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 -137 | ||||||||||||||
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) | $27.20 | $310 | No Gap Coverage | Yes | S5803 -083 | $0.00 | 30% | 50% | 90,317 members | ||||||
2011 Community CCRx Basic (PDP) | $27.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 30% | 59% | 25% | tbd members | ||||||
2010 SilverScript Value (PDP) | $31.10 | $310 | No Gap Coverage | No | S5601 -028 | $8.00 | $23.50 | $95.00 | 25% | 12,501 members | |||||
2011 CVS Caremark Value (PDP) | $27.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $40.75 | $95.00 | 25% | tbd members | ||||||
2010 AARP MedicareRx Preferred (PDP) | $40.80 | $0 | No Gap Coverage | No | S5820 -013 | $7.00 | $42.00 | $79.50 | 33% | 119,488 members | |||||
2011 AARP MedicareRx Preferred (PDP) | $29.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $7.00 | $45.00 | $85.00 | 33% | tbd members | ||||||
2010 Health Net Orange Option 1 (PDP) | $31.10 | $310 | No Gap Coverage | No | S5678 -034 | $4.00 | $39.00 | $95.00 | 25% | 1,338 members | |||||
2011 Health Net Orange Option 1 (PDP) | $30.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $37.00 | $75.00 | 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 Aetna Medicare Rx Essentials (PDP) | $25.40 | $310 | No Gap Coverage | Yes | S5810 -048 | $3.00 | $26.00 | $27.00 | $67.00 | 23,743 members | |||||
2011 Aetna Medicare Rx Essentials (PDP) | $30.70 | $310 | n/a | tbd | tbd members | ||||||||||
2010 Blue MedicareRx Standard (PDP) | $31.60 | $310 | No Gap Coverage | No | S5596 -013 | $6.50 | 25% | 25% | 25% | 11,031 members | |||||
2011 Blue MedicareRx Standard (PDP) | $31.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $7.00 | $39.00 | 25% | tbd members | ||||||
2010 WellCare Classic (PDP) | $38.00 | $310 | No Gap Coverage | -- | S5967 -151 | $4.00 | $33.00 | $70.00 | 25% | 7,270 members | |||||
2011 WellCare Classic (PDP) | $31.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $42.00 | $88.00 | 25% | tbd members | ||||||
2010 EnvisionRxPlus Silver (PDP) | $31.20 | $310 | No Gap Coverage | No | S7694 -014 | 25% | 25% | 25% | 25% | 214 members | |||||
2011 EnvisionRxPlus Silver (PDP) | $32.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 HealthSpring Prescription Drug Plan-Reg 14 (PDP) | $30.30 | $310 | No Gap Coverage | Yes | S5932 -013 | 25% | 25% | 23,623 members | |||||||
2011 HealthSpring Prescription Drug Plan-Reg 14 (PDP) | $32.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | tbd members | ||||||||
2010 BravoRx (PDP) | $30.60 | $310 | No Gap Coverage | No | S5998 -011 | 25% | 25% | 25% | 595 members | ||||||
2011 BravoRx (PDP) | $32.90 | $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 CIGNA Medicare Rx Plan One (PDP) | $30.00 | $310 | No Gap Coverage | Yes | S5617 -068 | $3.00 | $34.00 | $76.00 | 25% | 25,212 members | |||||
2011 CIGNA Medicare Rx Plan One (PDP) | $33.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $30.00 | $73.00 | 25% | tbd members | ||||||
2010 Advantage Star Plan by RxAmerica (PDP) | $45.70 | $310 | No Gap Coverage | No | S5644 -189 | $4.50 | 25% | 25% | 45% | 694 members | |||||
2011 Advantage Star Plan by RxAmerica (PDP) | $38.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | 25% | $95.00 | 25% | tbd members | ||||||
2010 First Health Part D-Premier (PDP) | $34.70 | $150 | No Gap Coverage | No | S5768 -017 | $7.00 | 11% | 44% | 29% | 7,616 members | |||||
2011 First Health Part D Premier (PDP) | $42.00 | $150 | No additional gap coverage, only the Donut Hole Discount | No | $8.00 | 18% | 36% | 29% | tbd members | ||||||
2010 Sterling Rx (PDP) | $70.20 | $310 | No Gap Coverage | No | S4802 -026 | $9.00 | $28.00 | 25% | 65 members | ||||||
