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 -134 | ||||||||||||||
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) | $31.00 | $310 | No Gap Coverage | Yes | S5803 -078 | $0.00 | 30% | 50% | 25,554 members | ||||||
2011 Community CCRx Basic (PDP) | $32.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 31% | 61% | 25% | tbd members | ||||||
2010 SilverScript Value (PDP) | $35.50 | $310 | No Gap Coverage | No | S5601 -018 | $7.00 | $21.25 | $95.00 | 25% | 5,475 members | |||||
2011 CVS Caremark Value (PDP) | $33.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $36.25 | $95.00 | 25% | tbd members | ||||||
2010 Health Net Orange Option 1 (PDP) | $32.90 | $310 | No Gap Coverage | Yes | S5678 -024 | $4.00 | $38.00 | $95.00 | 25% | 3,832 members | |||||
2011 Health Net Orange Option 1 (PDP) | $34.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $33.00 | $75.00 | 25% | tbd members | ||||||
2010 Windsor Rx (PDP) | $32.40 | $310 | No Gap Coverage | Yes | S2505 -007 | $5.00 | 20% | 25% | 50% | 6,967 members | |||||
2011 Windsor Rx (PDP) | $34.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $37.00 | $70.00 | 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 AARP MedicareRx Preferred (PDP) | $42.60 | $0 | No Gap Coverage | No | S5820 -008 | $7.00 | $42.00 | $72.75 | 33% | 49,171 members | |||||
2011 AARP MedicareRx Preferred (PDP) | $34.70 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $7.00 | $45.00 | $78.00 | 33% | tbd members | ||||||
2010 WellCare Classic (PDP) | $30.80 | $310 | No Gap Coverage | -- | S5967 -146 | $4.00 | $34.00 | $68.00 | 25% | 10,724 members | |||||
2011 WellCare Classic (PDP) | $35.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $42.00 | $79.00 | 25% | tbd members | ||||||
2010 Advantage Star Plan by RxAmerica (PDP) | $35.50 | $310 | No Gap Coverage | No | S5644 -075 | $3.25 | 25% | 25% | 45% | 2,784 members | |||||
2011 Advantage Star Plan by RxAmerica (PDP) | $35.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.50 | 25% | $95.00 | 25% | tbd members | ||||||
2010 HealthSpring Prescription Drug Plan -Reg 9 (PDP) | $33.40 | $310 | No Gap Coverage | Yes | S5932 -009 | 25% | 25% | 8,383 members | |||||||
2011 HealthSpring Prescription Drug Plan -Reg 9 (PDP) | $35.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | ||||||||
2010 BravoRx (PDP) | $33.70 | $310 | No Gap Coverage | Yes | S5998 -018 | 25% | 25% | 25% | 5,838 members | ||||||
2011 BravoRx (PDP) | $35.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $28.60 | $310 | No Gap Coverage | Yes | S5617 -218 | $3.00 | $30.00 | $77.00 | 25% | 3,288 members | |||||
2011 CIGNA Medicare Rx Plan One (PDP) | $36.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $30.00 | $77.00 | 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) | $35.50 | $310 | No Gap Coverage | No | S5960 -115 | $6.00 | 25% | 25% | 25% | 1,962 members | |||||
2011 MedicareRx Rewards Standard (PDP) | $36.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $7.00 | $37.00 | 25% | tbd members | ||||||
2010 First Health Part D-Premier (PDP) | $33.20 | $150 | No Gap Coverage | Yes | S5768 -012 | $7.00 | 11% | 44% | 29% | 17,686 members | |||||
2011 First Health Part D Premier (PDP) | $36.50 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | $8.00 | 18% | 35% | 29% | tbd members | ||||||
2010 Aetna Medicare Rx Essentials (PDP) | $30.90 | $310 | No Gap Coverage | Yes | S5810 -043 | $3.00 | $26.00 | $27.00 | $69.00 | 9,125 members | |||||
2011 Aetna Medicare Rx Essentials (PDP) | $36.80 | $310 | n/a | tbd | tbd members | ||||||||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $34.00 | $310 | No Gap Coverage | Yes | S5660 -111 | 25% | 25% | 25% | 25% | 12,145 members | |||||
