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 S5884-110 (PDP) | $17.00 | $150 | No Gap Coverage | No | S5884 -110 | $5.00 | $35.00 | 33% | 370 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 Advantage Star Plan by RxAmerica (PDP) | $21.10 | $310 | No Gap Coverage | Yes | S5644 -199 | $4.75 | 25% | 25% | 45% | 5,644 members | |||||
2011 Advantage Star Plan by RxAmerica (PDP) | $19.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.75 | 25% | $95.00 | 25% | tbd members | ||||||
2010 SilverScript Value (PDP) | $21.10 | $310 | No Gap Coverage | Yes | S5601 -052 | $8.00 | $21.00 | $95.00 | 25% | 11,076 members | |||||
2011 CVS Caremark Value (PDP) | $19.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $39.75 | $95.00 | 25% | tbd members | ||||||
2010 Community CCRx Basic (PDP) | $22.80 | $310 | No Gap Coverage | No | S5803 -095 | $0.00 | 30% | 65% | 3,596 members | ||||||
2011 Community CCRx Basic (PDP) | $20.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 31% | 62% | 25% | tbd members | ||||||
2010 MedicareRx Rewards Standard (PDP) | $15.90 | $310 | No Gap Coverage | Yes | S5960 -132 | $6.00 | 25% | 25% | 25% | 6,102 members | |||||
2011 MedicareRx Rewards Standard (PDP) | $22.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $7.00 | $38.00 | 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 Health Net Orange Option 1 (PDP) | $19.70 | $310 | No Gap Coverage | Yes | S5678 -058 | $4.00 | $36.00 | $95.00 | 25% | 811 members | |||||
2011 Health Net Orange Option 1 (PDP) | $23.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $38.00 | $75.00 | 25% | tbd members | ||||||
2010 WellCare Classic (PDP) | $18.00 | $310 | No Gap Coverage | -- | S5967 -163 | $4.00 | $35.00 | $69.00 | 25% | 5,117 members | |||||
2011 WellCare Classic (PDP) | $23.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $44.00 | $93.00 | 25% | tbd members | ||||||
2010 HealthSpring Prescription Drug Plan-Reg 26 (PDP) | $21.80 | $310 | No Gap Coverage | No | S5932 -025 | 25% | 25% | 138 members | |||||||
2011 HealthSpring Prescription Drug Plan-Reg 26 (PDP) | $24.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | ||||||||
2010 Blue MedicareRx - Value (PDP) | $18.50 | $10 | No Gap Coverage | Yes | S5715 -003 | $12.00 | $45.00 | $89.00 | 32% | 10,651 members | |||||
2011 Blue MedicareRx Value (PDP) | $26.40 | $125 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $44.00 | $94.00 | 29% | tbd members | ||||||
2010 BravoRx (PDP) | $24.30 | $310 | No Gap Coverage | No | S5998 -030 | 25% | 25% | 25% | < 10 members | ||||||
2011 BravoRx (PDP) | $26.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 First Health Part D-Premier (PDP) | $28.40 | $150 | No Gap Coverage | No | S5768 -048 | $7.00 | 11% | 43% | 29% | 158 members | |||||
2011 First Health Part D Premier (PDP) | $27.50 | $150 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | 18% | 35% | 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 EnvisionRxPlus Silver (PDP) | $31.30 | $310 | No Gap Coverage | No | S7694 -026 | 25% | 25% | 25% | 25% | < 10 members | |||||
2011 EnvisionRxPlus Silver (PDP) | $29.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $31.70 | $310 | No Gap Coverage | No | S5660 -128 | 25% | 25% | 25% | 25% | 48 members | |||||
2011 Medco Medicare Prescription Plan - Value (PDP) | $32.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 AARP MedicareRx Preferred (PDP) | $33.70 | $0 | No Gap Coverage | No | S5820 -025 | $7.00 | $42.00 | $77.00 | 33% | 16,224 members | |||||
2011 AARP MedicareRx Preferred (PDP) | $32.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $45.00 | $74.00 | 33% | tbd members | ||||||
