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 -- | 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 | |||
-- 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 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 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 -- | ||||||||||||
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 -- | ||||||||||||
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