2011 Sterling Rx (PDP) | $42.50 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $21.00 | $37.00 | 25% | tbd members | ||||||
-- This plan not offered in 2010 -- | S1131 -006 | ||||||||||||||
2011 SummaCare Secure Scripts 1 (PDP) | $42.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $30.00 | $90.00 | 25% | tbd members | ||||||
2010 Humana Standard S5884-072 (PDP) | $46.40 | $310 | No Gap Coverage | No | S5884 -072 | 15% | 25% | 44% | 18,390 members | ||||||
2011 Humana Enhanced (PDP) | $46.00 | $0 | Few Generics | No | $7.00 | $39.00 | $76.00 | 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 - Value (PDP) | $32.00 | $310 | No Gap Coverage | No | S5660 -116 | 25% | 25% | 25% | 25% | 1,748 members | |||||
2011 Medco Medicare Prescription Plan - Value (PDP) | $46.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $49.00 | $0 | No Gap Coverage | No | S5755 -017 | $7.00 | $36.00 | $72.00 | 33% | 4,887 members | |||||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $48.10 | $70 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $45.00 | $95.00 | 31% | tbd members | ||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $31.10 | $0 | No Gap Coverage | No | S5810 -218 | $2.00 | $28.00 | $34.00 | $80.00 | 9,510 members | |||||
2011 Aetna Medicare Rx Costco Plus Plan (PDP) | $54.00 | $0 | n/a | tbd | tbd members | ||||||||||
2010 WellCare Signature (PDP) | $37.00 | $0 | No Gap Coverage | -- | S5967 -048 | $0.00 | $42.00 | $85.00 | 33% | 12,400 members | |||||
2011 WellCare Signature (PDP) | $56.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $78.00 | 33% | tbd members | ||||||
2010 Blue MedicareRx Plus (PDP) | $47.00 | $0 | No Gap Coverage | No | S5596 -014 | $7.00 | $43.00 | $85.00 | 33% | 13,151 members | |||||
2011 Blue MedicareRx Plus (PDP) | $57.60 | $0 | Some Generics | No | $4.00 | $7.00 | $43.00 | $85.00 | tbd members | ||||||
2010 EnvisionRxPlus Gold (PDP) | $56.70 | $150 | No Gap Coverage | No | S7694 -048 | $4.00 | $30.00 | $25.00 | 25% | 228 members | |||||
2011 EnvisionRxPlus Gold (PDP) | $65.40 | $150 | Many Generics | No | $4.00 | 25% | $25.00 | 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 SilverScript CVS Caremark Plus (PDP) | $43.50 | $50 | No Gap Coverage | No | S5601 -029 | $2.50 | $7.50 | $25.00 | $30.00 | 1,969 members | |||||
2011 CVS Caremark Plus (PDP) | $66.10 | $0 | Many Generics | No | $2.00 | $5.00 | $35.00 | $90.00 | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $73.10 | $0 | Many Generics | No | S5660 -184 | $6.00 | $40.00 | 75% | 33% | 1,966 members | |||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $66.20 | $250 | Many Generics | No | $6.00 | $40.00 | $95.00 | 26% | tbd members | ||||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $57.70 | $0 | Many Generics, Few Brands |
No | S5617 -184 | $6.00 | $35.00 | $60.00 | 33% | 611 members | |||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $68.00 | $0 | Few Generics | No | $0.00 | $3.00 | $35.00 | $78.00 | tbd members | ||||||
-- This plan not offered in 2010 -- | S1131 -005 | ||||||||||||||
2011 SummaCare Secure Scripts 2 (PDP) | $72.80 | $0 | All Generics | No | $3.00 | $30.00 | $90.00 | 33% | tbd members | ||||||
2010 Health Net Value Orange Option 2 (PDP) | $54.20 | $0 | No Gap Coverage | No | S5678 -033 | $0.00 | $42.00 | $95.00 | 33% | 1,341 members | |||||
2011 Health Net Value Orange Option 2 (PDP) | $73.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | ||||||
2010 Community CCRx Choice (PDP) | $34.20 | $150 | No Gap Coverage | No | S5803 -151 | $5.00 | $35.00 | $65.00 | 29% | 2,390 members | |||||
2011 Community CCRx Choice (PDP) | $79.00 | $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 AARP MedicareRx Enhanced (PDP) | $78.00 | $0 | Many Generics | No | S5921 -053 | $7.00 | $42.00 | $90.00 | 33% | 4,322 members | |||||
