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2011 Missouri Medicare Part D Prescription Drug Plan Archive

Missouri State Flag .
Missouri PDP & MAPD Plan Highlights:
:: Missouri’s Lowest Cost Medicare Advantage Plan (Health & Rx): $0.00
:: Lowest Cost Medicare Part D Drug Plan (PDP) in Missouri: $14.80
:: Lowest Cost $0 Deductible Drug Plan (PDP) in Missouri: $36.20

Were you really looking for 2015 Plans in Missouri?   Choose a link below:
: : PDP-Finder: 2015 Medicare Part D Plan Finder. Search All Plans by Features & Premiums
: : Overview by State: State by State Plan Highlights
: : PDP-Facts: 20145 National and State Medicare Part D Program Overview and Statistics
    with access to underlying plan data

: : PDP-Compare: Compare the Features & Premiums of a 20134 Part D Plan with it’s 20145

Below is a summary of national Medicare Prescription Drug Only plans (PDP) for Residents of Missouri - CMS PDP Region 18.

Other 2011 Q1Medicare.com Plan Tools:
: : Click here to view Missouri national and regional plan details
    (copays/ coinsurance, plan ratings, enrollment figures, etc. in a separate window)

: : Click here to compare 2011 Missouri plan details with the 2010 plans
: : Click here to show 2011 Medicare Part D plans for a different state

2011 Medicare Part D - Missouri Plan Information
Print  |  Medicare Advantage Plans 2014   Archive:  2013 | 2012 | 2010 | 2009 | 2008 | 2007 | 2006
Plan Name Monthly
Deductible Qualifies
for $0
with Full
Coverage Gap
(Donut Hole)
Benefit Type
Plan ID
AARP Plans by United HealthCare
AARP MedicareRx Preferred (PDP)
$36.20$0YesNo Gap CoverageBasicS5820-017
AARP MedicareRx Enhanced (PDP)
$87.60$0NoSome GenericsEnhancedS5921-303
Aetna Life Insurance Company
:: Summary of Benefits Aetna Essentials, Plus & Premier Plans
:: Aetna Plans - Benefits at a Glance Brochure
:: Aetna Comprehensive Drug List
:: Prior Authorization Preferred Plan
:: Step Therapy Criteria Preferred Plan
Aetna Medicare Rx Essentials (PDP)
$38.70$310NoNo Gap CoverageBasicS5810-52
Aetna Medicare Rx Plus (PDP)
$66.60$0NoFew GenericsEnhancedS5810-222
Aetna Medicare Rx Premier (PDP)
$108.00$0NoSome Generics and Some BrandsEnhancedS5810-188
Anthem Blue Cross / Blue Shield
Blue MedicareRx Value (PDP)
$35.80$150NoNo Gap CoverageBasicS5596-043
Blue MedicareRx Plus (PDP)
$60.30$0NoSome GenericsEnhancedS5596-044
Blue MedicareRx Premier (PDP)
$100.40$0NoMany Generics and Some BrandsEnhancedS5596-045
Cigna Insurance Company
:: Summary of Benefits All CIGNA Plans
:: Evidence of Coverage Plan One
:: Evidence of Coverage Plan Two
:: Plan One Formulary
:: Plan Two Formulary
CIGNA Medicare Rx Plan One (PDP)
$36.90$310YesNo Gap CoverageBasicS5617-088
CIGNA Medicare Rx Plan Two (PDP)
$68.20$0NoFew GenericsEnhancedS5617-188
Community CCRx by Universal American

