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 S5884-107 (PDP) | $26.90 | $150 | No Gap Coverage | No | S5884 -107 | $5.00 | $35.00 | 35% | 7,517 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 Community CCRx Basic (PDP) | $28.00 | $310 | No Gap Coverage | Yes | S5803 -086 | $0.00 | 30% | 50% | 38,845 members | ||||||
2011 Community CCRx Basic (PDP) | $27.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 30% | 61% | 25% | tbd members | ||||||
2010 Advantage Star Plan by RxAmerica (PDP) | $33.00 | $310 | No Gap Coverage | No | S5644 -192 | $5.75 | 25% | 25% | 45% | 1,172 members | |||||
2011 Advantage Star Plan by RxAmerica (PDP) | $28.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.75 | 25% | $95.00 | 25% | tbd members | ||||||
2010 AARP MedicareRx Preferred (PDP) | $37.10 | $0 | No Gap Coverage | No | S5820 -016 | $7.00 | $42.00 | $73.75 | 33% | 119,005 members | |||||
2011 AARP MedicareRx Preferred (PDP) | $30.60 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $7.00 | $42.00 | $75.00 | 33% | tbd members | ||||||
2010 BravoRx (PDP) | $29.80 | $310 | No Gap Coverage | Yes | S5998 -038 | 25% | 25% | 25% | 21,689 members | ||||||
2011 BravoRx (PDP) | $30.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 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 Health Net Orange Option 1 (PDP) | $33.60 | $310 | No Gap Coverage | No | S5678 -040 | $4.00 | $38.00 | $95.00 | 25% | 1,178 members | |||||
2011 Health Net Orange Option 1 (PDP) | $30.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $35.00 | $75.00 | 25% | tbd members | ||||||
2010 SilverScript Value (PDP) | $32.80 | $310 | No Gap Coverage | No | S5601 -034 | $8.00 | $20.00 | $95.00 | 25% | 12,125 members | |||||
2011 CVS Caremark Value (PDP) | $30.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $38.25 | $95.00 | 25% | tbd members | ||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $26.80 | $310 | No Gap Coverage | Yes | S5617 -224 | $3.00 | $32.00 | $86.00 | 25% | 22,049 members | |||||
2011 CIGNA Medicare Rx Plan One (PDP) | $31.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $32.00 | $86.00 | 25% | tbd members | ||||||
2010 HealthSpring Prescription Drug Plan-Reg 17 (PDP) | $31.40 | $310 | No Gap Coverage | Yes | S5932 -016 | 25% | 25% | 36,589 members | |||||||
2011 HealthSpring Prescription Drug Plan-Reg 17 (PDP) | $31.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | ||||||||
2010 Aetna Medicare Rx Essentials (PDP) | $28.10 | $310 | No Gap Coverage | Yes | S5810 -051 | $2.00 | $28.00 | $29.00 | $70.00 | 13,125 members | |||||
2011 Aetna Medicare Rx Essentials (PDP) | $32.40 | $310 | n/a | tbd | tbd members | ||||||||||
2010 EnvisionRxPlus Silver (PDP) | $32.90 | $310 | No Gap Coverage | No | S7694 -017 | 25% | 25% | 25% | 25% | 105 members | |||||
2011 EnvisionRxPlus Silver (PDP) | $32.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 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) | $34.90 | $310 | No Gap Coverage | -- | S5967 -154 | $4.00 | $35.00 | $73.00 | 25% | 9,631 members | |||||
2011 WellCare Classic (PDP) | $32.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $42.00 | $91.00 | 25% | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $30.60 | $310 | No Gap Coverage | Yes | S5660 -119 | 25% | 25% | 25% | 25% | 21,331 members | |||||
2011 Medco Medicare Prescription Plan - Value (PDP) | $33.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 First Health Part D-Premier (PDP) | $27.50 | $150 | No Gap Coverage | Yes | S5768 -042 | $7.00 | 11% | 44% | 29% | 28,573 members | |||||
2011 First Health Part D Premier (PDP) | $33.60 | $150 | No additional gap coverage, only the Donut Hole Discount | No | $9.00 | 17% | 35% | 29% | tbd members | ||||||
2010 Blue MedicareRx - Value (PDP) | $28.30 | $0 | No Gap Coverage | Yes | S5715 -001 | $11.00 | $45.00 | $89.00 | 33% | 135,836 members | |||||