2011 AARP MedicareRx Enhanced (PDP) | $85.90 | $0 | Some Generics | No | $4.50 | $40.00 | $80.00 | 33% | tbd members | ||||||
2010 AdvantraRx Premier Plus (PDP) | $60.20 | $0 | Many Generics | No | S5670 -078 | $5.00 | $25.00 | 20% | 75% | 6,437 members | |||||
2011 First Health Part D Premier Plus (PDP) | $86.80 | $0 | Some Generics, Some Brands |
No | $0.00 | $25.00 | 30% | 57% | tbd members | ||||||
2010 Aetna Medicare Rx Premier (PDP) | $78.00 | $0 | Many Generics | No | S5810 -184 | $6.00 | $36.00 | $37.00 | $80.00 | 3,345 members | |||||
2011 Aetna Medicare Rx Premier (PDP) | $97.90 | $0 | n/a | tbd | tbd members | ||||||||||
2010 Blue MedicareRx Premier (PDP) | $94.20 | $0 | Many Generics | No | S5596 -015 | $7.00 | $43.00 | $85.00 | 33% | 6,313 members | |||||
2011 Blue MedicareRx Premier (PDP) | $102.80 | $0 | Many Generics, Some Brands |
No | $6.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2010 Humana Complete S5884-042 (PDP) | $102.20 | $0 | Many Generics | No | S5884 -042 | $7.00 | $45.00 | $75.00 | 33% | 3,612 members | |||||
2011 Humana Complete (PDP) | $111.50 | $0 | Many Generics, Some Brands |
No | $5.00 | $38.00 | $71.00 | 33% | tbd members | ||||||
2010 AARP MedicareRx Saver (PDP) | $26.00 | $310 | No Gap Coverage | Yes | S5921 -051 | $6.00 | $25.00 | $81.75 | 25% | 81,025 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) | $45.10 | $0 | No Gap Coverage | No | S5644 -175 | $2.50 | $5.00 | 33% | 33% | 1,214 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Gold (PDP) | $30.30 | $150 | No Gap Coverage | No | S5597 -046 | $6.00 | $43.00 | 29% | 2,540 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 UPMC for Life (PDP) | $52.30 | $0 | No Gap Coverage | No | S8201 -001 | $5.00 | $32.00 | $80.00 | 33% | 87 members | |||||
-- | |||||||||||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Community CCRx Gold (PDP) | $76.30 | $0 | All Generics | No | S5803 -231 | $6.00 | $35.00 | $65.00 | 33% | 1,244 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $46.70 | $100 | No Gap Coverage | No | S5660 -014 | $6.00 | $40.00 | 75% | 30% | 6,048 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $36.80 | $140 | No Gap Coverage | No | S5755 -052 | $4.00 | $45.00 | $90.00 | 25% | 579 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 Humana Enhanced S5884-012 (PDP) | $43.20 | $0 | No Gap Coverage | No | S5884 -012 | $7.00 | $45.00 | $75.00 | 33% | 32,364 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 First Health Part D-Secure (PDP) | $22.60 | $175 | No Gap Coverage | No | S5768 -096 | $4.00 | 20% | 51% | 28% | 7,431 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Bronze (PDP) | $31.60 | $310 | No Gap Coverage | No | S5597 -248 | 25% | 25% | 25% | 1,030 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Fox Value Plan (PDP) | $30.60 | $310 | No Gap Coverage | No | S5557 -042 | members | |||||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Premier (PDP) | $42.50 | $0 | No Gap Coverage | No | S5670 -076 | $12.00 | 17% | 54% | 33% | 7,420 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Value (PDP) | $33.30 | $100 | No Gap Coverage | No | S5670 -075 | $7.00 | 20% | 64% | 30% | 21,685 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) | $35.30 | $100 | No Gap Coverage | No | S5617 -070 | $0.00 | $8.00 | $40.00 | $89.00 | 3,138 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 SilverScript CVS Caremark Complete (PDP) | $63.40 | $0 | Many Generics | No | S5601 -085 | $2.50 | $7.50 | $39.00 | $98.00 | 691 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
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