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 -139 | ||||||||||||||
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 AARP MedicareRx Preferred (PDP) | $42.10 | $0 | No Gap Coverage | No | S5820 -015 | $7.00 | $44.00 | $90.00 | 33% | 30,341 members | |||||
2011 AARP MedicareRx Preferred (PDP) | $34.90 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $7.00 | $45.00 | $94.00 | 33% | tbd members | ||||||
2010 Community CCRx Basic (PDP) | $37.10 | $310 | No Gap Coverage | Yes | S5803 -085 | $0.00 | 30% | 55% | 20,538 members | ||||||
2011 Community CCRx Basic (PDP) | $35.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 30% | 58% | 25% | tbd members | ||||||
2010 SilverScript Value (PDP) | $38.00 | $310 | No Gap Coverage | Yes | S5601 -032 | $8.00 | $21.25 | $95.00 | 25% | 22,051 members | |||||
2011 CVS Caremark Value (PDP) | $35.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $41.50 | $95.00 | 25% | tbd members | ||||||
2010 First Health Part D-Premier (PDP) | $36.90 | $150 | No Gap Coverage | Yes | S5768 -083 | $7.00 | 10% | 41% | 29% | 9,163 members | |||||
2011 First Health Part D Premier (PDP) | $35.40 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | $8.00 | 17% | 37% | 29% | 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 HealthSpring Prescription Drug Plan-Reg 16 (PDP) | $38.00 | $310 | No Gap Coverage | Yes | S5932 -015 | 25% | 25% | 9,549 members | |||||||
2011 HealthSpring Prescription Drug Plan-Reg 16 (PDP) | $36.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | ||||||||
2010 Advantage Star Plan by RxAmerica (PDP) | $38.40 | $310 | No Gap Coverage | No | S5644 -191 | $4.75 | 25% | 25% | 45% | 618 members | |||||
2011 Advantage Star Plan by RxAmerica (PDP) | $38.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | 25% | $95.00 | 25% | tbd members | ||||||
2010 Aetna Medicare Rx Essentials (PDP) | $35.40 | $310 | No Gap Coverage | Yes | S5810 -050 | $3.00 | $27.00 | $28.00 | $70.00 | 10,581 members | |||||
2011 Aetna Medicare Rx Essentials (PDP) | $38.20 | $310 | n/a | tbd | tbd members | ||||||||||
2010 BravoRx (PDP) | $38.20 | $310 | No Gap Coverage | Yes | S5998 -022 | 25% | 25% | 25% | 5,838 members | ||||||
2011 BravoRx (PDP) | $38.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $33.70 | $310 | No Gap Coverage | Yes | S5617 -223 | $3.00 | $34.00 | $87.00 | 25% | 9,251 members | |||||
2011 CIGNA Medicare Rx Plan One (PDP) | $38.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $34.00 | $84.00 | 25% | tbd members | ||||||
2010 Health Net Orange Option 1 (PDP) | $37.90 | $310 | No Gap Coverage | Yes | S5678 -038 | $4.00 | $41.00 | $95.00 | 25% | 8,309 members | |||||
2011 Health Net Orange Option 1 (PDP) | $38.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $39.00 | $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 Blue MedicareRx Standard (PDP) | $39.70 | $310 | No Gap Coverage | No | S5596 -021 | $6.00 | 25% | 25% | 25% | 4,333 members | |||||
2011 Blue MedicareRx Standard (PDP) | $41.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $36.00 | 25% | tbd members | ||||||
2010 Humana Standard S5884-074 (PDP) | $47.50 | $310 | No Gap Coverage | No | S5884 -074 | 15% | 25% | 44% | 6,283 members | ||||||
2011 Humana Enhanced (PDP) | $42.20 | $150 | Few Generics | No | $7.00 | $35.00 | $75.00 | 29% | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $38.50 | $310 | No Gap Coverage | No | S5660 -118 | 25% | 25% | 25% | 25% | 566 members | |||||
2011 Medco Medicare Prescription Plan - Value (PDP) | $44.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 EnvisionRxPlus Silver (PDP) | $40.80 | $310 | No Gap Coverage | No | S7694 -016 | 25% | 25% | 25% | 25% | 126 members | |||||
