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 -144 | ||||||||||||||
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) | $32.20 | $310 | No Gap Coverage | Yes | S5644 -197 | $4.25 | 25% | 25% | 45% | 19,451 members | |||||
2011 Advantage Star Plan by RxAmerica (PDP) | $29.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.25 | 25% | $95.00 | 25% | tbd members | ||||||
2010 HealthSpring Prescription Drug Plan-Reg 23 (PDP) | $30.00 | $310 | No Gap Coverage | Yes | S5932 -022 | 25% | 25% | 10,882 members | |||||||
2011 HealthSpring Prescription Drug Plan-Reg 23 (PDP) | $30.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | ||||||||
2010 Community CCRx Basic (PDP) | $32.30 | $310 | No Gap Coverage | Yes | S5803 -092 | $0.00 | 30% | 55% | 29,045 members | ||||||
2011 Community CCRx Basic (PDP) | $32.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 31% | 62% | 25% | tbd members | ||||||
2010 SilverScript Value (PDP) | $33.00 | $310 | No Gap Coverage | No | S5601 -046 | $8.00 | $24.25 | $95.00 | 25% | 3,771 members | |||||
2011 CVS Caremark Value (PDP) | $32.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $41.75 | $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 Aetna Medicare Rx Essentials (PDP) | $26.70 | $310 | No Gap Coverage | Yes | S5810 -057 | $2.00 | $28.00 | $29.00 | $72.00 | 3,613 members | |||||
2011 Aetna Medicare Rx Essentials (PDP) | $33.30 | $310 | n/a | tbd | tbd members | ||||||||||
2010 BravoRx (PDP) | $33.70 | $310 | No Gap Coverage | No | S5998 -027 | 25% | 25% | 25% | 15 members | ||||||
2011 BravoRx (PDP) | $33.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 EnvisionRxPlus Silver (PDP) | $39.60 | $310 | No Gap Coverage | No | S7694 -023 | 25% | 25% | 25% | 25% | 30 members | |||||
2011 EnvisionRxPlus Silver (PDP) | $34.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $30.60 | $310 | No Gap Coverage | Yes | S5660 -125 | 25% | 25% | 25% | 25% | 10,176 members | |||||
2011 Medco Medicare Prescription Plan - Value (PDP) | $34.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 Health Net Orange Option 1 (PDP) | $31.50 | $310 | No Gap Coverage | Yes | S5678 -052 | $4.00 | $39.00 | $95.00 | 25% | 2,069 members | |||||
2011 Health Net Orange Option 1 (PDP) | $34.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $36.00 | $75.00 | 25% | tbd members | ||||||
2010 WellCare Classic (PDP) | $29.80 | $310 | No Gap Coverage | -- | S5967 -160 | $4.00 | $35.00 | $72.00 | 25% | 3,235 members | |||||
2011 WellCare Classic (PDP) | $34.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $43.00 | $93.00 | 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 MedicareRx Rewards Standard (PDP) | $31.80 | $310 | No Gap Coverage | Yes | S5960 -129 | $6.00 | 25% | 25% | 25% | 7,883 members | |||||
2011 MedicareRx Rewards Standard (PDP) | $39.50 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $36.00 | 25% | tbd members | ||||||
2010 Sterling Rx (PDP) | $60.30 | $310 | No Gap Coverage | No | S4802 -014 | $9.00 | $28.00 | 25% | 290 members | ||||||
2011 Sterling Rx (PDP) | $41.40 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $22.00 | $37.00 | 25% | tbd members | ||||||
2010 AARP MedicareRx Preferred (PDP) | $43.10 | $0 | No Gap Coverage | No | S5820 -022 | $7.00 | $42.00 | $66.25 | 33% | 30,786 members | |||||
2011 AARP MedicareRx Preferred (PDP) | $41.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $45.00 | $76.00 | 33% | tbd members | ||||||
2010 First Health Part D-Premier (PDP) | $34.00 | $150 | No Gap Coverage | No | S5768 -046 | $7.00 | 11% | 43% | 29% | 2,270 members | |||||
2011 First Health Part D Premier (PDP) | $42.80 | $150 | No additional gap coverage, only the Donut Hole Discount | No | $8.00 | 18% | 36% | 29% | tbd members | ||||||