2011 Blue MedicareRx Value (PDP) | $36.80 | $125 | No additional gap coverage, only the Donut Hole Discount | No | $9.00 | $40.00 | $91.00 | 29% | tbd members | ||||||
2010 Sterling Rx (PDP) | $49.60 | $310 | No Gap Coverage | No | S4802 -028 | $10.00 | $35.00 | 25% | 187 members | ||||||
2011 Sterling Rx (PDP) | $38.40 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $24.00 | $40.00 | 25% | tbd members | ||||||
2010 MedicareRx Rewards Standard (PDP) | $33.70 | $310 | No Gap Coverage | No | S5960 -123 | $7.00 | 25% | 25% | 25% | 6,617 members | |||||
2011 MedicareRx Rewards Standard (PDP) | $40.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $37.00 | 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 | |||||||||
-- This plan not offered in 2010 -- | S4219 -001 | ||||||||||||||
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2011 Health Alliance Medicare Prescription Plan - Basic (PDP) | $42.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $43.00 | $95.00 | 33% | tbd members | ||||||
2010 Humana Enhanced S5884-015 (PDP) | $42.70 | $0 | No Gap Coverage | No | S5884 -015 | $7.00 | $43.00 | $75.00 | 33% | 40,595 members | |||||
2011 Humana Enhanced (PDP) | $45.50 | $0 | Few Generics | No | $7.00 | $38.00 | $70.00 | 33% | tbd members | ||||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $53.90 | $0 | No Gap Coverage | No | S5755 -020 | $8.00 | $37.00 | $74.00 | 33% | 2,653 members | |||||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $51.70 | $70 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $45.00 | $95.00 | 31% | tbd members | ||||||
2010 MedicareRx Rewards Plus (PDP) | $40.20 | $0 | No Gap Coverage | No | S5960 -150 | $7.00 | $43.00 | $85.00 | 33% | 555 members | |||||
2011 MedicareRx Rewards Plus (PDP) | $53.40 | $0 | Some Generics | No | $4.00 | $7.00 | $43.00 | $85.00 | tbd members | ||||||
2010 WellCare Signature (PDP) | $39.40 | $0 | No Gap Coverage | -- | S5967 -051 | $0.00 | $42.00 | $85.00 | 33% | 11,062 members | |||||
2011 WellCare Signature (PDP) | $54.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $81.00 | 33% | tbd members | ||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $34.80 | $0 | No Gap Coverage | No | S5810 -221 | $2.00 | $28.00 | $34.00 | $80.00 | 6,288 members | |||||
2011 Aetna Medicare Rx Costco Plus Plan (PDP) | $59.70 | $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 CIGNA Medicare Rx Plan Three (PDP) | $74.20 | $0 | Many Generics, Few Brands |
No | S5617 -187 | $6.00 | $35.00 | $60.00 | 33% | 353 members | |||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $60.00 | $0 | Few Generics | No | $0.00 | $3.00 | $37.00 | $78.00 | tbd members | ||||||
2010 EnvisionRxPlus Gold (PDP) | $59.70 | $150 | No Gap Coverage | No | S7694 -051 | $4.00 | $30.00 | $25.00 | 25% | 208 members | |||||
2011 EnvisionRxPlus Gold (PDP) | $69.60 | $150 | Many Generics | No | $4.00 | 25% | $25.00 | 25% | tbd members | ||||||
2010 SilverScript CVS Caremark Plus (PDP) | $45.80 | $50 | No Gap Coverage | No | S5601 -035 | $2.50 | $7.50 | $25.00 | $30.00 | 2,671 members | |||||
2011 CVS Caremark Plus (PDP) | $76.50 | $0 | Many Generics | No | $2.00 | $5.00 | $35.00 | $90.00 | tbd members | ||||||
2010 Community CCRx Choice (PDP) | $39.30 | $150 | No Gap Coverage | No | S5803 -154 | $5.00 | $35.00 | $65.00 | 29% | 2,485 members | |||||
2011 Community CCRx Choice (PDP) | $81.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2010 Blue MedicareRx - Plus (PDP) | $78.50 | $0 | Many Generics | No | S5715 -002 | $5.00 | $38.00 | $75.00 | 33% | 32,039 members | |||||
2011 Blue MedicareRx Plus (PDP) | $84.70 | $0 | All Generics | No | $5.00 | $38.00 | $75.00 | 33% | tbd members | ||||||
-- This plan not offered in 2010 -- | S4219 -002 | ||||||||||||||