2011 EnvisionRxPlus Silver (PDP) | $47.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 WPS MedicareRx Enhanced Plan 1 (PDP) | $43.60 | $0 | No Gap Coverage | No | S5753 -006 | $6.00 | $13.00 | $39.00 | $68.00 | 19,258 members | |||||
2011 WPS MedicareRx Plan 1 (PDP) | $48.50 | $85 | No additional gap coverage, only the Donut Hole Discount | No | $6.00 | $13.00 | $39.00 | $89.00 | tbd members | ||||||
2010 Sterling Rx (PDP) | $64.80 | $310 | No Gap Coverage | No | S4802 -027 | $9.00 | $32.00 | 25% | 75 members | ||||||
2011 Sterling Rx (PDP) | $50.70 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $23.00 | $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 UA Medicare Part D Prescription Drug Cov (PDP) | $50.10 | $0 | No Gap Coverage | No | S5755 -019 | $10.00 | $39.00 | $78.00 | 33% | 590 members | |||||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $51.20 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $45.00 | $95.00 | 30% | tbd members | ||||||
2010 Blue MedicareRx Plus (PDP) | $45.90 | $0 | No Gap Coverage | No | S5596 -022 | $7.00 | $43.00 | $85.00 | 33% | 5,341 members | |||||
2011 Blue MedicareRx Plus (PDP) | $56.10 | $0 | Some Generics | No | $4.00 | $7.00 | $43.00 | $85.00 | tbd members | ||||||
2010 EnvisionRxPlus Gold (PDP) | $43.80 | $150 | No Gap Coverage | No | S7694 -050 | $4.00 | $30.00 | $25.00 | 25% | 151 members | |||||
2011 EnvisionRxPlus Gold (PDP) | $65.30 | $150 | Many Generics | No | $4.00 | 25% | $25.00 | 25% | tbd members | ||||||
2010 Aetna Medicare Rx Plus (PDP) | $35.40 | $0 | No Gap Coverage | No | S5810 -220 | $5.00 | $32.00 | $36.00 | $80.00 | 3,414 members | |||||
2011 Aetna Medicare Rx Plus (PDP) | $66.30 | $0 | n/a | tbd | tbd members | ||||||||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $66.40 | $0 | Many Generics, Few Brands |
No | S5617 -186 | $6.00 | $35.00 | $60.00 | 33% | 127 members | |||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $73.70 | $0 | Few Generics | No | $0.00 | $3.00 | $39.00 | $78.00 | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $71.20 | $0 | Many Generics | No | S5660 -186 | $6.00 | $40.00 | 75% | 33% | 458 members | |||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $74.70 | $250 | Many Generics | No | $6.00 | $40.00 | $95.00 | 26% | 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) | $43.40 | $50 | No Gap Coverage | No | S5601 -033 | $2.50 | $7.50 | $25.00 | $30.00 | 1,210 members | |||||
2011 CVS Caremark Plus (PDP) | $77.90 | $0 | Many Generics | No | $2.00 | $5.00 | $35.00 | $90.00 | tbd members | ||||||
2010 Community CCRx Choice (PDP) | $36.80 | $150 | No Gap Coverage | No | S5803 -153 | $5.00 | $35.00 | $65.00 | 29% | 1,439 members | |||||
2011 Community CCRx Choice (PDP) | $84.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2010 Health Net Value Orange Option 2 (PDP) | $55.60 | $0 | No Gap Coverage | No | S5678 -037 | $0.00 | $42.00 | $95.00 | 33% | 1,061 members | |||||
2011 Health Net Value Orange Option 2 (PDP) | $84.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | ||||||
2010 AdvantraRx Premier Plus (PDP) | $60.20 | $0 | Many Generics | No | S5670 -084 | $5.00 | $25.00 | 20% | 75% | 4,256 members | |||||
2011 First Health Part D Premier Plus (PDP) | $91.50 | $0 | Some Generics, Some Brands |
No | $0.00 | $25.00 | 30% | 57% | tbd members | ||||||
2010 AARP MedicareRx Enhanced (PDP) | $82.00 | $0 | Many Generics | No | S5921 -073 | $7.00 | $42.00 | $90.00 | 33% | 1,327 members | |||||
2011 AARP MedicareRx Enhanced (PDP) | $92.00 | $0 | Some Generics | No | $5.00 | $40.00 | $77.00 | 33% | tbd members | ||||||
2010 WPS MedicareRx Enhanced Plan 2 (PDP) | $75.10 | $0 | Many Generics | No | S5753 -007 | $6.00 | $13.00 | $39.00 | $68.00 | 8,457 members | |||||
