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 -143 | ||||||||||||||
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 Community CCRx Basic (PDP) | $25.70 | $310 | No Gap Coverage | Yes | S5803 -091 | $0.00 | 25% | 70% | 109,800 members | ||||||
2011 Community CCRx Basic (PDP) | $25.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 31% | 62% | 25% | tbd members | ||||||
2010 Advantage Star Plan by RxAmerica (PDP) | $29.40 | $310 | No Gap Coverage | No | S5644 -079 | $4.00 | 25% | 25% | 45% | 6,955 members | |||||
2011 Advantage Star Plan by RxAmerica (PDP) | $25.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.50 | 25% | $95.00 | 25% | tbd members | ||||||
2010 BravoRx (PDP) | $26.70 | $310 | No Gap Coverage | Yes | S5998 -039 | 25% | 25% | 25% | 41,314 members | ||||||
2011 BravoRx (PDP) | $26.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 Health Net Orange Option 1 (PDP) | $29.40 | $310 | No Gap Coverage | No | S5678 -050 | $4.00 | $36.00 | $95.00 | 25% | 4,963 members | |||||
2011 Health Net Orange Option 1 (PDP) | $27.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $35.00 | $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 HealthSpring Prescription Drug Plan-Reg 22 (PDP) | $25.40 | $310 | No Gap Coverage | Yes | S5932 -021 | 25% | 25% | 48,690 members | |||||||
2011 HealthSpring Prescription Drug Plan-Reg 22 (PDP) | $27.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | ||||||||
2010 WellCare Classic (PDP) | $24.50 | $310 | No Gap Coverage | -- | S5967 -159 | $4.00 | $37.00 | $75.00 | 25% | 45,586 members | |||||
2011 WellCare Classic (PDP) | $28.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $45.00 | $93.00 | 25% | tbd members | ||||||
2010 SilverScript Value (PDP) | $29.40 | $310 | No Gap Coverage | No | S5601 -044 | $8.00 | $22.50 | $95.00 | 25% | 14,929 members | |||||
2011 CVS Caremark Value (PDP) | $28.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $45.00 | $95.00 | 25% | tbd members | ||||||
2010 Aetna Medicare Rx Essentials (PDP) | $21.00 | $310 | No Gap Coverage | Yes | S5810 -056 | $1.00 | $24.00 | $29.00 | $69.00 | 74,259 members | |||||
2011 Aetna Medicare Rx Essentials (PDP) | $29.10 | $310 | n/a | tbd | tbd members | ||||||||||
2010 EnvisionRxPlus Silver (PDP) | $25.70 | $310 | No Gap Coverage | Yes | S7694 -022 | 25% | 25% | 25% | 25% | 19,925 members | |||||
2011 EnvisionRxPlus Silver (PDP) | $29.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $25.00 | $310 | No Gap Coverage | Yes | S5617 -108 | $3.00 | $30.00 | $77.00 | 25% | 23,223 members | |||||
2011 CIGNA Medicare Rx Plan One (PDP) | $29.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $28.00 | $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 First Health Part D-Premier (PDP) | $24.80 | $150 | No Gap Coverage | Yes | S5768 -045 | $8.00 | 12% | 44% | 29% | 45,654 members | |||||
2011 First Health Part D Premier (PDP) | $30.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | $9.00 | 15% | 38% | 29% | tbd members | ||||||
2010 AARP MedicareRx Preferred (PDP) | $41.00 | $0 | No Gap Coverage | No | S5820 -021 | $7.00 | $42.00 | $64.00 | 33% | 183,673 members | |||||
2011 AARP MedicareRx Preferred (PDP) | $39.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $45.00 | $71.00 | 33% | tbd members | ||||||
2010 Sterling Rx (PDP) | $61.40 | $310 | No Gap Coverage | No | S4802 -013 | $9.00 | $29.00 | 25% | 733 members | ||||||
2011 Sterling Rx (PDP) | $40.30 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $22.00 | $37.00 | 25% | tbd members | ||||||
2010 MedicareRx Rewards Standard (PDP) | $28.30 | $310 | No Gap Coverage | No | S5960 -128 | $7.00 | 25% | 25% | 25% | 8,096 members | |||||
2011 MedicareRx Rewards Standard (PDP) | $40.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $39.00 | 25% | tbd members | ||||||
