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 BlueMedicare Rx-Option 1 (PDP) | $72.00 | $0 | No Gap Coverage | No | S5904 -001 | $4.00 | $30.00 | $70.00 | 33% | 38,691 members | ||
2011 BlueMedicare Rx-Option 1 (PDP) | $58.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $45.00 | $92.00 | 33% | tbd members | |||
2010 BlueMedicare Rx-Option 2 (PDP) | $99.00 | $0 | Many Generics | No | S5904 -002 | $4.00 | $30.00 | $70.00 | 33% | 14,981 members | ||
2011 BlueMedicare Rx-Option 2 (PDP) | $119.70 | $0 | All Generics | No | $4.00 | $30.00 | $70.00 | 33% | tbd members | |||
2010 BlueMedicare Rx-Option 3 (PDP) | $44.50 | $300 | No Gap Coverage | No | S5904 -003 | $4.00 | $30.00 | $70.00 | 25% | 13,621 members | ||
-- This plan not offered in 2011 -- | ||||||||||||
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