2011 WPS MedicareRx Plan 2 (PDP) | $93.50 | $0 | Many Generics | No | $3.00 | $8.00 | $39.00 | $89.00 | 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 Blue MedicareRx Premier (PDP) | $86.70 | $0 | Many Generics | No | S5596 -023 | $7.00 | $43.00 | $85.00 | 33% | 2,886 members | |||||
2011 Blue MedicareRx Premier (PDP) | $96.50 | $0 | Many Generics, Some Brands |
No | $6.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2010 Aetna Medicare Rx Premier (PDP) | $78.40 | $0 | Many Generics | No | S5810 -186 | $6.00 | $35.00 | $36.00 | $83.00 | 1,257 members | |||||
2011 Aetna Medicare Rx Premier (PDP) | $99.30 | $0 | n/a | tbd | tbd members | ||||||||||
2010 Humana Complete S5884-044 (PDP) | $99.80 | $0 | Many Generics | No | S5884 -044 | $7.00 | $45.00 | $75.00 | 33% | 1,469 members | |||||
2011 Humana Complete (PDP) | $109.10 | $0 | Many Generics, Some Brands |
No | $6.00 | $41.00 | $73.00 | 33% | tbd members | ||||||
2010 First Health Part D-Secure (PDP) | $16.80 | $175 | No Gap Coverage | No | S5768 -098 | $4.00 | 20% | 53% | 28% | 11,625 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $38.80 | $100 | No Gap Coverage | No | S5617 -080 | $0.00 | $8.00 | $41.00 | $92.00 | 2,913 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Value (PDP) | $30.60 | $100 | No Gap Coverage | No | S5670 -081 | $6.00 | 19% | 65% | 30% | 15,213 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 Premier (PDP) | $41.60 | $0 | No Gap Coverage | No | S5670 -082 | $12.00 | 17% | 56% | 33% | 2,178 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Bronze (PDP) | $34.90 | $310 | No Gap Coverage | Yes | S5597 -250 | 25% | 25% | 25% | 10,923 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 DeanCare Rx Classic (PDP) | $68.30 | $310 | No Gap Coverage | No | S5954 -004 | $4.00 | $47.00 | 25% | 1,672 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 DeanCare Rx Value (PDP) | $42.60 | $0 | No Gap Coverage | No | S5954 -007 | $6.00 | $34.00 | $84.00 | 33% | 9,263 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 DeanCare Rx Enhanced (PDP) | $92.90 | $0 | Many Generics, Few Brands |
No | S5954 -005 | $5.00 | $37.00 | $72.00 | 33% | 1,448 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Humana Enhanced S5884-014 (PDP) | $39.40 | $0 | No Gap Coverage | No | S5884 -014 | $7.00 | $45.00 | $75.00 | 33% | 26,659 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) | $55.00 | $245 | No Gap Coverage | No | S5755 -054 | $4.00 | $45.00 | $90.00 | 25% | 269 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 WPS MedicareRx Standard Plan (PDP) | $41.80 | $310 | No Gap Coverage | No | S5753 -012 | 25% | 25% | 25% | 25% | 703 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $41.90 | $100 | No Gap Coverage | No | S5660 -016 | $6.00 | $40.00 | 75% | 30% | 1,953 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Community CCRx Gold (PDP) | $81.20 | $0 | All Generics | No | S5803 -233 | $6.00 | $35.00 | $65.00 | 33% | 555 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Gold (PDP) | $34.70 | $150 | No Gap Coverage | No | S5597 -048 | $6.00 | $43.00 | 29% | 1,423 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $50.00 | $0 | No Gap Coverage | No | S5644 -177 | $2.50 | $5.00 | 33% | 33% | 142 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 AARP MedicareRx Saver (PDP) | $33.50 | $310 | No Gap Coverage | Yes | S5921 -071 | $6.00 | $25.00 | $85.25 | 25% | 14,234 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 SilverScript CVS Caremark Complete (PDP) | $67.40 | $0 | Many Generics | No | S5601 -087 | $2.50 | $7.50 | $39.00 | $98.00 | 255 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
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