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2011 Health Alliance Medicare Prescription Plan - Enh (PDP) | $86.80 | $0 | Many Generics | No | $3.00 | $40.00 | $90.00 | 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) | $64.40 | $0 | Many Generics | No | S5670 -090 | $5.00 | $25.00 | 20% | 75% | 4,950 members | |||||
2011 First Health Part D Premier Plus (PDP) | $89.10 | $0 | Some Generics, Some Brands |
No | $0.00 | $25.00 | 30% | 58% | tbd members | ||||||
2010 Health Net Orange Option 2 (PDP) | $62.50 | $0 | No Gap Coverage | No | S5678 -039 | $5.00 | $35.00 | $95.00 | 33% | 372 members | |||||
2011 Health Net Orange Option 2 (PDP) | $89.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $34.00 | $68.00 | 33% | tbd members | ||||||
2010 AARP MedicareRx Enhanced (PDP) | $75.30 | $0 | Many Generics | No | S5921 -083 | $7.00 | $42.00 | $90.00 | 33% | 3,603 members | |||||
2011 AARP MedicareRx Enhanced (PDP) | $90.00 | $0 | Some Generics | No | $3.50 | $40.00 | $74.00 | 33% | tbd members | ||||||
2010 Aetna Medicare Rx Premier (PDP) | $89.20 | $0 | Many Generics | No | S5810 -187 | $6.00 | $35.00 | $36.00 | $84.00 | 1,713 members | |||||
2011 Aetna Medicare Rx Premier (PDP) | $104.40 | $0 | n/a | tbd | tbd members | ||||||||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $77.00 | $0 | Many Generics | No | S5660 -187 | $6.00 | $40.00 | 75% | 33% | 1,174 members | |||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $110.20 | $250 | Many Generics | No | $6.00 | $40.00 | $95.00 | 26% | tbd members | ||||||
2010 Humana Complete S5884-045 (PDP) | $105.90 | $0 | Many Generics | No | S5884 -045 | $7.00 | $45.00 | $75.00 | 33% | 3,233 members | |||||
2011 Humana Complete (PDP) | $115.20 | $0 | Many Generics, Some Brands |
No | $5.00 | $36.00 | $68.00 | 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 AARP MedicareRx Saver (PDP) | $29.40 | $310 | No Gap Coverage | Yes | S5921 -081 | $6.00 | $25.00 | $65.00 | 25% | 188,512 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $47.80 | $195 | No Gap Coverage | No | S5755 -055 | $4.00 | $45.00 | $90.00 | 25% | 266 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 SilverScript CVS Caremark Complete (PDP) | $75.00 | $0 | Many Generics | No | S5601 -088 | $2.50 | $7.50 | $39.00 | $98.00 | 738 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $50.70 | $0 | No Gap Coverage | No | S5644 -178 | $2.50 | $5.00 | 33% | 33% | 347 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Gold (PDP) | $37.60 | $150 | No Gap Coverage | No | S5597 -049 | $6.00 | $43.00 | 29% | 2,200 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 First Health Part D-Secure (PDP) | $21.50 | $175 | No Gap Coverage | No | S5768 -099 | $4.00 | 20% | 58% | 28% | 10,089 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 Community CCRx Gold (PDP) | $79.20 | $0 | All Generics | No | S5803 -234 | $6.00 | $35.00 | $65.00 | 33% | 1,593 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Bronze (PDP) | $26.30 | $310 | No Gap Coverage | Yes | S5597 -251 | 25% | 25% | 25% | 9,839 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $40.10 | $100 | No Gap Coverage | No | S5660 -017 | $6.00 | $40.00 | 75% | 30% | 6,622 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Blue MedicareRx - Standard (PDP) | $46.50 | $310 | No Gap Coverage | No | S5715 -007 | $3.00 | $27.00 | $78.00 | 25% | 20,751 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Premier (PDP) | $49.00 | $0 | No Gap Coverage | No | S5670 -088 | $12.00 | 17% | 53% | 33% | 3,246 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Value (PDP) | $37.00 | $100 | No Gap Coverage | No | S5670 -087 | $7.00 | 20% | 62% | 30% | 13,723 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 CIGNA Medicare Rx Plan Two (PDP) | $33.00 | $100 | No Gap Coverage | No | S5617 -085 | $0.00 | $8.00 | $41.00 | $87.00 | 7,096 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
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