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 -132 | ||||||||||||||
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) | $28.70 | $310 | No Gap Coverage | Yes | S5803 -076 | $0.00 | 30% | 55% | 23,282 members | ||||||
2011 Community CCRx Basic (PDP) | $29.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 31% | 62% | 25% | tbd members | ||||||
2010 Health Net Orange Option 1 (PDP) | $33.30 | $310 | No Gap Coverage | Yes | S5678 -020 | $4.00 | $37.00 | $95.00 | 25% | 10,244 members | |||||
2011 Health Net Orange Option 1 (PDP) | $30.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $34.00 | $75.00 | 25% | tbd members | ||||||
2010 HealthSpring Prescription Drug Plan -Reg 7 (PDP) | $32.30 | $310 | No Gap Coverage | Yes | S5932 -007 | 25% | 25% | 10,969 members | |||||||
2011 HealthSpring Prescription Drug Plan -Reg 7 (PDP) | $31.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | ||||||||
2010 SilverScript Value (PDP) | $35.50 | $310 | No Gap Coverage | No | S5601 -014 | $7.00 | $22.00 | $95.00 | 25% | 5,330 members | |||||
2011 CVS Caremark Value (PDP) | $32.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $39.00 | $95.00 | 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 AARP MedicareRx Preferred (PDP) | $40.80 | $0 | No Gap Coverage | No | S5820 -006 | $7.00 | $42.00 | $74.50 | 33% | 79,922 members | |||||
2011 AARP MedicareRx Preferred (PDP) | $32.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $7.00 | $45.00 | $83.00 | 33% | tbd members | ||||||
2010 Blue MedicareRx Standard (PDP) | $35.80 | $310 | No Gap Coverage | No | S5596 -005 | $6.50 | 25% | 25% | 25% | 8,631 members | |||||
2011 Blue MedicareRx Standard (PDP) | $33.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $7.00 | $36.00 | 25% | tbd members | ||||||
2010 WellCare Classic (PDP) | $33.20 | $310 | No Gap Coverage | -- | S5967 -144 | $4.00 | $34.00 | $68.00 | 25% | 7,643 members | |||||
2011 WellCare Classic (PDP) | $33.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $40.00 | $85.00 | 25% | tbd members | ||||||
2010 Advantage Star Plan by RxAmerica (PDP) | $35.50 | $310 | No Gap Coverage | No | S5644 -073 | $3.75 | 25% | 25% | 45% | 3,493 members | |||||
2011 Advantage Star Plan by RxAmerica (PDP) | $34.30 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $4.75 | 25% | $95.00 | 25% | tbd members | ||||||
2010 BravoRx (PDP) | $34.70 | $310 | No Gap Coverage | No | S5998 -016 | 25% | 25% | 25% | 279 members | ||||||
2011 BravoRx (PDP) | $34.50 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $28.30 | $310 | No Gap Coverage | Yes | S5617 -216 | $3.00 | $29.00 | $88.00 | 25% | 17,139 members | |||||
2011 CIGNA Medicare Rx Plan One (PDP) | $34.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $29.00 | $83.00 | 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 EnvisionRxPlus Silver (PDP) | $34.00 | $310 | No Gap Coverage | Yes | S7694 -007 | 25% | 25% | 25% | 25% | 8,398 members | |||||
2011 EnvisionRxPlus Silver (PDP) | $35.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $33.00 | $310 | No Gap Coverage | Yes | S5660 -109 | 25% | 25% | 25% | 25% | 10,503 members | |||||
2011 Medco Medicare Prescription Plan - Value (PDP) | $35.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 First Health Part D-Premier (PDP) | $32.20 | $150 | No Gap Coverage | Yes | S5768 -010 | $7.00 | 11% | 45% | 29% | 20,131 members | |||||
2011 First Health Part D Premier (PDP) | $35.70 | $150 | No additional gap coverage, only the Donut Hole Discount | No | $8.00 | 17% | 36% | 29% | tbd members | ||||||