:: Education Booklet All CCRx Plans
:: Summary of Benefits All CCRx Plans
:: CCRx Formulary All Plans
:: Evidence Of Coverage Basic Plan
:: Evidence Of Coverage Choice Plan
Community CCRx Basic (PDP)
$32.70$310YesNo Gap CoverageBasicS5803-087
Community CCRx Choice (PDP)
$85.70$0NoNo Gap CoverageEnhancedS5803-155
CVS Caremark by SilverScript
:: Summary of Benefits All Plans
:: Evidence Of Coverage Value Plan
:: Evidence Of Coverage Plus Plan
:: Value Plan Formulary
:: Plus Plan Formulary
CVS Caremark Value (PDP)
$34.10$310YesNo Gap CoverageBasicS5601-036
CVS Caremark Plus (PDP)
$68.30$0NoMany GenericsEnhancedS5601-037
EnvisionRx Plus
:: Silver Plan Summary of Benefits
:: Gold Plan Summary of Benefits
:: Silver Plan Formulary
:: Gold Plan Formulary
EnvisionRxPlus Silver (PDP)
$37.50$310NoNo Gap CoverageBasicS7694-018
EnvisionRxPlus Gold (PDP)
$66.30$150NoMany GenericsEnhancedS7694-052
First Health Part D
:: Summary of Benefits All FirstHealth Plans
:: First Health Formulary
First Health Part D Premier (PDP)
$38.00$150NoNo Gap CoverageBasicS5768-021
First Health Part D Premier Plus (PDP)
$95.10$0NoSome Generics and Some BrandsEnhancedS5670-096
Health Net
:: Summary of Benefits All HealthNet Plans Value Formulary for Orange Option 1
& Value Orange Option 2
:: Health Net Orange Value Formulary
Classic Formulary for Orange Option 2 & All MAPD plans
:: Health Net Orange Classic Formulary
Health Net Orange Option 1 (PDP)
$37.40$310NoNo Gap CoverageBasicS5678-042
Health Net Orange Option 2 (PDP)
$86.50$0NoNo Gap CoverageEnhancedS5678-041
Humana Health Insurance Company
:: Humana Summary of Benefits All 3 Plans
:: Humana Determination Form
:: Humana Prior Authorization Form
:: Humana Walmart-Preferred Formulary
:: Humana Enhanced Plan Formulary
:: Humana Complete Plan Formulary
Humana Walmart-Preferred Rx Plan (PDP)
$14.80$310YesNo Gap CoverageBasicS5884-140
Humana Enhanced (PDP)
$44.80$50NoFew GenericsEnhancedS5884-076
Humana Complete (PDP)
$113.30$0NoMany Generics and Some BrandsEnhancedS5884-046
Medco Medicare Prescription Plan
:: Summary of Benefits
:: Evidence of Coverage
:: Medco Value Formulary
:: Medco Choice Formulary
Medco Medicare Prescription Plan - Value (PDP)
$37.20$310NoNo Gap CoverageBasicS5660-120
Medco Medicare Prescription Plan - Choice (PDP)
$104.00$250NoMany GenericsEnhancedS5660-188
:: Summary of Benefits Star Plan
:: Evidence of Coverage Star Plan
:: 2011 Formulary Star Plan
Advantage Star Plan by RxAmerica (PDP)
$36.10$310NoNo Gap CoverageBasicS5644-193
Sterling Prescription Drug Plan
Sterling Rx (PDP)
$37.90$100NoNo Gap CoverageBasicS4802-010
United American Insurance Company
Summary of Benefits coming soon
:: Evidence of Coverage
:: Formulary UA Medicare Plans
UA Medicare Part D Prescription Drug Cov (PDP)
$52.60$50NoNo Gap CoverageBasicS5755-021
WellCare Health Plans
:: Summary of Benefits All Plans
:: Evidence Of Coverage Signature Plan
:: Evidence Of Coverage Classic Plan
:: WellCare Classic Formulary
:: WellCare Signature Formulary
WellCare Classic (PDP)
$37.40$310NoNo Gap CoverageBasicS5967-155
WellCare Signature (PDP)
$58.70$0NoNo Gap CoverageEnhancedS5967-052

A few notes to help with the understanding of the 2011 Medicare Part D Plan chart above.
  • Plan Name: This is the official plan name from CMS
  • Deductible: This is the $310 deductible that was presented in the CMS Standard Plan. Many provider’s plans do not have a deductible, however the premium may be higher.
  • Qualifies for $0 Premium with Full Low-Income Subsidy?: If Yes is in the field, then you would pay a $0 premium if you have a Full Low-Income Subsidy. If No is in the field, then you would be responsible for the difference between what the state provides as the Full Low-Income Subsidy and the actual cost of the plan even if you have a Full Low-Income Subsidy.
  • Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3607.5 in drug costs (the Donut Hole). 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. In our chart, you will see one of the following:
    • No Gap Coverage: you must pay the $3607.5;

    • Few Generics: less than 10% of formulary generics are covered, but you must pay for Brand Drugs up to $3607.5;
    • Some Generics: 10% to 65% of formulary generics are covered, but you must pay for Brand Drugs up to $3607.5;

    • Many Generics: 65% to 100% of formulary generics are covered, but you must pay for Brand Drugs up to $3607.5;

    • All Generics : All formulary Generics are covered, but you must pay for Brand Drugs up to $3607.5;

    • Many Generics & Some Brands: These Medicare prescription drug plans cover 65% to 100% of formulary generics and a some (10% to 65%) of Brand drugs on the plan’s formulary.

    • Some Generics & Some Brands: These Medicare prescription drug plans cover 10% to 65% of Generic and Brand drugs on the plan’s formulary. (Search Tip: If you would like to reduce the plans shown to just plans with a certain type of gap coverage, select this type of coverage in the "Type of Gap Coverage" field.)

  • Benefit Type: Basic means that this plan follows the standard CMS plan. Enhanced means that this plan has features above and beyond the standard CMS plan.
  • Plan ID: This is the unique id for this particular plan.

(Chart Source: Centers for Medicare and Medicaid file 2011LandscapeSourceData_PDP_09_15_10.xls)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information. Through the application process we will provide you with the most up-to-the-minute information/pricing.

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Last updated on: 11/03/2010

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