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 -146 | ||||||||||||||
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 Health Net Orange Option 1 (PDP) | $17.00 | $310 | No Gap Coverage | Yes | S5678 -001 | $4.00 | $36.00 | $95.00 | 25% | 34,156 members | |||||
2011 Health Net Orange Option 1 (PDP) | $22.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $36.00 | $75.00 | 25% | tbd members | ||||||
2010 WellCare Classic (PDP) | $19.70 | $310 | No Gap Coverage | -- | S5967 -165 | $4.00 | $36.00 | $75.00 | 25% | 3,730 members | |||||
2011 WellCare Classic (PDP) | $23.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $44.00 | $94.00 | 25% | tbd members | ||||||
2010 Advantage Star Plan by RxAmerica (PDP) | $49.10 | $310 | No Gap Coverage | No | S5644 -081 | $5.50 | 25% | 25% | 45% | 306 members | |||||
2011 Advantage Star Plan by RxAmerica (PDP) | $24.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.50 | 25% | $95.00 | 25% | tbd members | ||||||
2010 MedicareRx Rewards Standard (PDP) | $17.60 | $310 | No Gap Coverage | Yes | S5960 -134 | $7.00 | 25% | 25% | 25% | 4,384 members | |||||
2011 MedicareRx Rewards Standard (PDP) | $25.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $7.00 | $38.00 | 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 SilverScript Value (PDP) | $38.20 | $310 | No Gap Coverage | No | S5601 -056 | $7.00 | $19.50 | $95.00 | 25% | 617 members | |||||
2011 CVS Caremark Value (PDP) | $25.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $39.50 | $95.00 | 25% | tbd members | ||||||
2010 BravoRx (PDP) | $24.30 | $310 | No Gap Coverage | Yes | S5998 -032 | 25% | 25% | 25% | 2,078 members | ||||||
2011 BravoRx (PDP) | $26.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 Community CCRx Basic (PDP) | $22.30 | $310 | No Gap Coverage | Yes | S5803 -097 | $0.00 | 30% | 70% | 4,146 members | ||||||
2011 Community CCRx Basic (PDP) | $27.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 30% | 67% | 25% | tbd members | ||||||
2010 AARP MedicareRx Preferred (PDP) | $35.20 | $0 | No Gap Coverage | No | S5820 -027 | $7.00 | $42.00 | $79.00 | 33% | 69,463 members | |||||
2011 AARP MedicareRx Preferred (PDP) | $28.60 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $7.00 | $45.00 | $80.00 | 33% | tbd members | ||||||
2010 EnvisionRxPlus Silver (PDP) | $31.00 | $310 | No Gap Coverage | No | S7694 -028 | 25% | 25% | 25% | 25% | 34 members | |||||
2011 EnvisionRxPlus Silver (PDP) | $28.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 Humana Standard S5884-086 (PDP) | $30.10 | $310 | No Gap Coverage | No | S5884 -086 | 15% | 25% | 39% | 9,288 members | ||||||
2011 Humana Enhanced (PDP) | $32.90 | $0 | Few Generics | No | $7.00 | $39.00 | $71.00 | 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 MedicareRx Rewards Plus (PDP) | $25.20 | $0 | No Gap Coverage | No | S5960 -158 | $7.00 | $43.00 | $85.00 | 33% | 1,896 members | |||||
2011 MedicareRx Rewards Plus (PDP) | $36.00 | $0 | Some Generics | No | $4.00 | $7.00 | $43.00 | $85.00 | tbd members | ||||||
2010 Sterling Rx (PDP) | $48.90 | $310 | No Gap Coverage | No | S4802 -018 | $10.00 | $34.00 | 25% | 43 members | ||||||
2011 Sterling Rx (PDP) | $39.00 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $24.00 | $40.00 | 25% | tbd members | ||||||
2010 First Health Part D-Premier (PDP) | $33.60 | $150 | No Gap Coverage | No | S5768 -121 | $7.00 | 11% | 44% | 29% | 662 members | |||||
