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 -131 | ||||||||||||||
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) | $34.00 | $310 | No Gap Coverage | Yes | S5644 -005 | $4.25 | 25% | 25% | 45% | 28,027 members | |||||
2011 Advantage Star Plan by RxAmerica (PDP) | $33.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.50 | 25% | $95.00 | 25% | tbd members | ||||||
2010 EnvisionRxPlus Silver (PDP) | $33.30 | $310 | No Gap Coverage | Yes | S7694 -004 | 25% | 25% | 25% | 25% | 10,042 members | |||||
2011 EnvisionRxPlus Silver (PDP) | $34.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 AARP MedicareRx Preferred (PDP) | $39.40 | $0 | No Gap Coverage | No | S5820 -003 | $7.00 | $42.00 | $77.00 | 33% | 122,971 members | |||||
2011 AARP MedicareRx Preferred (PDP) | $34.50 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $7.00 | $45.00 | $74.00 | 33% | tbd members | ||||||
2010 SilverScript Value (PDP) | $34.20 | $310 | No Gap Coverage | Yes | S5601 -008 | $8.00 | $22.50 | $95.00 | 25% | 84,757 members | |||||
2011 CVS Caremark Value (PDP) | $34.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.25 | $45.00 | $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 Medco Medicare Prescription Plan - Value (PDP) | $32.00 | $310 | No Gap Coverage | Yes | S5660 -106 | 25% | 25% | 25% | 25% | 27,926 members | |||||
2011 Medco Medicare Prescription Plan - Value (PDP) | $37.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $31.30 | $310 | No Gap Coverage | Yes | S5617 -018 | $3.00 | $29.00 | $77.00 | 25% | 12,474 members | |||||
2011 CIGNA Medicare Rx Plan One (PDP) | $38.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $28.00 | $75.00 | 25% | tbd members | ||||||
2010 BravoRx (PDP) | $41.70 | $310 | No Gap Coverage | No | S5998 -003 | 25% | 25% | 25% | 173 members | ||||||
2011 BravoRx (PDP) | $39.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 Humana Standard S5884-062 (PDP) | $42.60 | $310 | No Gap Coverage | No | S5884 -062 | 15% | 25% | 40% | 10,014 members | ||||||
2011 Humana Enhanced (PDP) | $40.20 | $100 | Few Generics | No | $7.00 | $34.00 | $83.00 | 30% | tbd members | ||||||
2010 Health Net Orange Option 1 (PDP) | $35.80 | $310 | No Gap Coverage | No | S5678 -005 | $4.00 | $38.00 | $95.00 | 25% | 1,393 members | |||||
2011 Health Net Orange Option 1 (PDP) | $40.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $34.00 | $75.00 | 25% | tbd members | ||||||
2010 Community CCRx Basic (PDP) | $42.90 | $310 | No Gap Coverage | No | S5803 -073 | $0.00 | 25% | 70% | 1,628 members | ||||||
2011 Community CCRx Basic (PDP) | $42.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | 30% | 62% | 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 First Health Part D-Premier (PDP) | $42.50 | $150 | No Gap Coverage | No | S5768 -007 | $7.00 | 11% | 43% | 29% | 4,201 members | |||||
2011 First Health Part D Premier (PDP) | $43.60 | $150 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | 19% | 39% | 29% | tbd members | ||||||
2010 Sterling Rx (PDP) | $67.40 | $310 | No Gap Coverage | No | S4802 -001 | $10.00 | $30.00 | 25% | 106 members | ||||||
2011 Sterling Rx (PDP) | $44.20 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $24.00 | $38.00 | 25% | tbd members | ||||||
2010 Horizon Medicare Blue Rx Standard (PDP) | $45.80 | $310 | No Gap Coverage | No | S5993 -001 | $8.00 | $36.00 | $72.00 | 25% | 8,241 members | |||||
2011 Horizon Medicare Blue Rx Standard (PDP) | $45.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $9.00 | $38.00 | $76.00 | 25% | tbd members | ||||||
2010 WellCare Classic (PDP) | $39.80 | $310 | No Gap Coverage | -- | S5967 -141 | $4.00 | $38.00 | $78.00 | 25% | 2,575 members | |||||