-- This plan not offered in 2010 -- | S5715 -010 | ||||||||||||||
2011 Blue MedicareRx Value (PDP) | $43.90 | $125 | No additional gap coverage, only the Donut Hole Discount | No | $9.00 | $38.00 | $84.00 | 29% | tbd members | ||||||
2010 Humana Enhanced S5884-021 (PDP) | $42.20 | $0 | No Gap Coverage | No | S5884 -021 | $7.00 | $45.00 | $75.00 | 33% | 21,946 members | |||||
2011 Humana Enhanced (PDP) | $45.00 | $0 | Few Generics | No | $7.00 | $37.00 | $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 MedicareRx Rewards Plus (PDP) | $32.80 | $0 | No Gap Coverage | No | S5960 -155 | $7.00 | $43.00 | $85.00 | 33% | 650 members | |||||
2011 MedicareRx Rewards Plus (PDP) | $45.90 | $0 | Some Generics | No | $4.00 | $7.00 | $43.00 | $85.00 | tbd members | ||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $43.50 | $310 | No Gap Coverage | No | S5617 -113 | $3.00 | $30.00 | $86.00 | 25% | 644 members | |||||
2011 CIGNA Medicare Rx Plan One (PDP) | $52.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $28.00 | $85.00 | 25% | tbd members | ||||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $50.00 | $0 | No Gap Coverage | No | S5755 -026 | $9.00 | $38.00 | $76.00 | 33% | 1,145 members | |||||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $55.40 | $60 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $45.00 | $95.00 | 31% | tbd members | ||||||
2010 EnvisionRxPlus Gold (PDP) | $38.60 | $150 | No Gap Coverage | No | S7694 -057 | $4.00 | $30.00 | $25.00 | 25% | 144 members | |||||
2011 EnvisionRxPlus Gold (PDP) | $57.90 | $150 | Many Generics | No | $4.00 | 25% | $25.00 | 25% | tbd members | ||||||
2010 WellCare Signature (PDP) | $42.50 | $0 | No Gap Coverage | -- | S5967 -057 | $0.00 | $42.00 | $85.00 | 33% | 2,705 members | |||||
2011 WellCare Signature (PDP) | $59.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $87.00 | 33% | tbd members | ||||||
2010 Aetna Medicare Rx Plus (PDP) | $31.70 | $0 | No Gap Coverage | No | S5810 -227 | $5.00 | $32.00 | $38.00 | $80.00 | 2,757 members | |||||
2011 Aetna Medicare Rx Plus (PDP) | $66.30 | $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) | $63.90 | $0 | Many Generics, Few Brands |
No | S5617 -193 | $6.00 | $35.00 | $60.00 | 33% | 183 members | |||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $70.30 | $0 | Few Generics | No | $0.00 | $3.00 | $34.00 | $78.00 | tbd members | ||||||
2010 Health Net Value Orange Option 2 (PDP) | $49.60 | $0 | No Gap Coverage | No | S5678 -051 | $0.00 | $42.00 | $95.00 | 33% | 610 members | |||||
2011 Health Net Value Orange Option 2 (PDP) | $81.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | ||||||
2010 SilverScript CVS Caremark Plus (PDP) | $66.50 | $50 | No Gap Coverage | No | S5601 -047 | $2.50 | $7.50 | $25.00 | $30.00 | 223 members | |||||
2011 CVS Caremark Plus (PDP) | $82.60 | $0 | Many Generics | No | $2.00 | $5.00 | $35.00 | $90.00 | tbd members | ||||||
-- This plan not offered in 2010 -- | S5715 -011 | ||||||||||||||
2011 Blue MedicareRx Plus (PDP) | $85.40 | $0 | All Generics | No | $5.00 | $38.00 | $75.00 | 33% | tbd members | ||||||
2010 Community CCRx Choice (PDP) | $49.00 | $150 | No Gap Coverage | No | S5803 -160 | $5.00 | $35.00 | $65.00 | 29% | 3,159 members | |||||
2011 Community CCRx Choice (PDP) | $90.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2010 AARP MedicareRx Enhanced (PDP) | $81.90 | $0 | Many Generics | No | S5921 -235 | $7.00 | $42.00 | $90.00 | 33% | 1,415 members | |||||
2011 AARP MedicareRx Enhanced (PDP) | $101.30 | $0 | Some Generics | No | $4.00 | $40.00 | $80.00 | 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) | $72.80 | $0 | Many Generics | No | S5670 -126 | $5.00 | $25.00 | 20% | 75% | 1,098 members | |||||