2010 MedicareRx Rewards Plus (PDP) | $24.20 | $0 | No Gap Coverage | No | S5960 -157 | $7.00 | $43.00 | $85.00 | 33% | 186 members | |||||
2011 MedicareRx Rewards Plus (PDP) | $34.70 | $0 | Some Generics | No | $4.00 | $7.00 | $43.00 | $85.00 | tbd members | ||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $26.80 | $310 | No Gap Coverage | No | S5617 -128 | $3.00 | $30.00 | $70.00 | 25% | 276 members | |||||
2011 CIGNA Medicare Rx Plan One (PDP) | $36.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $30.00 | $70.00 | 25% | tbd members | ||||||
2010 Humana Enhanced S5884-024 (PDP) | $34.10 | $0 | No Gap Coverage | No | S5884 -024 | $8.00 | $45.00 | $80.00 | 33% | 6,578 members | |||||
2011 Humana Enhanced (PDP) | $36.90 | $0 | Few Generics | No | $7.00 | $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 UA Medicare Part D Prescription Drug Cov (PDP) | $39.60 | $0 | No Gap Coverage | No | S5755 -029 | $8.00 | $37.00 | $74.00 | 33% | 1,870 members | |||||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $39.90 | $80 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $45.00 | $95.00 | 31% | tbd members | ||||||
2010 EnvisionRxPlus Gold (PDP) | $35.40 | $150 | No Gap Coverage | No | S7694 -060 | $4.00 | $30.00 | $25.00 | 25% | 38 members | |||||
2011 EnvisionRxPlus Gold (PDP) | $41.00 | $150 | Many Generics | No | $4.00 | 25% | $25.00 | 25% | tbd members | ||||||
2010 WellCare Signature (PDP) | $31.20 | $0 | No Gap Coverage | -- | S5967 -060 | $0.00 | $42.00 | $85.00 | 33% | 1,158 members | |||||
2011 WellCare Signature (PDP) | $43.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $91.00 | 33% | tbd members | ||||||
2010 Sterling Rx (PDP) | $48.20 | $310 | No Gap Coverage | No | S4802 -016 | $10.00 | $30.00 | 25% | 21 members | ||||||
2011 Sterling Rx (PDP) | $46.00 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $21.00 | $38.00 | 25% | tbd members | ||||||
2010 Aetna Medicare Rx Essentials (PDP) | $34.10 | $310 | No Gap Coverage | No | S5810 -060 | $3.00 | $26.00 | $27.00 | $70.00 | 79 members | |||||
2011 Aetna Medicare Rx Essentials (PDP) | $57.00 | $310 | n/a | tbd | tbd members | ||||||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $28.80 | $0 | No Gap Coverage | No | S5810 -230 | $2.00 | $28.00 | $34.00 | $80.00 | 267 members | |||||
2011 Aetna Medicare Rx Costco Plus Plan (PDP) | $57.90 | $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 SilverScript CVS Caremark Plus (PDP) | $47.00 | $50 | No Gap Coverage | No | S5601 -053 | $2.50 | $7.50 | $25.00 | $30.00 | 107 members | |||||
2011 CVS Caremark Plus (PDP) | $59.70 | $0 | Many Generics | No | $2.00 | $5.00 | $35.00 | $90.00 | tbd members | ||||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $56.00 | $0 | Many Generics, Few Brands |
No | S5617 -196 | $6.00 | $35.00 | $60.00 | 33% | 73 members | |||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $62.10 | $0 | Few Generics | No | $0.00 | $3.00 | $34.00 | $78.00 | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $73.70 | $0 | Many Generics | No | S5660 -196 | $6.00 | $40.00 | 75% | 33% | 60 members | |||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $69.60 | $250 | Many Generics | No | $6.00 | $40.00 | $95.00 | 26% | tbd members | ||||||
2010 Health Net Orange Option 2 (PDP) | $39.60 | $0 | No Gap Coverage | No | S5678 -057 | $5.00 | $35.00 | $95.00 | 33% | 150 members | |||||
2011 Health Net Orange Option 2 (PDP) | $75.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $34.00 | $68.00 | 33% | tbd members | ||||||
2010 Community CCRx Choice (PDP) | $35.40 | $150 | No Gap Coverage | No | S5803 -163 | $5.00 | $35.00 | $65.00 | 29% | 833 members | |||||