2011 Medco Medicare Prescription Plan - Value (PDP) | $36.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 EnvisionRxPlus Silver (PDP) | $35.20 | $310 | No Gap Coverage | No | S7694 -009 | 25% | 25% | 25% | 25% | 217 members | |||||
2011 EnvisionRxPlus Silver (PDP) | $38.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 Sterling Rx (PDP) | $61.50 | $310 | No Gap Coverage | No | S4802 -006 | $9.00 | $29.00 | 25% | 204 members | ||||||
2011 Sterling Rx (PDP) | $43.30 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $21.00 | $37.00 | 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 Plus (PDP) | $34.70 | $0 | No Gap Coverage | No | S5960 -146 | $7.00 | $43.00 | $85.00 | 33% | 879 members | |||||
2011 MedicareRx Rewards Plus (PDP) | $48.00 | $0 | Some Generics | No | $4.00 | $7.00 | $43.00 | $85.00 | tbd members | ||||||
2010 Humana Enhanced S5884-008 (PDP) | $45.90 | $0 | No Gap Coverage | No | S5884 -008 | $7.00 | $45.00 | $75.00 | 33% | 23,273 members | |||||
2011 Humana Enhanced (PDP) | $48.70 | $0 | Few Generics | No | $7.00 | $38.00 | $73.00 | 33% | tbd members | ||||||
2010 MedBlue Rx (PDP) | $43.60 | $0 | No Gap Coverage | No | S5953 -001 | $8.00 | $44.00 | $78.00 | 33% | 16,762 members | |||||
2011 MedBlue Rx (PDP) | $48.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $9.00 | $45.00 | $85.00 | 33% | tbd members | ||||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $48.40 | $0 | No Gap Coverage | No | S5755 -012 | $8.00 | $37.00 | $74.00 | 33% | 2,343 members | |||||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $50.30 | $90 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $45.00 | $95.00 | 30% | tbd members | ||||||
2010 WellCare Signature (PDP) | $42.70 | $0 | No Gap Coverage | -- | S5967 -043 | $0.00 | $42.00 | $85.00 | 33% | 4,031 members | |||||
2011 WellCare Signature (PDP) | $61.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $39.00 | $72.00 | 33% | tbd members | ||||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $61.20 | $0 | Many Generics, Few Brands |
No | S5617 -179 | $6.00 | $35.00 | $60.00 | 33% | 456 members | |||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $62.70 | $0 | Few Generics | No | $0.00 | $3.00 | $35.00 | $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 Aetna Medicare Rx Plus (PDP) | $30.90 | $0 | No Gap Coverage | No | S5810 -213 | $5.00 | $32.00 | $38.00 | $80.00 | 5,659 members | |||||
2011 Aetna Medicare Rx Plus (PDP) | $64.00 | $0 | n/a | tbd | tbd members | ||||||||||
2010 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | No Gap Coverage | No | S7694 -043 | $4.00 | $30.00 | $25.00 | 25% | 142 members | |||||
2011 EnvisionRxPlus Gold (PDP) | $64.90 | $150 | Many Generics | No | $4.00 | 25% | $25.00 | 25% | tbd members | ||||||
2010 SilverScript CVS Caremark Plus (PDP) | $51.00 | $50 | No Gap Coverage | No | S5601 -019 | $2.50 | $7.50 | $25.00 | $30.00 | 884 members | |||||
2011 CVS Caremark Plus (PDP) | $67.90 | $0 | Many Generics | No | $2.00 | $5.00 | $35.00 | $90.00 | tbd members | ||||||
2010 Health Net Value Orange Option 2 (PDP) | $56.50 | $0 | No Gap Coverage | No | S5678 -023 | $0.00 | $42.00 | $95.00 | 33% | 578 members | |||||
2011 Health Net Value Orange Option 2 (PDP) | $70.50 | $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) | $42.40 | $150 | No Gap Coverage | No | S5803 -146 | $5.00 | $35.00 | $65.00 | 29% | 2,602 members | |||||
2011 Community CCRx Choice (PDP) | $85.40 | $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) | $79.10 | $0 | Many Generics | No | S5921 -123 | $7.00 | $42.00 | $90.00 | 33% | 1,836 members | |||||