2011 First Health Part D Premier (PDP) | $40.40 | $150 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | 18% | 36% | 29% | tbd members | ||||||
2010 HealthSpring Prescription Drug Plan-Reg 28 (PDP) | $33.40 | $310 | No Gap Coverage | No | S5932 -027 | 25% | 25% | 164 members | |||||||
2011 HealthSpring Prescription Drug Plan-Reg 28 (PDP) | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | tbd members | ||||||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $36.90 | $310 | No Gap Coverage | No | S5660 -130 | 25% | 25% | 25% | 25% | 262 members | |||||
2011 Medco Medicare Prescription Plan - Value (PDP) | $45.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $38.10 | $310 | No Gap Coverage | No | S5617 -138 | $3.00 | $29.00 | $80.00 | 25% | 628 members | |||||
2011 CIGNA Medicare Rx Plan One (PDP) | $48.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $30.00 | $82.00 | 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) | $50.10 | $0 | No Gap Coverage | No | S5755 -031 | $9.00 | $38.00 | $76.00 | 33% | 1,575 members | |||||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $48.30 | $80 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $45.00 | $95.00 | 31% | tbd members | ||||||
2010 WellCare Signature (PDP) | $35.00 | $0 | No Gap Coverage | -- | S5967 -062 | $0.00 | $42.00 | $85.00 | 33% | 3,499 members | |||||
2011 WellCare Signature (PDP) | $50.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $92.00 | 33% | tbd members | ||||||
2010 Aetna Medicare Rx Essentials (PDP) | $38.90 | $310 | No Gap Coverage | No | S5810 -062 | $2.00 | $28.00 | $29.00 | $70.00 | 576 members | |||||
2011 Aetna Medicare Rx Essentials (PDP) | $57.60 | $310 | n/a | tbd | tbd members | ||||||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $34.20 | $0 | No Gap Coverage | No | S5810 -232 | $2.00 | $28.00 | $34.00 | $80.00 | 2,428 members | |||||
2011 Aetna Medicare Rx Costco Plus Plan (PDP) | $58.20 | $0 | n/a | tbd | tbd members | ||||||||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $57.30 | $0 | Many Generics, Few Brands |
No | S5617 -198 | $6.00 | $35.00 | $60.00 | 33% | 227 members | |||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $63.40 | $0 | Few Generics | No | $0.00 | $3.00 | $36.00 | $78.00 | tbd members | ||||||
2010 EnvisionRxPlus Gold (PDP) | $49.80 | $150 | No Gap Coverage | No | S7694 -062 | $4.00 | $30.00 | $25.00 | 25% | 96 members | |||||
2011 EnvisionRxPlus Gold (PDP) | $66.70 | $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 Medco Medicare Prescription Plan - Access (PDP) | $79.70 | $0 | Many Generics | No | S5660 -198 | $6.00 | $40.00 | 75% | 33% | 412 members | |||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $75.40 | $250 | Many Generics | No | $6.00 | $40.00 | $95.00 | 26% | tbd members | ||||||
2010 SilverScript CVS Caremark Plus (PDP) | $44.80 | $50 | No Gap Coverage | No | S5601 -057 | $2.50 | $7.50 | $25.00 | $30.00 | 639 members | |||||
2011 CVS Caremark Plus (PDP) | $76.90 | $0 | Many Generics | No | $2.00 | $5.00 | $35.00 | $90.00 | tbd members | ||||||
2010 Community CCRx Choice (PDP) | $43.40 | $150 | No Gap Coverage | No | S5803 -165 | $5.00 | $35.00 | $65.00 | 29% | 445 members | |||||
2011 Community CCRx Choice (PDP) | $80.30 | $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) | $57.30 | $0 | No Gap Coverage | No | S5678 -007 | $5.00 | $35.00 | $95.00 | 33% | 2,748 members | |||||
2011 Health Net Orange Option 2 (PDP) | $81.00 | $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) | $63.40 | $0 | Many Generics | No | S5670 -144 | $5.00 | $25.00 | 20% | 75% | 1,534 members | |||||
