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 -142 | ||||||||||||||
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 Advantage Star Plan by RxAmerica (PDP) | $35.40 | $310 | No Gap Coverage | No | S5644 -195 | $3.50 | 25% | 25% | 45% | 389 members | |||||
2011 Advantage Star Plan by RxAmerica (PDP) | $28.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.25 | 25% | $95.00 | 25% | tbd members | ||||||
2010 Community CCRx Basic (PDP) | $28.40 | $310 | No Gap Coverage | Yes | S5803 -089 | $0.00 | 30% | 55% | 30,501 members | ||||||
2011 Community CCRx Basic (PDP) | $30.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 30% | 65% | 25% | tbd members | ||||||
2010 Windsor Rx (PDP) | $19.90 | $310 | No Gap Coverage | Yes | S2505 -005 | $5.00 | 20% | 25% | 50% | 10,910 members | |||||
2011 Windsor Rx (PDP) | $31.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $35.00 | $70.00 | 25% | tbd members | ||||||
2010 BravoRx (PDP) | $33.90 | $310 | No Gap Coverage | No | S5998 -025 | 25% | 25% | 25% | 168 members | ||||||
2011 BravoRx (PDP) | $31.20 | $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 AARP MedicareRx Preferred (PDP) | $42.00 | $0 | No Gap Coverage | No | S5820 -019 | $7.00 | $42.00 | $62.75 | 33% | 32,130 members | |||||
2011 AARP MedicareRx Preferred (PDP) | $31.30 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $7.00 | $44.00 | $76.00 | 33% | tbd members | ||||||
2010 SilverScript Value (PDP) | $35.40 | $310 | No Gap Coverage | No | S5601 -040 | $7.00 | $17.75 | $95.00 | 25% | 4,146 members | |||||
2011 CVS Caremark Value (PDP) | $32.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $34.00 | $95.00 | 25% | tbd members | ||||||
2010 Health Net Orange Option 1 (PDP) | $25.80 | $310 | No Gap Coverage | Yes | S5678 -046 | $4.00 | $37.00 | $97.00 | 25% | 5,276 members | |||||
2011 Health Net Orange Option 1 (PDP) | $32.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $31.00 | $75.00 | 25% | tbd members | ||||||
2010 MedicareRx Rewards Standard (PDP) | $28.30 | $310 | No Gap Coverage | Yes | S5960 -126 | $6.00 | 25% | 25% | 25% | 8,617 members | |||||
2011 MedicareRx Rewards Standard (PDP) | $32.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $7.00 | $33.00 | 25% | tbd members | ||||||
2010 WellCare Classic (PDP) | $31.40 | $310 | No Gap Coverage | -- | S5967 -157 | $4.00 | $33.00 | $66.00 | 25% | 4,791 members | |||||
2011 WellCare Classic (PDP) | $32.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $40.00 | $90.00 | 25% | tbd members | ||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $28.10 | $310 | No Gap Coverage | Yes | S5617 -226 | $3.00 | $31.00 | $74.00 | 25% | 15,997 members | |||||
2011 CIGNA Medicare Rx Plan One (PDP) | $32.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $30.00 | $76.00 | 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 Medco Medicare Prescription Plan - Value (PDP) | $33.50 | $310 | No Gap Coverage | No | S5660 -122 | 25% | 25% | 25% | 25% | 967 members | |||||
2011 Medco Medicare Prescription Plan - Value (PDP) | $33.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 HealthSpring Prescription Drug Plan-Reg 20 (PDP) | $31.30 | $310 | No Gap Coverage | Yes | S5932 -019 | 25% | 25% | 17,232 members | |||||||
2011 HealthSpring Prescription Drug Plan-Reg 20 (PDP) | $33.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | ||||||||
2010 Aetna Medicare Rx Essentials (PDP) | $21.20 | $310 | No Gap Coverage | Yes | S5810 -054 | $1.00 | $23.00 | $24.00 | $68.00 | 13,349 members | |||||