2010 Blue MedicareRx - Value (PDP) | $33.30 | $0 | No Gap Coverage | No | S5715 -005 | $11.00 | $45.00 | $88.00 | 33% | 34,361 members | |||||
2011 Blue MedicareRx Value (PDP) | $42.10 | $125 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $42.00 | $92.00 | 29% | tbd members | ||||||
2010 Humana Enhanced S5884-020 (PDP) | $41.40 | $0 | No Gap Coverage | No | S5884 -020 | $8.00 | $42.00 | $80.00 | 33% | 138,639 members | |||||
2011 Humana Enhanced (PDP) | $44.20 | $0 | Few Generics | No | $7.00 | $39.00 | $73.00 | 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 UA Medicare Part D Prescription Drug Cov (PDP) | $50.70 | $0 | No Gap Coverage | No | S5755 -025 | $9.00 | $38.00 | $76.00 | 33% | 6,006 members | |||||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $53.30 | $80 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $45.00 | $95.00 | 31% | tbd members | ||||||
2010 WellCare Signature (PDP) | $37.10 | $0 | No Gap Coverage | -- | S5967 -056 | $0.00 | $42.00 | $85.00 | 33% | 16,587 members | |||||
2011 WellCare Signature (PDP) | $53.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $95.00 | 33% | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $47.70 | $310 | No Gap Coverage | No | S5660 -124 | 25% | 25% | 25% | 25% | 416 members | |||||
2011 Medco Medicare Prescription Plan - Value (PDP) | $55.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 MedicareRx Rewards Plus (PDP) | $46.30 | $0 | No Gap Coverage | No | S5960 -154 | $7.00 | $43.00 | $85.00 | 33% | 675 members | |||||
2011 MedicareRx Rewards Plus (PDP) | $59.50 | $0 | Some Generics | No | $4.00 | $7.00 | $43.00 | $85.00 | tbd members | ||||||
2010 Aetna Medicare Rx Plus (PDP) | $25.80 | $0 | No Gap Coverage | No | S5810 -226 | $5.00 | $32.00 | $38.00 | $80.00 | 25,628 members | |||||
2011 Aetna Medicare Rx Plus (PDP) | $60.60 | $0 | n/a | tbd | tbd members | ||||||||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $66.50 | $0 | Many Generics, Few Brands |
No | S5617 -192 | $6.00 | $35.00 | $60.00 | 33% | 1,075 members | |||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $71.90 | $0 | Few Generics | No | $0.00 | $3.00 | $33.00 | $78.00 | 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 EnvisionRxPlus Gold (PDP) | $63.40 | $150 | No Gap Coverage | No | S7694 -056 | $4.00 | $30.00 | $25.00 | 25% | 249 members | |||||
2011 EnvisionRxPlus Gold (PDP) | $74.00 | $150 | Many Generics | No | $4.00 | 25% | $25.00 | 25% | tbd members | ||||||
2010 SilverScript CVS Caremark Plus (PDP) | $60.70 | $50 | No Gap Coverage | No | S5601 -045 | $2.50 | $7.50 | $25.00 | $30.00 | 1,496 members | |||||
2011 CVS Caremark Plus (PDP) | $79.10 | $0 | Many Generics | No | $2.00 | $5.00 | $35.00 | $90.00 | tbd members | ||||||
2010 Blue MedicareRx - Plus (PDP) | $67.50 | $0 | Many Generics | No | S5715 -006 | $5.00 | $38.00 | $75.00 | 33% | 15,320 members | |||||
2011 Blue MedicareRx Plus (PDP) | $82.20 | $0 | All Generics | No | $5.00 | $38.00 | $75.00 | 33% | tbd members | ||||||
2010 Community CCRx Choice (PDP) | $42.20 | $150 | No Gap Coverage | No | S5803 -159 | $5.00 | $35.00 | $65.00 | 29% | 9,679 members | |||||
2011 Community CCRx Choice (PDP) | $82.40 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2010 Health Net Orange Option 2 (PDP) | $66.40 | $0 | No Gap Coverage | No | S5678 -049 | $5.00 | $35.00 | $95.00 | 33% | 1,828 members | |||||
2011 Health Net Orange Option 2 (PDP) | $86.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $34.00 | $68.00 | 33% | tbd members | ||||||
2010 AdvantraRx Premier Plus (PDP) | $68.80 | $0 | Many Generics | No | S5670 -120 | $5.00 | $25.00 | 18% | 75% | 5,080 members | |||||
2011 First Health Part D Premier Plus (PDP) | $87.10 | $0 | Some Generics, Some Brands |
No | $0.00 | $25.00 | 30% | 60% | 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 Enhanced (PDP) | $76.20 | $0 | Many Generics | No | S5921 -193 | $7.00 | $42.00 | $90.00 | 33% | 8,737 members | |||||