2011 AARP MedicareRx Enhanced (PDP) | $92.10 | $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 MedBlue Rx Plus (PDP) | $80.50 | $0 | Many Generics | No | S5953 -002 | $2.00 | $9.00 | $39.00 | $75.00 | 7,523 members | |||||
2011 MedBlue Rx Plus (PDP) | $93.30 | $0 | Many Generics | No | $2.00 | $7.00 | $33.00 | $74.00 | tbd members | ||||||
2010 AdvantraRx Premier Plus (PDP) | $65.90 | $0 | Many Generics | No | S5670 -054 | $5.00 | $25.00 | 20% | 75% | 2,549 members | |||||
2011 First Health Part D Premier Plus (PDP) | $95.80 | $0 | Some Generics, Some Brands |
No | $0.00 | $25.00 | 30% | 56% | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $77.80 | $0 | Many Generics | No | S5660 -179 | $6.00 | $40.00 | 75% | 33% | 475 members | |||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $108.60 | $250 | Many Generics | No | $6.00 | $40.00 | $95.00 | 26% | tbd members | ||||||
2010 Humana Complete S5884-037 (PDP) | $102.60 | $0 | Many Generics | No | S5884 -037 | $7.00 | $45.00 | $75.00 | 33% | 2,006 members | |||||
2011 Humana Complete (PDP) | $111.90 | $0 | Many Generics, Some Brands |
No | $5.00 | $37.00 | $69.00 | 33% | tbd members | ||||||
2010 Aetna Medicare Rx Premier (PDP) | $95.50 | $0 | Many Generics | No | S5810 -179 | $7.00 | $35.00 | $36.00 | $84.00 | 680 members | |||||
2011 Aetna Medicare Rx Premier (PDP) | $118.70 | $0 | n/a | tbd | tbd members | ||||||||||
2010 AARP MedicareRx Saver (PDP) | $30.10 | $310 | No Gap Coverage | Yes | S5921 -121 | $6.00 | $25.00 | $76.50 | 25% | 16,181 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) | $40.60 | $140 | No Gap Coverage | No | S5755 -047 | $4.00 | $45.00 | $90.00 | 25% | 343 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 SilverScript CVS Caremark Complete (PDP) | $65.30 | $0 | Many Generics | No | S5601 -080 | $2.50 | $7.50 | $39.00 | $98.00 | 457 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $43.30 | $0 | No Gap Coverage | No | S5644 -054 | $2.50 | $5.00 | 33% | 33% | 976 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Gold (PDP) | $32.30 | $150 | No Gap Coverage | No | S5597 -041 | $6.00 | $43.00 | 29% | 1,073 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 First Health Part D-Secure (PDP) | $23.80 | $175 | No Gap Coverage | No | S5768 -091 | $4.00 | 20% | 55% | 28% | 4,444 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Community CCRx Gold (PDP) | $69.30 | $0 | All Generics | No | S5803 -226 | $6.00 | $35.00 | $65.00 | 33% | 2,427 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 PrescribaRx Bronze (PDP) | $28.90 | $310 | No Gap Coverage | Yes | S5597 -243 | 25% | 25% | 25% | 3,197 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Fox Value Plan (PDP) | $35.50 | $310 | No Gap Coverage | No | S5557 -038 | members | |||||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $43.10 | $100 | No Gap Coverage | No | S5660 -008 | $6.00 | $40.00 | 75% | 30% | 2,479 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Premier (PDP) | $49.10 | $0 | No Gap Coverage | No | S5670 -052 | $12.00 | 16% | 51% | 33% | 5,477 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Humana Basic S5884-118 (PDP) | $35.70 | $310 | No Gap Coverage | No | S5884 -118 | $4.00 | 29% | 29% | 316 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Value (PDP) | $36.70 | $100 | No Gap Coverage | No | S5670 -051 | $6.00 | 18% | 64% | 30% | 12,823 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) | $34.20 | $100 | No Gap Coverage | Yes | S5617 -045 | $0.00 | $8.00 | $37.00 | $92.00 | 13,545 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
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