2011 Aetna Medicare Rx Essentials (PDP) | $33.60 | $310 | n/a | tbd | tbd members | ||||||||||
2010 EnvisionRxPlus Silver (PDP) | $35.20 | $310 | No Gap Coverage | No | S7694 -020 | 25% | 25% | 25% | 25% | 28 members | |||||
2011 EnvisionRxPlus Silver (PDP) | $33.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 MedicareRx Rewards Plus (PDP) | $27.80 | $0 | No Gap Coverage | No | S5960 -152 | $7.00 | $43.00 | $85.00 | 33% | 1,365 members | |||||
2011 MedicareRx Rewards Plus (PDP) | $39.40 | $0 | Some Generics | No | $4.00 | $7.00 | $43.00 | $85.00 | tbd members | ||||||
2010 First Health Part D-Premier (PDP) | $33.40 | $150 | No Gap Coverage | No | S5768 -120 | $7.00 | 11% | 46% | 29% | 1,685 members | |||||
2011 First Health Part D Premier (PDP) | $42.80 | $150 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | 17% | 34% | 29% | 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 SilverScript CVS Caremark Plus (PDP) | $50.50 | $50 | No Gap Coverage | No | S5601 -041 | $2.50 | $7.50 | $25.00 | $30.00 | 506 members | |||||
2011 CVS Caremark Plus (PDP) | $45.40 | $0 | Many Generics | No | $2.00 | $5.00 | $35.00 | $90.00 | tbd members | ||||||
2010 Sterling Rx (PDP) | $66.80 | $310 | No Gap Coverage | No | S4802 -029 | $9.00 | $27.00 | 25% | 60 members | ||||||
2011 Sterling Rx (PDP) | $46.00 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $20.00 | $35.00 | 25% | tbd members | ||||||
2010 Humana Standard S5884-078 (PDP) | $44.10 | $310 | No Gap Coverage | No | S5884 -078 | 15% | 25% | 43% | 17,007 members | ||||||
2011 Humana Enhanced (PDP) | $46.90 | $50 | Few Generics | No | $7.00 | $34.00 | $70.00 | 31% | tbd members | ||||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $46.80 | $0 | No Gap Coverage | No | S5755 -023 | $8.00 | $37.00 | $74.00 | 33% | 1,940 members | |||||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $51.60 | $60 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $45.00 | $95.00 | 31% | tbd members | ||||||
2010 Aetna Medicare Rx Plus (PDP) | $26.90 | $0 | No Gap Coverage | No | S5810 -224 | $5.00 | $32.00 | $38.00 | $80.00 | 7,636 members | |||||
2011 Aetna Medicare Rx Plus (PDP) | $60.60 | $0 | n/a | tbd | tbd members | ||||||||||
2010 WellCare Signature (PDP) | $43.50 | $0 | No Gap Coverage | -- | S5967 -054 | $0.00 | $42.00 | $85.00 | 33% | 3,402 members | |||||
2011 WellCare Signature (PDP) | $62.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $73.00 | 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 Medco Medicare Prescription Plan - Access (PDP) | $77.70 | $0 | Many Generics | No | S5660 -190 | $6.00 | $40.00 | 75% | 33% | 338 members | |||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $63.30 | $250 | Many Generics | No | $6.00 | $40.00 | $95.00 | 26% | tbd members | ||||||
2010 EnvisionRxPlus Gold (PDP) | $44.40 | $150 | No Gap Coverage | No | S7694 -054 | $4.00 | $30.00 | $25.00 | 25% | 68 members | |||||
2011 EnvisionRxPlus Gold (PDP) | $64.50 | $150 | Many Generics | No | $4.00 | 25% | $25.00 | 25% | tbd members | ||||||
2010 Health Net Value Orange Option 2 (PDP) | $54.80 | $0 | No Gap Coverage | No | S5678 -045 | $0.00 | $42.00 | $95.00 | 33% | 519 members | |||||
2011 Health Net Value Orange Option 2 (PDP) | $70.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | ||||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $65.50 | $0 | Many Generics, Few Brands |
No | S5617 -190 | $6.00 | $35.00 | $60.00 | 33% | 333 members | |||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $74.60 | $0 | Few Generics | No | $0.00 | $3.00 | $35.00 | $78.00 | tbd members | ||||||