2011 AARP MedicareRx Enhanced (PDP) | $89.20 | $0 | Some Generics | No | $4.00 | $40.00 | $75.00 | 33% | tbd members | ||||||
2010 Aetna Medicare Rx Premier (PDP) | $74.80 | $0 | Many Generics | No | S5810 -192 | $5.00 | $34.00 | $35.00 | $81.00 | 14,447 members | |||||
2011 Aetna Medicare Rx Premier (PDP) | $90.60 | $0 | n/a | tbd | tbd members | ||||||||||
2010 Humana Complete S5884-050 (PDP) | $94.90 | $0 | Many Generics | No | S5884 -050 | $7.00 | $40.00 | $75.00 | 33% | 10,141 members | |||||
2011 Humana Complete (PDP) | $104.20 | $0 | Many Generics, Some Brands |
No | $5.00 | $38.00 | $68.00 | 33% | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $86.00 | $0 | Many Generics | No | S5660 -192 | $6.00 | $40.00 | 75% | 33% | 1,146 members | |||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $108.20 | $250 | Many Generics | No | $6.00 | $40.00 | $95.00 | 26% | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $49.80 | $100 | No Gap Coverage | No | S5660 -022 | $6.00 | $39.00 | 75% | 30% | 4,424 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $34.40 | $100 | No Gap Coverage | No | S5617 -110 | $0.00 | $8.00 | $37.00 | $93.00 | 5,392 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 Value (PDP) | $41.80 | $100 | No Gap Coverage | No | S5670 -117 | $6.00 | 19% | 64% | 30% | 16,031 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Scott and White Health Plan Texas Rx Basic (PDP) | $46.40 | $0 | No Gap Coverage | No | S5915 -004 | $6.00 | $35.00 | $65.00 | 33% | 1,068 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Humana Basic S5884-121 (PDP) | $27.90 | $310 | No Gap Coverage | No | S5884 -121 | $4.00 | 29% | 29% | 2,148 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Premier (PDP) | $51.90 | $0 | No Gap Coverage | No | S5670 -118 | $12.00 | 16% | 52% | 33% | 10,216 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Bronze (PDP) | $23.20 | $310 | No Gap Coverage | Yes | S5597 -256 | 25% | 25% | 25% | 33,134 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Blue MedicareRx - Standard (PDP) | $39.00 | $310 | No Gap Coverage | No | S5715 -009 | $3.00 | $33.00 | $83.00 | 25% | 19,382 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) | $47.20 | $175 | No Gap Coverage | No | S5768 -104 | $4.00 | 20% | 53% | 28% | 794 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Scott and White Health Plan Texas Rx Value (PDP) | $44.50 | $310 | No Gap Coverage | No | S5915 -003 | $1.00 | $29.00 | $60.00 | 569 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Community CCRx Gold (PDP) | $75.70 | $0 | All Generics | No | S5803 -239 | $6.00 | $35.00 | $65.00 | 33% | 5,517 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Gold (PDP) | $37.80 | $150 | No Gap Coverage | No | S5597 -054 | $6.00 | $43.00 | 29% | 3,531 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $54.30 | $0 | No Gap Coverage | No | S5644 -058 | $2.50 | $5.00 | 33% | 33% | 971 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 UnitedHealthcare MedicareRx (PDP) | $23.50 | $310 | No Gap Coverage | Yes | S5917 -001 | $6.00 | $25.00 | $70.00 | 25% | 12,849 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) | $23.50 | $310 | No Gap Coverage | Yes | S5921 -191 | $6.00 | $25.00 | $80.00 | 25% | 70,895 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 SilverScript CVS Caremark Complete (PDP) | $81.90 | $0 | Many Generics | No | S5601 -093 | $2.50 | $7.50 | $39.00 | $98.00 | 512 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $34.30 | $140 | No Gap Coverage | No | S5755 -060 | $4.00 | $45.00 | $90.00 | 25% | 1,128 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Scott and White Health PlanTexas Rx Enhanced (PDP) | $113.40 | $0 | Many Generics | No | S5915 -002 | $0.00 | $35.00 | $65.00 | 33% | 354 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
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