2011 WellCare Classic (PDP) | $45.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $41.00 | $94.00 | 25% | tbd members | ||||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $47.70 | $0 | No Gap Coverage | No | S5755 -007 | $8.00 | $37.00 | $74.00 | 33% | 2,319 members | |||||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $47.20 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $45.00 | $95.00 | 30% | tbd members | ||||||
2010 HealthSpring Prescription Drug Plan -Reg 4 (PDP) | $38.40 | $310 | No Gap Coverage | No | S5932 -005 | 25% | 25% | 1,242 members | |||||||
2011 HealthSpring Prescription Drug Plan -Reg 4 (PDP) | $47.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 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 Aetna Medicare Rx Essentials (PDP) | $38.70 | $310 | No Gap Coverage | No | S5810 -038 | $3.00 | $24.00 | $25.00 | $67.00 | 1,994 members | |||||
2011 Aetna Medicare Rx Essentials (PDP) | $53.20 | $310 | n/a | tbd | tbd members | ||||||||||
2010 MedicareRx Rewards Standard (PDP) | $51.70 | $310 | No Gap Coverage | No | S5960 -110 | $8.00 | 25% | 25% | 25% | 2,199 members | |||||
2011 MedicareRx Rewards Standard (PDP) | $53.20 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $43.00 | 25% | tbd members | ||||||
2010 MedicareRx Rewards Plus (PDP) | $42.30 | $0 | No Gap Coverage | No | S5960 -142 | $7.00 | $43.00 | $85.00 | 33% | 394 members | |||||
2011 MedicareRx Rewards Plus (PDP) | $55.50 | $0 | Some Generics | No | $4.00 | $7.00 | $43.00 | $85.00 | tbd members | ||||||
2010 WellCare Signature (PDP) | $41.10 | $0 | No Gap Coverage | -- | S5967 -038 | $0.00 | $42.00 | $85.00 | 33% | 3,923 members | |||||
2011 WellCare Signature (PDP) | $56.10 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $80.00 | 33% | tbd members | ||||||
2010 Aetna Medicare Rx Plus (PDP) | $40.20 | $0 | No Gap Coverage | No | S5810 -208 | $5.00 | $32.00 | $36.00 | $80.00 | 1,805 members | |||||
2011 Aetna Medicare Rx Plus (PDP) | $66.20 | $0 | n/a | tbd | tbd members | ||||||||||
2010 SilverScript CVS Caremark Plus (PDP) | $54.70 | $50 | No Gap Coverage | No | S5601 -009 | $2.50 | $7.50 | $25.00 | $30.00 | 1,777 members | |||||
2011 CVS Caremark Plus (PDP) | $67.70 | $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 EnvisionRxPlus Gold (PDP) | $55.10 | $150 | No Gap Coverage | No | S7694 -038 | $4.00 | $30.00 | $25.00 | 25% | 179 members | |||||
2011 EnvisionRxPlus Gold (PDP) | $73.00 | $150 | Many Generics | No | $4.00 | 25% | $25.00 | 25% | tbd members | ||||||
2010 Community CCRx Choice (PDP) | $44.10 | $150 | No Gap Coverage | No | S5803 -141 | $5.00 | $35.00 | $65.00 | 29% | 357 members | |||||
2011 Community CCRx Choice (PDP) | $77.30 | $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) | $62.80 | $0 | Many Generics | No | S5674 -017 | $4.00 | $25.00 | 19% | 75% | 2,872 members | |||||
2011 First Health Part D Premier Plus (PDP) | $81.60 | $0 | Some Generics, Some Brands |
No | $0.00 | $25.00 | 30% | 58% | tbd members | ||||||
2010 Horizon Medicare Blue Rx Enhanced (PDP) | $83.50 | $0 | Many Generics | No | S5993 -003 | $8.00 | $36.00 | $72.00 | 33% | 22,227 members | |||||
2011 Horizon Medicare Blue Rx Enhanced (PDP) | $82.10 | $0 | Many Generics | No | $8.00 | $36.00 | $72.00 | 33% | tbd members | ||||||
2010 Health Net Orange Option 2 (PDP) | $66.90 | $0 | No Gap Coverage | No | S5678 -011 | $5.00 | $35.00 | $95.00 | 33% | 773 members | |||||
2011 Health Net Orange Option 2 (PDP) | $86.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $34.00 | $68.00 | 33% | tbd members | ||||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $75.10 | $0 | Many Generics, Few Brands |
