||||||||||
2010 Humana Complete S5884-047 (PDP) | $100.80 | $0 | Many Generics | No | S5884 -047 | $7.00 | $45.00 | $75.00 | 33% | 2,022 members | |||||
2011 Humana Complete (PDP) | $110.10 | $0 | Many Generics, Some Brands |
No | $5.00 | $37.00 | $72.00 | 33% | tbd members | ||||||
2010 First Health Part D-Secure (PDP) | $36.90 | $175 | No Gap Coverage | No | S5768 -101 | $4.00 | 20% | 49% | 28% | 419 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 AR Blue Cross - Medi-Pak Rx Classic (PDP) | $57.20 | $0 | No Gap Coverage | No | S5795 -006 | $6.00 | $36.00 | $76.00 | 25% | 11,593 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $29.30 | $100 | No Gap Coverage | No | S5617 -095 | $0.00 | $8.00 | $40.00 | $80.00 | 4,678 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Value (PDP) | $39.70 | $100 | No Gap Coverage | No | S5670 -099 | $6.00 | 20% | 61% | 30% | 4,155 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Premier (PDP) | $44.20 | $0 | No Gap Coverage | No | S5670 -100 | $12.00 | 16% | 52% | 33% | 2,190 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Bronze (PDP) | $22.40 | $310 | No Gap Coverage | Yes | S5597 -253 | 25% | 25% | 25% | 5,579 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Fox Value Plan (PDP) | $19.30 | $310 | No Gap Coverage | Yes | S5557 -006 | 0% | 50% | 35% | 60% | < 10 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 Fox Grand Plan (PDP) | $46.40 | $0 | Some Generics | No | S5557 -011 | $1.00 | $37.00 | $41.00 | $95.00 | < 10 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Humana Enhanced S5884-017 (PDP) | $41.80 | $0 | No Gap Coverage | No | S5884 -017 | $7.00 | $45.00 | $75.00 | 33% | 21,434 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $27.80 | $250 | No Gap Coverage | Yes | S5755 -057 | $4.00 | $45.00 | $90.00 | 25% | 7,912 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $44.10 | $100 | No Gap Coverage | No | S5660 -019 | $6.00 | $38.00 | 75% | 30% | 1,271 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Community CCRx Gold (PDP) | $70.00 | $0 | All Generics | No | S5803 -236 | $6.00 | $35.00 | $65.00 | 33% | 2,590 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Gold (PDP) | $37.40 | $150 | No Gap Coverage | No | S5597 -051 | $6.00 | $43.00 | 29% | 410 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 Advantage Freedom Plan by RxAmerica (PDP) | $47.00 | $0 | No Gap Coverage | No | S5644 -180 | $2.50 | $5.00 | 33% | 33% | 113 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 SilverScript CVS Caremark Complete (PDP) | $72.00 | $0 | Many Generics | No | S5601 -090 | $2.50 | $7.50 | $39.00 | $98.00 | 79 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AARP MedicareRx Saver (PDP) | $27.10 | $310 | No Gap Coverage | Yes | S5921 -311 | $6.00 | $25.00 | $85.00 | 25% | 7,313 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
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