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2011 South Carolina Medicare Part D Plan Statistics*
CMS Region 9 includes (SC)
Statistic 2011 Change 11-10 2010 Change 10-09 2009
Total Number of Part D Drug Plans
View list of National Providers
31 -16 47 -6 53
Nbr of Enhanced (EA) Plans 13 -9 22 -4 26
Nbr of Basic (BA, DS, AE) Plans 18 -7 25 -2 27

Nbr of $0 Deductible Plans 13 -6 19 -9 28
Lowest Premium for a $0 Ded. Plan $34.70 $3.8 $30.90 $7.8 $23.10
Percent $0 Deductible Plans 42% 2% 40% -13% 53%

Nbr of Plans with a Premium < $25 1 0 1 -1 2
Percent Plans with a Premium < $25 3% 1% 2% -2% 4%

Lowest Cost PDP Plan (Premium)
View details of Lowest Cost Plan(s)
$14.80 $-9.00 $23.80 $8.60 $15.20
Highest Cost PDP Plan (Premium)
View details of Highest Cost Plan(s)
$111.90 $9.30 $102.60 $2.10 $100.50
Average PDP Plan Premium (Cost) $53.66 $7.97 $45.69 $1.24 $44.45
% Change in Avg. PDP Plan Costs -- 17% -- 3% --
Avg. Weighted PDP Plan Premium** $43.02 $3.52 $39.50 $3.20 $36.30
% Change Weighted Avg. PDP Costs** -- 9% -- 9% --

Number of PDP Plans with Any Gap Coverage in the Gap (Donut Hole) 10 1 9 -3 12
Percent of PDP Plans with Any Gap Coverage 32% 13% 19% -4% 23%
Lowest Cost Plan with Any Gap Coverage
View coverage type / premium details
$48.00 $-13.20 $61.20 $8.40 $52.80

Total Beneficiaries with LIS 175,736 115,334
LIS Benchmark Premium $36.90 $1.88 $35.02
Total Nbr of LIS Qualified Plans 14 2 12 -3 15

Premium Changes for Persons Staying in their Current Plan View premium detail chart
Nbr of Plans with Premium Decrease 3 -13 16 11 5
Nbr of Plans with No Premium Change 1 -1 2 -3 5
Nbr of Plans with Premium Increase 26 -4 30 -12 42
% of People with a Premium Increase 74% -4% 78% -11% 89%
Weighted Average Increase for People with a Premium Increase $5.34 $-0.45 $5.79 $-1.26 $7.05
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.

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

2011 Premium Changes for Persons Staying in their 2010 Plan
Premium Change Range Total number of Plans in this Change Range
$-18 to $-14 * -- total: 1 plan
$-13 to $-9 0 plans
$-8 to $-4 * -- total: 1 plan
$-3 to $1 * * -- total: 2 plans
$2 to $6 * * * * * * * * * * * * * * -- total: 14 plans
$7 to $11 * * -- total: 2 plans
$12 to $16 * * * * * -- total: 5 plans
$17 to $21 * * -- total: 2 plans
$22 to $26 0 plans
$27 to $31 * -- total: 1 plan
$32 to $36 * -- total: 1 plan
$37 to $41 0 plans
$42 to $46 * -- total: 1 plan
            » Click to see change details on a per plan basis

Details for the Min. and Max. Premium Plans in 2011
H/LStatePlan NamePrem.Ded.Gap CoverageBenefit Type
LowSCHumana Walmart-Preferred Rx Plan (PDP)$14.80$310.00No Gap CoverageBasic
HighSCHumana Complete (PDP)$111.90$0.00Many Generics and Some BrandsEnhanced
            » Click to see 2011 Part D Plan details for South Carolina.
            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
Low2010SCFirst Health Part D-Secure (PDP)$23.80$175.00No Gap CoverageEnhanced
Low2011SC--$0.00$0.00----

High2010SCHumana Complete S5884-037 (PDP)$102.60$0.00Many GenericsEnhanced
High2011SCHumana Complete (PDP)$111.90$0.00Many Generics and Some BrandsEnhanced

            » Click to see change details for all plans in South Carolina.
            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 Coverage21$14.80
Some Generics2$48.00
Few Generics2$48.70
Many Generics4$64.90
Some Generics and Some Brands1$95.80
Many Generics and Some Brands1$111.90
2010 Gap Coverage Details
Gap Coverage TypeNbr.
Plans
Min.
Prem.
No Gap Coverage38$23.80
Many Generics and Few Brand1$61.20
Many Generics7$65.30
All Generics1$69.30
               Notes: Click the Gap Coverage Type above to see plan details for 2011 South Carolina 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).


2011 South Carolina $0 Premium LIS Qualified Part D Plans
2011 LIS Qualifying Plans
Plan NamePlan ID
AARP MedicareRx Preferred (PDP)S5820-008
Advantage Star Plan by RxAmerica (PDP)S5644-075
BravoRx (PDP)S5998-018
CIGNA Medicare Rx Plan One (PDP)S5617-218
Community CCRx Basic (PDP)S5803-078
CVS Caremark Value (PDP)S5601-018
First Health Part D Premier (PDP)S5768-012
Health Net Orange Option 1 (PDP)S5678-024
HealthSpring Prescription Drug Plan -Reg 9 (PDP)S5932-009
Humana Walmart-Preferred Rx Plan (PDP)S5884-134
Medco Medicare Prescription Plan - Value (PDP)S5660-111
MedicareRx Rewards Standard (PDP)S5960-115
WellCare Classic (PDP)S5967-146
Windsor Rx (PDP)S2505-007
2010 LIS Qualifying Plans
Plan NamePlan ID
AARP MedicareRx Saver (PDP)S5921-121
Aetna Medicare Rx Essentials (PDP)S5810-043
BravoRx (PDP)S5998-018
CIGNA Medicare Rx Plan One (PDP)S5617-218
CIGNA Medicare Rx Plan Two (PDP)S5617-045
Community CCRx Basic (PDP)S5803-078
First Health Part D-Premier (PDP)S5768-012
Health Net Orange Option 1 (PDP)S5678-024
HealthSpring Prescription Drug Plan -Reg 9 (PDP)S5932-009
Medco Medicare Prescription Plan - Value (PDP)S5660-111
PrescribaRx Bronze (PDP)S5597-243
Windsor Rx (PDP)S2505-007
               Note: Click heading above to see details LIS qualifying plans in South Carolina.
               Please note, not all plans are available in every state.

List of National PDP Providers with Plans available in South Carolina
2011 National PDP Providers
CIGNA Medicare Rx
EnvisionRx Plus
First Health Part D
HealthSpring Prescription Drug Plan
Humana Insurance Company
Medco Medicare Prescription Plan
RxAmerica
SilverScript Insurance Company
UniCare
United American Insurance Company
UnitedHealthcare
Universal American
2010 National PDP Providers
Aetna Medicare
Blue Cross Blue Shield of South Carolina
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
UniCare
United American Insurance Company
UnitedHealthcare
Universal American
WellCare
               Note: Click heading above to see PDP plans and details for South Carolina.


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