2011 First Health Part D Premier Plus (PDP) | $89.50 | $0 | Some Generics, Some Brands |
No | $0.00 | $25.00 | 32% | 60% | tbd members | ||||||
2010 AARP MedicareRx Enhanced (PDP) | $82.10 | $0 | Many Generics | No | S5921 -233 | $7.00 | $42.00 | $90.00 | 33% | 2,800 members | |||||
2011 AARP MedicareRx Enhanced (PDP) | $92.50 | $0 | Some Generics | No | $4.50 | $40.00 | $75.00 | 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 Aetna Medicare Rx Premier (PDP) | $82.20 | $0 | Many Generics | No | S5810 -198 | $6.00 | $35.00 | $38.00 | $82.00 | 991 members | |||||
2011 Aetna Medicare Rx Premier (PDP) | $97.20 | $0 | n/a | tbd | tbd members | ||||||||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $50.00 | $100 | No Gap Coverage | No | S5660 -028 | $6.00 | $40.00 | 75% | 30% | 1,095 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $36.50 | $100 | No Gap Coverage | No | S5617 -140 | $0.00 | $8.00 | $38.00 | $82.00 | 852 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Value (PDP) | $31.10 | $100 | No Gap Coverage | No | S5670 -141 | $7.00 | 20% | 62% | 30% | 6,376 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Humana Basic S5884-124 (PDP) | $17.70 | $310 | No Gap Coverage | Yes | S5884 -124 | $4.00 | 29% | 29% | 3,604 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Premier (PDP) | $44.20 | $0 | No Gap Coverage | No | S5670 -142 | $14.00 | 14% | 60% | 33% | 1,955 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 PrescribaRx Bronze (PDP) | $36.20 | $310 | No Gap Coverage | No | S5597 -262 | 25% | 25% | 25% | 61 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Fox Value Plan (PDP) | $19.60 | $310 | No Gap Coverage | Yes | S5557 -004 | 0% | 50% | 40% | 60% | < 10 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Fox Grand Plan (PDP) | $40.40 | $0 | Some Generics | No | S5557 -009 | $1.00 | $41.00 | $45.00 | $95.00 | < 10 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Humana Enhanced S5884-026 (PDP) | $44.70 | $0 | No Gap Coverage | No | S5884 -026 | $7.00 | $45.00 | $75.00 | 33% | 12,208 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $36.90 | $115 | No Gap Coverage | No | S5755 -066 | $4.00 | $45.00 | $90.00 | 25% | 189 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Community CCRx Gold (PDP) | $76.30 | $0 | All Generics | No | S5803 -245 | $6.00 | $35.00 | $65.00 | 33% | 896 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) | $33.00 | $175 | No Gap Coverage | No | S5768 -110 | $4.00 | 20% | 49% | 28% | 653 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Gold (PDP) | $32.40 | $150 | No Gap Coverage | No | S5597 -060 | $6.00 | $43.00 | 29% | 984 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $43.40 | $0 | No Gap Coverage | No | S5644 -060 | $2.50 | $5.00 | 33% | 33% | 313 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 UnitedHealthcare MedicareRx (PDP) | $10.30 | $310 | No Gap Coverage | Yes | S5917 -029 | 25% | 25% | 25% | 30,891 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 SilverScript CVS Caremark Complete (PDP) | $73.20 | $0 | Many Generics | No | S5601 -099 | $2.50 | $7.50 | $39.00 | $98.00 | 180 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AARP MedicareRx Saver (PDP) | $29.10 | $310 | No Gap Coverage | No | S5921 -231 | $6.00 | $25.00 | $75.25 | 25% | 9,837 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
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