2010 AARP MedicareRx Enhanced (PDP) | $75.50 | $0 | Many Generics | No | S5921 -323 | $7.00 | $42.00 | $90.00 | 33% | 1,616 members | |||||
2011 AARP MedicareRx Enhanced (PDP) | $88.40 | $0 | Some Generics | No | $4.00 | $40.00 | $76.00 | 33% | tbd members | ||||||
2010 Community CCRx Choice (PDP) | $42.30 | $150 | No Gap Coverage | No | S5803 -157 | $5.00 | $35.00 | $65.00 | 29% | 2,593 members | |||||
2011 Community CCRx Choice (PDP) | $89.50 | $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) | $65.40 | $0 | Many Generics | No | S5670 -108 | $5.00 | $25.00 | 20% | 75% | 2,158 members | |||||
2011 First Health Part D Premier Plus (PDP) | $97.80 | $0 | Some Generics, Some Brands |
No | $0.00 | $25.00 | 30% | 59% | tbd members | ||||||
2010 Aetna Medicare Rx Premier (PDP) | $90.30 | $0 | Many Generics | No | S5810 -190 | $6.00 | $33.00 | $34.00 | $81.00 | 927 members | |||||
2011 Aetna Medicare Rx Premier (PDP) | $101.50 | $0 | n/a | tbd | tbd members | ||||||||||
2010 Humana Complete S5884-048 (PDP) | $99.60 | $0 | Many Generics | No | S5884 -048 | $7.00 | $45.00 | $75.00 | 33% | 3,699 members | |||||
2011 Humana Complete (PDP) | $108.90 | $0 | Many Generics, Some Brands |
No | $5.00 | $37.00 | $69.00 | 33% | tbd members | ||||||
2010 Humana Enhanced S5884-018 (PDP) | $48.20 | $0 | No Gap Coverage | No | S5884 -018 | $7.00 | $45.00 | $75.00 | 33% | 25,347 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AARP MedicareRx Saver (PDP) | $30.20 | $310 | No Gap Coverage | Yes | S5921 -321 | $6.00 | $25.00 | $71.75 | 25% | 29,504 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $52.20 | $130 | No Gap Coverage | No | S5755 -058 | $4.00 | $45.00 | $90.00 | 25% | 262 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) | $76.30 | $0 | Many Generics | No | S5601 -091 | $2.50 | $7.50 | $39.00 | $98.00 | 212 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 First Health Part D-Secure (PDP) | $28.90 | $175 | No Gap Coverage | No | S5768 -102 | $4.00 | 20% | 56% | 28% | 1,765 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $37.80 | $100 | No Gap Coverage | No | S5660 -020 | $6.00 | $38.00 | 75% | 30% | 2,517 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Premier (PDP) | $49.20 | $0 | No Gap Coverage | No | S5670 -106 | $12.00 | 16% | 53% | 33% | 4,587 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Value (PDP) | $37.60 | $100 | No Gap Coverage | No | S5670 -105 | $6.00 | 20% | 64% | 30% | 7,335 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Bronze (PDP) | $24.80 | $310 | No Gap Coverage | Yes | S5597 -254 | 25% | 25% | 25% | 4,364 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 Value Plan (PDP) | $34.80 | $310 | No Gap Coverage | No | S5557 -046 | members | |||||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $49.30 | $0 | No Gap Coverage | No | S5644 -181 | $2.50 | $5.00 | 33% | 33% | 1,678 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Gold (PDP) | $30.70 | $150 | No Gap Coverage | No | S5597 -052 | $6.00 | $43.00 | 29% | 1,788 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $34.10 | $100 | No Gap Coverage | No | S5617 -100 | $0.00 | $8.00 | $38.00 | $83.00 | 4,444 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Community CCRx Gold (PDP) | $75.60 | $0 | All Generics | No | S5803 -237 | $6.00 | $35.00 | $65.00 | 33% | 2,749 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
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