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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 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.
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» Details of the 2011 CMS Standard Plan including cost sharing, LIS benchmarks, etc.
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| 2011 Premium Changes for Persons Staying in their 2010 Plan |
| Premium Change Range | Total number of Plans in this Change Range | | $-9 to $-5 | * * -- total: 2 plans | | $-4 to $0 | * * * * -- total: 4 plans | | $1 to $5 | * * * * -- total: 4 plans | | $6 to $10 | * * * * * * * * * -- total: 9 plans | | $11 to $15 | * * * * * -- total: 5 plans | | $16 to $20 | * * * * -- total: 4 plans | | $21 to $25 | 0 plans | | $26 to $30 | * -- total: 1 plan | | $31 to $35 | 0 plans | | $36 to $40 | 0 plans | | $41 to $45 | 0 plans | |
» Click to see change details on a per plan basis
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| Details for the Min. and Max. Premium Plans in 2011 |
| H/L | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type | | Low | CA | Humana Walmart-Preferred Rx Plan (PDP) | $14.80 | $310.00 | No Gap Coverage | Basic | | High | CA | Humana Complete (PDP) | $114.80 | $0.00 | Many Generics and Some Brands | Enhanced |
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| » Click to see 2011 Part D Plan details for California. |
| The chart above shows the details of the least expensive and most expensive |
plans available for 2011.
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| Min. and Max. Premium Plans in 2010 and their change in 2011 |
| H/L | Year | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type | | Low | 2010 | CA | First Health Part D-Secure (PDP) | $17.60 | $175.00 | No Gap Coverage | Enhanced | | Low | 2011 | CA | -- | $0.00 | $0.00 | -- | -- |
| | High | 2010 | CA | Humana Complete S5884-060 (PDP) | $105.50 | $0.00 | Many Generics | Enhanced | | High | 2011 | CA | Humana Complete (PDP) | $114.80 | $0.00 | Many Generics and Some Brands | Enhanced |
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| » Click to see change details for all plans in California. |
| 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.
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| Gap Coverage Types and Minimum Premium for 2011 Part D Plans |
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| Notes: Click the Gap Coverage Type above to see plan details for 2011 California plans. |
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).
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| 2011 California $0 Premium LIS Qualified Part D Plans |
| 2011 LIS Qualifying Plans | | Plan Name | Plan ID | | Advantage Star Plan by RxAmerica (PDP) | S5644-084 | | BravoRx (PDP) | S5998-013 | | Health Net Orange Option 1 (PDP) | S5678-002 | | Humana Walmart-Preferred Rx Plan (PDP) | S5884-114 | | WellCare Classic (PDP) | S5967-169 |
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| 2010 LIS Qualifying Plans | | Plan Name | Plan ID | | Advantage Star Plan by RxAmerica (PDP) | S5644-084 | | Blue Cross MedicareRx Standard (PDP) | S5596-033 | | BravoRx (PDP) | S5998-013 | | First Health Part D-Premier (PDP) | S5768-082 | | Fox Value Plan (PDP) | S5557-054 | | Health Net Orange Option 1 (PDP) | S5678-002 |
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Note: Click heading above to see details LIS qualifying plans in California.
Please note, not all plans are available in every state.
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| List of National PDP Providers with Plans available in California |
| 2011 National PDP Providers | | Anthem Blue Cross Life and Health Insurance Co | | CIGNA Medicare Rx | | EnvisionRx Plus | | First Health Part D | | HealthSpring Prescription Drug Plan | | Humana Insurance Company | | Medco Medicare Prescription Plan | | RxAmerica | | SilverScript Insurance Company | | United American Insurance Company | | UnitedHealthcare | | Universal American |
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| 2010 National PDP Providers | | Aetna Medicare | | Anthem Blue Cross Life and Health Insurance Co | | Blue Shield of California | | CIGNA Medicare Rx | | Coventry AdvantraRx | | EnvisionRx Plus | | First Health Part D | | Health Net | | Humana Insurance Company | | Medco Medicare Prescription Plan | | RxAmerica | | SilverScript Insurance Company | | Sterling Life Insurance Company | | United American Insurance Company | | UnitedHealthcare | | Universal American | | WellCare |
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Note: Click heading above to see PDP plans and details for California.
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