No | S5617 -174 | $6.00 | $35.00 | $60.00 | 33% | 182 members | |||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $86.90 | $0 | Few Generics | No | $0.00 | $3.00 | $33.00 | $78.00 | 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 AARP MedicareRx Enhanced (PDP) | $81.30 | $0 | Many Generics | No | S5921 -293 | $7.00 | $42.00 | $90.00 | 33% | 4,940 members | |||||
2011 AARP MedicareRx Enhanced (PDP) | $94.30 | $0 | Some Generics | No | $4.00 | $40.00 | $79.00 | 33% | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $75.00 | $0 | Many Generics | No | S5660 -174 | $6.00 | $40.00 | 75% | 33% | 630 members | |||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $100.30 | $250 | Many Generics | No | $6.00 | $40.00 | $95.00 | 26% | tbd members | ||||||
2010 Aetna Medicare Rx Premier (PDP) | $98.30 | $0 | Many Generics | No | S5810 -174 | $6.00 | $37.00 | $38.00 | $82.00 | 1,099 members | |||||
2011 Aetna Medicare Rx Premier (PDP) | $101.10 | $0 | n/a | tbd | tbd members | ||||||||||
2010 Humana Complete S5884-032 (PDP) | $103.50 | $0 | Many Generics | No | S5884 -032 | $7.00 | $45.00 | $75.00 | 33% | 2,007 members | |||||
2011 Humana Complete (PDP) | $112.80 | $0 | Many Generics, Some Brands |
No | $6.00 | $40.00 | $74.00 | 33% | tbd members | ||||||
2010 AARP MedicareRx Saver (PDP) | $28.10 | $310 | No Gap Coverage | Yes | S5921 -286 | $6.00 | $25.00 | $82.75 | 25% | 103,292 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $39.40 | $210 | No Gap Coverage | No | S5755 -042 | $4.00 | $45.00 | $90.00 | 25% | 412 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) | $80.10 | $0 | Many Generics | No | S5601 -075 | $2.50 | $7.50 | $39.00 | $98.00 | 328 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $47.40 | $0 | No Gap Coverage | No | S5644 -049 | $2.50 | $5.00 | 33% | 33% | 1,381 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Gold (PDP) | $40.40 | $150 | No Gap Coverage | No | S5597 -036 | $6.00 | $43.00 | 29% | 532 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Community CCRx Gold (PDP) | $76.80 | $0 | All Generics | No | S5803 -221 | $6.00 | $35.00 | $65.00 | 33% | 441 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Fox Value Plan (PDP) | $36.00 | $310 | No Gap Coverage | No | S5557 -023 | 0% | 50% | 33% | 60% | < 10 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $47.50 | $100 | No Gap Coverage | No | S5660 -035 | $6.00 | $39.00 | 75% | 30% | 2,118 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) | $51.60 | $0 | Some Generics | No | S5557 -013 | $1.00 | $37.00 | $41.00 | $95.00 | < 10 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Humana Enhanced S5884-003 (PDP) | $37.40 | $0 | No Gap Coverage | No | S5884 -003 | $7.00 | $45.00 | $75.00 | 33% | 31,978 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 First Health Part D-Secure (PDP) | $15.00 | $175 | No Gap Coverage | No | S5768 -086 | $4.00 | 20% | 52% | 28% | 12,538 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Bronze (PDP) | $42.90 | $310 | No Gap Coverage | No | S5597 -238 | 25% | 25% | 25% | 99 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Premier (PDP) | $41.70 | $0 | No Gap Coverage | No | S5674 -015 | $15.00 | 17% | 53% | 33% | 3,151 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Value (PDP) | $36.50 | $100 | No Gap Coverage | No | S5674 -014 | $6.00 | 19% | 65% | 30% | 10,083 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) | $40.10 | $100 | No Gap Coverage | No | S5617 -020 | $0.00 | $8.00 | $39.00 | $88.00 | 1,150 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
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