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PDP-Facts: 2011 Medicare Part D Plan Facts-
    Region (State) and National

Select a state to review the 2011 Medicare Prescription Drug Plan Statistics per State.
AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
National Statistics:
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» Charts & Figures     » Print Version
2011 National Medicare Part D Plan Statistics*
and Averages per Region
Statistic 2011 Change 11-10 2010 Change 10-09 2009
Total Number of Part D Drug Plans 1007 -569 1576 -112 1688
Average Nbr of Part D Plans per Region 30 -16 46 -3 49
Nbr of Enhanced (EA) Plans 434 -361 795 -95 890
Avg. Enhanced Plans per Region 13 -10 23 -3 26
Nbr of Basic (BA, DS, AE) Plans 573 -208 781 -17 798
Avg. Nbr of Basic Plans per Region 17 -6 23 0 23

Nbr of $0 Deductible Plans 396 -233 629 -304 933
Avg. Nbr of $0 Ded. Plans per Region 12 -7 19 -8 27
Percent $0 Deductible Plans 39% -1% 40% -15% 55%

Nbr of Plans with a Premium < $25 49 -42 91 -53 144
Avg Nbr of Plans - Premium < $25 1 -2 3 -1 4
Percent Plans with a Premium < $25 5% -1% 6% -3% 9%

Lowest Cost PDP Plan (Premium) $14.80 $6.00 $8.80 $-1.50 $10.30
Highest Cost PDP Plan (Premium) $133.40 $13.20 $120.20 $-16.60 $136.80
Average PDP Plan Premium (Cost) $53.77 $7.19 $46.58 $1.12 $45.46
% Change in Avg. PDP Plan Costs -- 15% -- 2% --
Avg. Weighted PDP Plan Premium** $41.05 $4.15 $36.90 $2.37 $34.53
% Change Weighted Avg. PDP Costs** -- 11% -- 7% --

Number of PDP Plans with Any Gap Coverage in the Gap (Donut Hole) 331 23 308 -108 416
Percent of PDP Plans with Any Gap Coverage 33% 13% 20% -5% 25%
Lowest Cost Plan with Any Gap Coverage
View coverage type / premium details
$32.90 $-7.50 $40.40 $8.50 $31.90

Number of LIS PDP Plans
View List of LIS Qualified Plans
315 27 288 -20 308
Nbr of Unique LIS Qualified Plans
View List of LIS Qualified Plans
24 -6 30 1 29

Premium Changes for Persons Staying in their Current Plan View premium detail chart
Nbr of Plans with Premium Decrease 236 -207 443 192 251
Nbr of Plans with No Premium Change 44 -14 58 -34 92
Nbr of Plans with Premium Increase 699 -411 1110 -201 1311
% of People with a Premium Increase 64% -17% 81% -7% 88%
Weighted Average Increase for People with a Premium Increase $6.74 $1.26 $5.48 $-2.75 $8.23
Note: *Stand-alone Medicare Prescription Drug Plans (PDP)s only. Data for MA-PD plans not included. The data for the sanctioned Aetna plans is NOT included on this page The data is calculated per region. For example. A plan which is avalilable in CMS Region 6 which includes PA and WV is counted once, not twice.
**The plan premium weighted averages are calculated by multiplying the plan premium by the number of enrollees in the plan to give more "weight" to plans with more members.

Links above will take you to examples for California (or select your state once in PDP-Finder or PDP-Compare)

» Details of the 2011 CMS Standard Plan including cost sharing, LIS benchmarks, etc.

Details for the Min. and Max. Premium Plans in 2011
H/LStatePlan NamePrem.Ded.Gap CoverageBenefit Type
LowWIHumana Walmart-Preferred Rx Plan (PDP)$14.80$310.00No Gap CoverageBasic
HighDC DE MDBlueRx Enhanced (PDP)$133.40$0.00All GenericsEnhanced
            » Click to see 2011 Part D Plan details for California or choose your state.
            The chart above shows the details of the least expensive and most expensive
            plans available for 2011.

Min. and Max. Premium Plans in 2010 and their change in 2011
H/LYearStatePlan NamePrem.Ded.Gap CoverageBenefit Type
Low2010OR WAFirst Health Part D-Secure (PDP)$8.80$175.00No Gap CoverageEnhanced
Low2011OR WA--$0.00$0.00----

High2010DC DE MDBlue Rx Enhanced (PDP)$120.20$0.00All GenericsEnhanced
High2011DC DE MDBlueRx Enhanced (PDP)$133.40$0.00All GenericsEnhanced

            » Click to see change details for all plans in California or choose your state.
            The chart above details the least (and most) expensive plan in 2010 and
            plan features and costs should you stay in the same plan in 2011.