2010 Aetna Medicare Rx Essentials (PDP) | $32.80 | $310 | No Gap Coverage | Yes | S5810 -041 | $2.00 | $25.00 | $26.00 | $70.00 | 8,041 members | |||||
2011 Aetna Medicare Rx Essentials (PDP) | $35.80 | $310 | n/a | tbd | tbd members | ||||||||||
2010 Humana Standard S5884-065 (PDP) | $42.70 | $310 | No Gap Coverage | No | S5884 -065 | 15% | 25% | 43% | 15,280 members | ||||||
2011 Humana Enhanced (PDP) | $42.60 | $50 | Few Generics | No | $7.00 | $38.00 | $71.00 | 31% | tbd members | ||||||
2010 Sterling Rx (PDP) | $69.00 | $310 | No Gap Coverage | No | S4802 -004 | $9.00 | $29.00 | 25% | 49 members | ||||||
2011 Sterling Rx (PDP) | $42.80 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $21.00 | $36.00 | 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) | $48.80 | $0 | No Gap Coverage | No | S5755 -010 | $7.00 | $36.00 | $72.00 | 33% | 4,184 members | |||||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $45.60 | $70 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $45.00 | $95.00 | 31% | tbd members | ||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $32.70 | $0 | No Gap Coverage | No | S5810 -211 | $2.00 | $28.00 | $34.00 | $80.00 | 4,964 members | |||||
2011 Aetna Medicare Rx Costco Plus Plan (PDP) | $57.30 | $0 | n/a | tbd | tbd members | ||||||||||
2010 Blue MedicareRx Plus (PDP) | $50.10 | $0 | No Gap Coverage | No | S5596 -006 | $7.00 | $43.00 | $85.00 | 33% | 19,788 members | |||||
2011 Blue MedicareRx Plus (PDP) | $58.20 | $0 | Some Generics | No | $4.00 | $7.00 | $43.00 | $85.00 | tbd members | ||||||
2010 WellCare Signature (PDP) | $41.30 | $0 | No Gap Coverage | -- | S5967 -041 | $0.00 | $42.00 | $85.00 | 33% | 6,287 members | |||||
2011 WellCare Signature (PDP) | $58.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $39.00 | $71.00 | 33% | tbd members | ||||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $60.50 | $0 | Many Generics, Few Brands | No | S5617 -177 | $6.00 | $35.00 | $60.00 | 33% | 637 members | |||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $65.50 | $0 | Few Generics | No | $0.00 | $3.00 | $35.00 | $78.00 | tbd members | ||||||
2010 EnvisionRxPlus Gold (PDP) | $56.30 | $150 | No Gap Coverage | No | S7694 -041 | $4.00 | $30.00 | $25.00 | 25% | 179 members | |||||
2011 EnvisionRxPlus Gold (PDP) | $68.10 | $150 | Many Generics | No | $4.00 | 25% | $25.00 | 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 Health Net Value Orange Option 2 (PDP) | $47.90 | $0 | No Gap Coverage | No | S5678 -019 | $0.00 | $42.00 | $95.00 | 33% | 1,591 members | |||||
2011 Health Net Value Orange Option 2 (PDP) | $69.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | ||||||
2010 SilverScript CVS Caremark Plus (PDP) | $58.30 | $50 | No Gap Coverage | No | S5601 -015 | $2.50 | $7.50 | $25.00 | $30.00 | 705 members | |||||
2011 CVS Caremark Plus (PDP) | $71.60 | $0 | Many Generics | No | $2.00 | $5.00 | $35.00 | $90.00 | tbd members | ||||||
2010 Community CCRx Choice (PDP) | $35.60 | $150 | No Gap Coverage | No | S5803 -144 | $5.00 | $35.00 | $65.00 | 29% | 1,542 members | |||||
2011 Community CCRx Choice (PDP) | $82.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2010 AdvantraRx Premier Plus (PDP) | $61.80 | $0 | Many Generics | No | S5670 -042 | $5.00 | $25.00 | 20% | 75% | 5,015 members | |||||
2011 First Health Part D Premier Plus (PDP) | $87.70 | $0 | Some Generics, Some Brands | No | $0.00 | $25.00 | 30% | 56% | tbd members | ||||||