2011 Community CCRx Choice (PDP) | $77.00 | $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) | $54.20 | $0 | Many Generics | No | S5674 -041 | $5.00 | $25.00 | 20% | 75% | 520 members | |||||
2011 First Health Part D Premier Plus (PDP) | $80.30 | $0 | Some Generics, Some Brands |
No | $0.00 | $25.00 | 30% | 60% | 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 Blue MedicareRx - Plus (PDP) | $70.90 | $0 | Many Generics | No | S5715 -004 | $5.00 | $38.00 | $75.00 | 33% | 1,018 members | |||||
2011 Blue MedicareRx Plus (PDP) | $85.60 | $0 | All Generics | No | $5.00 | $38.00 | $75.00 | 33% | tbd members | ||||||
2010 AARP MedicareRx Enhanced (PDP) | $80.10 | $0 | Many Generics | No | S5921 -263 | $7.00 | $42.00 | $90.00 | 33% | 597 members | |||||
2011 AARP MedicareRx Enhanced (PDP) | $89.40 | $0 | Some Generics | No | $4.00 | $40.00 | $79.00 | 33% | tbd members | ||||||
-- This plan not offered in 2010 -- | S5810 -241 | ||||||||||||||
2011 Aetna Medicare Rx Premier (PDP) | $102.90 | $0 | n/a | tbd | tbd members | ||||||||||
2010 First Health Part D-Secure (PDP) | $15.90 | $175 | No Gap Coverage | No | S5768 -108 | $4.00 | 20% | 53% | 28% | 638 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Bronze (PDP) | $17.90 | $310 | No Gap Coverage | Yes | S5597 -260 | 25% | 25% | 25% | 10,201 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Humana Basic S5884-123 (PDP) | $20.00 | $310 | No Gap Coverage | Yes | S5884 -123 | $4.00 | 29% | 29% | 1,131 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) | $39.90 | $0 | No Gap Coverage | No | S5644 -185 | $2.50 | $5.00 | 33% | 33% | 123 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AARP MedicareRx Saver (PDP) | $27.40 | $310 | No Gap Coverage | No | S5921 -261 | $6.00 | $25.00 | $72.00 | 25% | 5,543 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $32.80 | $180 | No Gap Coverage | No | S5755 -064 | $4.00 | $45.00 | $90.00 | 25% | 225 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 SilverScript CVS Caremark Complete (PDP) | $69.10 | $0 | Many Generics | No | S5601 -097 | $2.50 | $7.50 | $39.00 | $98.00 | 35 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 UnitedHealthcare MedicareRx (PDP) | $16.70 | $0 | No Gap Coverage | No | S5917 -002 | $8.00 | $45.00 | $90.00 | 33% | 1,679 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Gold (PDP) | $36.50 | $150 | No Gap Coverage | No | S5597 -058 | $6.00 | $43.00 | 29% | 106 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) | $65.20 | $0 | All Generics | No | S5803 -243 | $6.00 | $35.00 | $65.00 | 33% | 402 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $48.60 | $100 | No Gap Coverage | No | S5660 -026 | $6.00 | $38.00 | 75% | 30% | 203 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Blue MedicareRx - Standard (PDP) | $37.30 | $310 | No Gap Coverage | No | S5715 -008 | $3.00 | $29.00 | $79.00 | 25% | 551 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Premier (PDP) | $37.40 | $0 | No Gap Coverage | No | S5674 -039 | $12.00 | 18% | 55% | 33% | 491 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Value (PDP) | $20.70 | $100 | No Gap Coverage | No | S5674 -038 | $6.00 | 20% | 67% | 30% | 1,421 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $27.20 | $100 | No Gap Coverage | No | S5617 -130 | $0.00 | $8.00 | $40.00 | $88.00 | 326 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 Aetna Medicare Rx Premier (PDP) | $82.70 | $0 | Many Generics | No | S5810 -196 | $6.00 | $36.00 | $37.00 | $82.00 | 146 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
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