Gap Coverage Types and Minimum Premium for 2011 Part D Plans
2011 Gap Coverage Details
Gap Coverage TypeNbr.
Plans
Min.
Prem.
No Gap Coverage676$14.80
Few Generics68$32.90
Some Generics67$34.70
Many Generics117$39.90
All Generics7$72.80
Some Generics and Some Brands34$79.10
Many Generics and Some Brands38$91.20
2010 Gap Coverage Details
Gap Coverage TypeNbr.
Plans
Min.
Prem.
No Gap Coverage1268$8.80
Some Generics7$40.40
Many Generics230$54.20
Many Generics and Few Brand35$56.00
All Generics35$56.60
Few Generics1$61.10
               Notes: Click the Gap Coverage Type above to see plan details in California
               or choose your state.


Gap coverage descriptions apply to formulary drugs only. The Healthcare Reform provides that for Plan Year 2011, ALL formulary generics will have at least a 7% discount and ALL brand drugs will have at least a 50% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. The percentage of "Generic" and "Brand" drugs covered in the gap are each separately calculated and the following descriptions are used:
  • "All": 100% of formulary drugs of this type (generic or brand as noted) are covered through the gap. Ex: "All Generics",
  • "Many": >=65% to <100% of formulary drugs of this type (generic or brand as noted) are covered through the gap. Ex: "Many Generics",
  • "Some": >=10% to <65 % of formulary drugs of this type (generic or brand as noted) are covered through the gap. Ex: "Some Generics",
  • "Few": >0% to <10% of formulary drugs of this type (generic or brand as noted) are covered through the gap (and must also be >15 products covered through the gap),
  • "No Gap Coverage": 0% of drugs are covered through the gap (or <=15 products covered through the gap).


$0 Premium LIS Qualified 2011 Part D Plans
2011 LIS Qualifying Plans
Plan NamePlan ID
AARP MedicareRx Preferred (PDP)S5820
AARP MedicareRx Preferred (PDP)S5805
Advantage Star Plan by RxAmerica (PDP)S5644
AR Blue Cross - Medi-Pak Rx Basic (PDP)S5795
Blue MedicareRx Standard (PDP)S5596
BravoRx (PDP)S5998
CIGNA Medicare Rx Plan One (PDP)S5617
Community CCRx Basic (PDP)S5803
Community CCRx Basic (PDP)S5825
CVS Caremark Value (PDP)S5601
EnvisionRxPlus Silver (PDP)S7694
First Health Part D Premier (PDP)S5768
Health Net Orange Option 1 (PDP)S5678
HealthSpring Prescription Drug Plan -Reg12 (PDP)S5932
Humana Walmart-Preferred Rx Plan (PDP)S5552
Humana Walmart-Preferred Rx Plan (PDP)S5884
Medco Medicare Prescription Plan - Value (PDP)S5660
Medco Medicare Prescription Plan - Value (PDP)S5983
MedicareBlue Rx Standard (PDP)S5743
MedicareRx Rewards Standard (PDP)S5960
Sterling Rx (PDP)S4802
UA Medicare Part D Prescription Drug Cov (PDP)S5755
WellCare Classic (PDP)S5967
Windsor Rx (PDP)S2505
2010 LIS Qualifying Plans
Plan NamePlan ID
AARP MedicareRx Saver (PDP)S5921
Advantage Star Plan by RxAmerica (PDP)S5644
AdvantraRx Premier (PDP)S5674
Aetna Medicare Rx Essentials (PDP)S5810
AmeriHealth Advantage (PDP)S2770
AR Blue Cross - Medi-Pak Rx Basic (PDP)S5795
Blue MedicareRx - Value (PDP)S5715
Blue MedicareRx Standard (PDP)S5596
Blue MedicareRx Value (PDP)S5726
BlueRx Option I (PDP)S1030
BravoRx (PDP)S5998
CIGNA Medicare Rx Plan One (PDP)S5617
Community CCRx Basic (PDP)S5803
EnvisionRxPlus Silver (PDP)S7694
First Health Part D-Premier (PDP)S5768
Fox Value Plan (PDP)S5557
GHI Medicare Prescription Drug Plan (PDP)S5966
Health Net Orange Option 1 (PDP)S5678
HealthSpring Prescription Drug Plan -Reg 2 (PDP)S5932
HIP Part D New York (PDP)S5741
Humana Basic S5884-122 (PDP)S5884
Medco Medicare Prescription Plan - Value (PDP)S5983
Medco Medicare Prescription Plan - Value (PDP)S5660
MedicareRx Rewards Standard (PDP)S5960
PrescribaRx Bronze (PDP)S5597
PrescribaRx Bronze (PDP)S5825
SilverScript Value (PDP)S5601
UA Medicare Part D Rx Covg - Silver Plan (PDP)S5755
UnitedHealthcare MedicareRx (PDP)S5917
Windsor Rx (PDP)S2505
               Note: Click heading above to see plan details in California or choose your state.
               Please note, not all plans are available in every state.


» Charts & Figures     » Print Version



Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.