2010 AARP MedicareRx Enhanced (PDP) | $79.10 | $0 | Many Generics | No | S5921 -103 | $7.00 | $42.00 | $90.00 | 33% | 3,346 members | |||||
2011 AARP MedicareRx Enhanced (PDP) | $88.80 | $0 | Some Generics | No | $4.50 | $40.00 | $78.00 | 33% | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $74.70 | $0 | Many Generics | No | S5660 -177 | $6.00 | $40.00 | 75% | 33% | 968 members | |||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $95.40 | $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 Aetna Medicare Rx Premier (PDP) | $88.90 | $0 | Many Generics | No | S5810 -177 | $7.00 | $35.00 | $36.00 | $86.00 | 1,422 members | |||||
2011 Aetna Medicare Rx Premier (PDP) | $103.40 | $0 | n/a | tbd | tbd members | ||||||||||
2010 Blue MedicareRx Premier (PDP) | $93.30 | $0 | Many Generics | No | S5596 -007 | $7.00 | $43.00 | $85.00 | 33% | 11,110 members | |||||
2011 Blue MedicareRx Premier (PDP) | $104.40 | $0 | Many Generics, Some Brands | No | $6.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2010 Humana Complete S5884-035 (PDP) | $97.90 | $0 | Many Generics | No | S5884 -035 | $7.00 | $45.00 | $75.00 | 33% | 3,733 members | |||||
2011 Humana Complete (PDP) | $107.30 | $0 | Many Generics, Some Brands | No | $6.00 | $37.00 | $72.00 | 33% | tbd members | ||||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $39.80 | $175 | No Gap Coverage | No | S5755 -045 | $4.00 | $45.00 | $90.00 | 25% | 422 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 SilverScript CVS Caremark Complete (PDP) | $67.60 | $0 | Many Generics | No | S5601 -078 | $2.50 | $7.50 | $39.00 | $98.00 | 552 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AARP MedicareRx Saver (PDP) | $30.40 | $310 | No Gap Coverage | Yes | S5921 -101 | $6.00 | $25.00 | $83.00 | 25% | 34,127 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 Advantage Freedom Plan by RxAmerica (PDP) | $46.60 | $0 | No Gap Coverage | No | S5644 -052 | $2.50 | $5.00 | 33% | 33% | 880 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Gold (PDP) | $33.30 | $150 | No Gap Coverage | No | S5597 -039 | $6.00 | $43.00 | 29% | 2,745 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Community CCRx Gold (PDP) | $76.70 | $0 | All Generics | No | S5803 -224 | $6.00 | $35.00 | $65.00 | 33% | 1,603 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $42.10 | $100 | No Gap Coverage | No | S5660 -006 | $6.00 | $38.00 | 75% | 30% | 3,717 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 First Health Part D-Secure (PDP) | $16.30 | $175 | No Gap Coverage | No | S5768 -089 | $4.00 | 20% | 53% | 28% | 9,669 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Humana Enhanced S5884-006 (PDP) | $39.80 | $0 | No Gap Coverage | No | S5884 -006 | $7.00 | $45.00 | $75.00 | 33% | 35,473 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) | $41.10 | $0 | No Gap Coverage | No | S5670 -040 | $12.00 | 16% | 52% | 33% | 4,674 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Bronze (PDP) | $26.30 | $310 | No Gap Coverage | Yes | S5597 -241 | 25% | 25% | 25% | 4,695 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Value (PDP) | $33.70 | $100 | No Gap Coverage | No | S5670 -039 | $6.00 | 19% | 64% | 30% | 14,264 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $34.70 | $100 | No Gap Coverage | No | S5617 -035 | $0.00 | $8.00 | $37.00 | $77.00 | 9,480 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
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