2011 First Health Part D Premier Plus (PDP) | $101.30 | $0 | Some Generics, Some Brands |
No | $0.00 | $25.00 | 30% | 57% | tbd members | ||||||
2010 Aetna Medicare Rx Premier (PDP) | $88.90 | $0 | Many Generics | No | S5810 -193 | $6.00 | $32.00 | $35.00 | $80.00 | 1,223 members | |||||
2011 Aetna Medicare Rx Premier (PDP) | $106.60 | $0 | n/a | tbd | tbd members | ||||||||||
2010 Humana Complete S5884-051 (PDP) | $105.50 | $0 | Many Generics | No | S5884 -051 | $7.00 | $45.00 | $75.00 | 33% | 1,153 members | |||||
2011 Humana Complete (PDP) | $114.80 | $0 | Many Generics, Some Brands |
No | $5.00 | $36.00 | $69.00 | 33% | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $84.70 | $0 | Many Generics | No | S5660 -193 | $6.00 | $40.00 | 75% | 33% | 233 members | |||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $130.30 | $250 | Many Generics | No | $6.00 | $40.00 | $95.00 | 26% | tbd members | ||||||
2010 First Health Part D-Secure (PDP) | $23.50 | $175 | No Gap Coverage | No | S5768 -105 | $4.00 | 20% | 61% | 28% | 3,839 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $42.50 | $100 | No Gap Coverage | No | S5660 -023 | $6.00 | $40.00 | 75% | 30% | 2,080 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 Blue MedicareRx Standard (PDP) | $44.20 | $310 | No Gap Coverage | No | S5566 -001 | $3.00 | $33.00 | $83.00 | 25% | 5,651 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Community CCRx Gold (PDP) | $76.30 | $0 | All Generics | No | S5803 -240 | $6.00 | $35.00 | $65.00 | 33% | 1,865 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Humana Basic S5884-122 (PDP) | $30.80 | $310 | No Gap Coverage | Yes | S5884 -122 | $4.00 | 29% | 29% | 2,591 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Gold (PDP) | $41.00 | $150 | No Gap Coverage | No | S5597 -055 | $6.00 | $43.00 | 29% | 504 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Bronze (PDP) | $28.00 | $310 | No Gap Coverage | Yes | S5597 -257 | 25% | 25% | 25% | 10,341 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Blue MedicareRx Value (PDP) | $34.00 | $0 | No Gap Coverage | No | S5566 -002 | $10.00 | $43.00 | $89.00 | 33% | 24,657 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 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $49.20 | $135 | No Gap Coverage | No | S5755 -061 | $4.00 | $45.00 | $90.00 | 25% | 147 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Blue MedicareRx Plus (PDP) | $72.50 | $0 | Many Generics | No | S5566 -003 | $6.00 | $34.00 | $75.00 | 33% | 8,142 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $56.30 | $0 | No Gap Coverage | No | S5644 -183 | $2.50 | $5.00 | 33% | 33% | 97 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Premier (PDP) | $49.80 | $0 | No Gap Coverage | No | S5670 -124 | $12.00 | 16% | 50% | 33% | 2,118 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $38.10 | $100 | No Gap Coverage | No | S5617 -115 | $0.00 | $8.00 | $40.00 | $98.00 | 793 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 SilverScript CVS Caremark Complete (PDP) | $77.70 | $0 | Many Generics | No | S5601 -094 | $2.50 | $7.50 | $39.00 | $98.00 | 129 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 AdvantraRx Value (PDP) | $34.50 | $100 | No Gap Coverage | No | S5670 -123 | $6.00 | 20% | 65% | 30% | 6,371 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AARP MedicareRx Saver (PDP) | $34.10 | $310 | No Gap Coverage | No | S5921 -201 | $6.00 | $25.00 | $77.00 | 25% | 4,931 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
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