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 -141 | |||||||||||
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 Windsor Rx (PDP) | $14.20 | $310 | No Gap Coverage | Yes | S2505 -003 | $5.00 | 20% | 25% | 45% | 3,802 members | ||
2011 Windsor Rx (PDP) | $23.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $34.00 | $70.00 | 25% | tbd members | |||
2010 SilverScript Value (PDP) | $30.80 | $310 | No Gap Coverage | No | S5601 -038 | $7.00 | $18.00 | $95.00 | 25% | 2,487 members | ||
2011 CVS Caremark Value (PDP) | $26.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $34.50 | $95.00 | 25% | tbd members | |||
2010 Community CCRx Basic (PDP) | $25.60 | $310 | No Gap Coverage | Yes | S5803 -088 | $0.00 | 30% | 65% | 36,276 members | |||
2011 Community CCRx Basic (PDP) | $28.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 31% | 66% | 25% | tbd members | |||
2010 Advantage Star Plan by RxAmerica (PDP) | $30.80 | $310 | No Gap Coverage | No | S5644 -194 | $3.25 | 25% | 25% | 45% | 465 members | ||
2011 Advantage Star Plan by RxAmerica (PDP) | $28.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.50 | 25% | $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 WellCare Classic (PDP) | $23.20 | $310 | No Gap Coverage | -- | S5967 -156 | $4.00 | $32.00 | $63.00 | 25% | 10,081 members | ||
2011 WellCare Classic (PDP) | $29.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $41.00 | $83.00 | 25% | tbd members | |||
2010 MedicareRx Rewards Standard (PDP) | $24.80 | $310 | No Gap Coverage | Yes | S5960 -125 | $5.50 | 25% | 25% | 25% | 5,341 members | ||
2011 MedicareRx Rewards Standard (PDP) | $29.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $7.00 | $33.00 | 25% | tbd members | |||
2010 EnvisionRxPlus Silver (PDP) | $31.50 | $310 | No Gap Coverage | No | S7694 -019 | 25% | 25% | 25% | 25% | 14 members | ||
2011 EnvisionRxPlus Silver (PDP) | $30.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2010 HealthSpring Prescription Drug Plan-Reg 19 (PDP) | $24.50 | $310 | No Gap Coverage | Yes | S5932 -018 | 25% | 25% | 2,006 members | ||||
2011 HealthSpring Prescription Drug Plan-Reg 19 (PDP) | $30.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2010 Health Net Orange Option 1 (PDP) | $26.40 | $310 | No Gap Coverage | Yes | S5678 -044 | $4.00 | $38.00 | $95.00 | 25% | 961 members | ||
2011 Health Net Orange Option 1 (PDP) | $30.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $34.00 | $75.00 | 25% | tbd members | |||
2010 Medco Medicare Prescription Plan - Value (PDP) | $28.40 | $310 | No Gap Coverage | Yes | S5660 -121 | 25% | 25% | 25% | 25% | 7,676 members | ||
2011 Medco Medicare Prescription Plan - Value (PDP) | $30.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 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 BravoRx (PDP) | $29.70 | $310 | No Gap Coverage | No | S5998 -024 | 25% | 25% | 25% | 12 members | |||
2011 BravoRx (PDP) | $30.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2010 First Health Part D-Premier (PDP) | $20.10 | $150 | No Gap Coverage | Yes | S5768 -043 | $8.00 | 10% | 40% | 29% | 7,843 members | ||
2011 First Health Part D Premier (PDP) | $31.10 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | $10.00 | 15% | 33% | 29% | tbd members | |||
2010 AR Blue Cross - Medi-Pak Rx Basic (PDP) | $25.90 | $200 | No Gap Coverage | Yes | S5795 -003 | $6.00 | $36.00 | $76.00 | 25% | 33,025 members | ||
2011 AR Blue Cross - Medi-Pak Rx Basic (PDP) | $31.30 | $250 | No additional gap coverage, only the Donut Hole Discount | Yes | $6.00 | $39.00 | $69.00 | 25% | tbd members | |||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $44.50 | $0 | No Gap Coverage | No | S5755 -022 | $10.00 | $39.00 | $78.00 | 33% | 1,232 members | ||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $32.20 | $110 | No additional gap coverage, only the Donut Hole Discount | Yes | $10.00 | $45.00 | $95.00 | 30% | tbd members | |||
2010 CIGNA Medicare Rx Plan One (PDP) | $24.50 | $310 | No Gap Coverage | Yes | S5617 -225 | $3.00 | $31.00 | $82.00 | 25% | 2,080 members | ||
2011 CIGNA Medicare Rx Plan One (PDP) | $33.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $29.00 | $82.00 | 25% | tbd members | |||
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