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 S5884-115 (PDP) | $11.20 | $150 | No Gap Coverage | No | S5884 -115 | $5.00 | $35.00 | 32% | 233 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) | $25.20 | $310 | No Gap Coverage | Yes | S5644 -085 | $3.25 | 25% | 25% | 45% | 1,061 members | |||||
2011 Advantage Star Plan by RxAmerica (PDP) | $22.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.75 | 25% | $95.00 | 25% | tbd members | ||||||
2010 SilverScript Value (PDP) | $25.40 | $310 | No Gap Coverage | Yes | S5601 -066 | $7.00 | $19.00 | $95.00 | 25% | 927 members | |||||
2011 CVS Caremark Value (PDP) | $23.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $41.50 | $95.00 | 25% | tbd members | ||||||
2010 HealthSpring Prescription Drug Plan-Reg 33 (PDP) | $24.00 | $310 | No Gap Coverage | Yes | S5932 -032 | 25% | 25% | 4,277 members | |||||||
2011 HealthSpring Prescription Drug Plan-Reg 33 (PDP) | $25.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | ||||||||
2010 MedicareRx Rewards Standard (PDP) | $35.10 | $310 | No Gap Coverage | No | S5960 -139 | $6.50 | 25% | 25% | 25% | 612 members | |||||
2011 MedicareRx Rewards Standard (PDP) | $28.40 | $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 AARP MedicareRx Preferred (PDP) | $36.90 | $0 | No Gap Coverage | No | S5820 -032 | $7.00 | $45.00 | $95.00 | 33% | 4,247 members | |||||
2011 AARP MedicareRx Preferred (PDP) | $29.20 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $8.00 | $45.00 | $95.00 | 33% | tbd members | ||||||
2010 Community CCRx Basic (PDP) | $31.00 | $310 | No Gap Coverage | No | S5803 -102 | $0.00 | 25% | 70% | 656 members | ||||||
2011 Community CCRx Basic (PDP) | $31.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | 31% | 60% | 25% | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $27.30 | $310 | No Gap Coverage | No | S5660 -135 | 25% | 25% | 25% | 25% | 77 members | |||||
2011 Medco Medicare Prescription Plan - Value (PDP) | $32.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 First Health Part D-Premier (PDP) | $31.00 | $150 | No Gap Coverage | No | S5768 -124 | $7.00 | 11% | 44% | 29% | 192 members | |||||
2011 First Health Part D Premier (PDP) | $32.70 | $150 | No additional gap coverage, only the Donut Hole Discount | No | $9.00 | 20% | 38% | 29% | tbd members | ||||||
2010 Health Net Orange Option 1 (PDP) | $31.60 | $310 | No Gap Coverage | No | S5678 -066 | $4.00 | $42.00 | $95.00 | 25% | 63 members | |||||
2011 Health Net Orange Option 1 (PDP) | $33.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $43.00 | $75.00 | 25% | tbd members | ||||||
2010 Humana Standard S5884-093 (PDP) | $34.40 | $310 | No Gap Coverage | No | S5884 -093 | 15% | 25% | 42% | 313 members | ||||||
2011 Humana Standard (PDP) | $37.20 | $310 | Few Generics | No | 15% | 25% | 34% | 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 WellCare Classic (PDP) | $38.70 | $310 | No Gap Coverage | -- | S5967 -170 | $5.00 | $35.00 | $82.00 | 25% | 190 members | |||||
2011 WellCare Classic (PDP) | $37.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $43.00 | $95.00 | 25% | tbd members | ||||||
2010 EnvisionRxPlus Silver (PDP) | $31.60 | $310 | No Gap Coverage | No | S7694 -033 | 25% | 25% | 25% | 25% | < 10 members | |||||
2011 EnvisionRxPlus Silver (PDP) | $37.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 EnvisionRxPlus Gold (PDP) | $26.00 | $150 | No Gap Coverage | No | S7694 -067 | $4.00 | $30.00 | $25.00 | 25% | 25 members | |||||
2011 EnvisionRxPlus Gold (PDP) | $44.20 | $150 | Many Generics | No | $4.00 | 25% | $25.00 | 25% | tbd members | ||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $33.50 | $310 | No Gap Coverage | No | S5617 -163 | $3.00 | $33.00 | $85.00 | 25% | 69 members | |||||
2011 CIGNA Medicare Rx Plan One (PDP) | $44.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $34.00 | $85.00 | 25% | tbd members | ||||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $39.10 | $0 | No Gap Coverage | No | S5755 -038 | $9.00 | $38.00 | $76.00 | 33% | 68 members | |||||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $50.30 | $60 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $45.00 | $95.00 | 31% | tbd members | ||||||
2010 MedicareRx Rewards Plus (PDP) | $38.30 | $0 | No Gap Coverage | No | S5960 -161 | $7.00 | $43.00 | $85.00 | 33% | 40 members | |||||
2011 MedicareRx Rewards Plus (PDP) | $51.50 | $0 | Some Generics | No | $4.00 | $7.00 | $43.00 | $85.00 | 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 Essentials (PDP) | $23.60 | $310 | No Gap Coverage | Yes | S5810 -067 | $2.00 | $28.00 | $29.00 | $70.00 | 577 members | |||||
2011 Aetna Medicare Rx Essentials (PDP) | $51.90 | $310 | n/a | tbd | tbd members | ||||||||||
2010 WellCare Signature (PDP) | $30.00 | $0 | No Gap Coverage | -- | S5967 -067 | $0.00 | $42.00 | $85.00 | 33% | 328 members | |||||
2011 WellCare Signature (PDP) | $52.80 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $93.00 | 33% | tbd members | ||||||
2010 SilverScript CVS Caremark Plus (PDP) | $35.50 | $50 | No Gap Coverage | No | S5601 -067 | $2.50 | $7.50 | $25.00 | $30.00 | 68 members | |||||
2011 CVS Caremark Plus (PDP) | $56.40 | $0 | Many Generics | No | $2.00 | $5.00 | $35.00 | $90.00 | tbd members | ||||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $73.20 | $0 | Many Generics, Few Brands |
No | S5617 -203 | $6.00 | $35.00 | $60.00 | 33% | 13 members | |||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $58.80 | $0 | Few Generics | No | $0.00 | $3.00 | $39.00 | $78.00 | tbd members | ||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $26.20 | $0 | No Gap Coverage | No | S5810 -237 | $2.00 | $28.00 | $34.00 | $80.00 | 202 members | |||||
2011 Aetna Medicare Rx Costco Plus Plan (PDP) | $60.40 | $0 | n/a | tbd | tbd members | ||||||||||
2010 Health Net Orange Option 2 (PDP) | $38.00 | $0 | No Gap Coverage | No | S5678 -065 | $5.00 | $35.00 | $95.00 | 33% | 76 members | |||||
2011 Health Net Orange Option 2 (PDP) | $68.50 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $34.00 | $68.00 | 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 - Access (PDP) | $80.60 | $0 | Many Generics | No | S5660 -203 | $6.00 | $40.00 | 75% | 33% | 45 members | |||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $68.60 | $250 | Many Generics | No | $6.00 | $40.00 | $95.00 | 26% | tbd members | ||||||
2010 AdvantraRx Premier Plus (PDP) | $60.80 | $0 | Many Generics | No | S5674 -065 | $5.00 | $25.00 | 20% | 75% | 69 members | |||||
2011 First Health Part D Premier Plus (PDP) | $79.10 | $0 | Some Generics, Some Brands |
No | $0.00 | $25.00 | 33% | 60% | tbd members | ||||||
2010 AARP MedicareRx Enhanced (PDP) | $77.60 | $0 | Many Generics | No | S5921 -043 | $7.00 | $42.00 | $90.00 | 33% | 179 members | |||||
2011 AARP MedicareRx Enhanced (PDP) | $81.90 | $0 | Some Generics | No | $6.00 | $40.00 | $70.00 | 33% | tbd members | ||||||
2010 Community CCRx Choice (PDP) | $40.40 | $150 | No Gap Coverage | No | S5803 -170 | $5.00 | $35.00 | $65.00 | 29% | 49 members | |||||
2011 Community CCRx Choice (PDP) | $84.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2010 Aetna Medicare Rx Premier (PDP) | $85.20 | $0 | Many Generics | No | S5810 -203 | $7.00 | $36.00 | $37.00 | $85.00 | 40 members | |||||
2011 Aetna Medicare Rx Premier (PDP) | $110.80 | $0 | n/a | tbd | tbd members | ||||||||||
2010 AARP MedicareRx Saver (PDP) | $20.50 | $310 | No Gap Coverage | Yes | S5921 -041 | $6.00 | $25.00 | $86.00 | 25% | 10,018 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) | $37.40 | $215 | No Gap Coverage | No | S5755 -071 | $4.00 | $45.00 | $90.00 | 25% | 16 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 SilverScript CVS Caremark Complete (PDP) | $77.80 | $0 | Many Generics | No | S5601 -104 | $2.50 | $7.50 | $39.00 | $98.00 | 22 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Fox Grand Plan (PDP) | $47.50 | $0 | Some Generics | No | S5557 -021 | $1.00 | $37.00 | $41.00 | $95.00 | < 10 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $37.90 | $0 | No Gap Coverage | No | S5644 -065 | $2.50 | $5.00 | 33% | 33% | 101 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Community CCRx Gold (PDP) | $77.90 | $0 | All Generics | No | S5803 -250 | $6.00 | $35.00 | $65.00 | 33% | 52 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $47.30 | $100 | No Gap Coverage | No | S5660 -033 | $6.00 | $40.00 | 75% | 30% | 353 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 First Health Part D-Secure (PDP) | $17.80 | $175 | No Gap Coverage | No | S5768 -115 | $4.00 | 20% | 52% | 28% | 158 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Fox Value Plan (PDP) | $25.60 | $310 | No Gap Coverage | Yes | S5557 -031 | 0% | 50% | 39% | 60% | < 10 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Humana Complete S5884-099 (PDP) | $99.40 | $0 | Many Generics | No | S5884 -099 | $7.00 | $45.00 | $75.00 | 33% | 15 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Premier (PDP) | $25.50 | $0 | No Gap Coverage | Yes | S5674 -063 | $12.00 | 18% | 60% | 33% | 3,213 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Value (PDP) | $22.60 | $100 | No Gap Coverage | No | S5674 -062 | $7.00 | 20% | 61% | 30% | 406 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $30.90 | $100 | No Gap Coverage | No | S5617 -165 | $0.00 | $8.00 | $42.00 | $97.00 | 88 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
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