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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2010 Humana Value S5884-111 (PDP) | $26.40 | $150 | No Gap Coverage | No | S5884 -111 | $5.00 | $35.00 | 37% | 1,756 members | ||||||
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 First Health Part D-Premier (PDP) | $30.50 | $150 | No Gap Coverage | Yes | S5768 -119 | $8.00 | 11% | 45% | 29% | 8,777 members | |||||
2011 First Health Part D Premier (PDP) | $30.80 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | $9.00 | 16% | 35% | 29% | tbd members | ||||||
2010 Community CCRx Basic (PDP) | $37.50 | $310 | No Gap Coverage | No | S5803 -096 | $0.00 | 30% | 50% | 5,751 members | ||||||
2011 Community CCRx Basic (PDP) | $30.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 32% | 58% | 25% | tbd members | ||||||
2010 SilverScript Value (PDP) | $33.60 | $310 | No Gap Coverage | No | S5601 -054 | $8.00 | $24.50 | $95.00 | 25% | 3,374 members | |||||
2011 CVS Caremark Value (PDP) | $31.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $42.00 | $95.00 | 25% | tbd members | ||||||
2010 Advantage Star Plan by RxAmerica (PDP) | $33.20 | $310 | No Gap Coverage | No | S5644 -200 | $4.25 | 25% | 25% | 45% | 322 members | |||||
2011 Advantage Star Plan by RxAmerica (PDP) | $31.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | 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) | $29.10 | $310 | No Gap Coverage | -- | S5967 -164 | $4.00 | $35.00 | $76.00 | 25% | 11,011 members | |||||
2011 WellCare Classic (PDP) | $32.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $42.00 | $91.00 | 25% | tbd members | ||||||
2010 BravoRx (PDP) | $36.20 | $310 | No Gap Coverage | No | S5998 -031 | 25% | 25% | 25% | 16 members | ||||||
2011 BravoRx (PDP) | $32.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 HealthSpring Prescription Drug Plan-Reg 27 (PDP) | $29.30 | $310 | No Gap Coverage | Yes | S5932 -026 | 25% | 25% | 10,664 members | |||||||
2011 HealthSpring Prescription Drug Plan-Reg 27 (PDP) | $35.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | tbd members | ||||||||
2010 Blue MedicareRx Standard (PDP) | $34.20 | $310 | No Gap Coverage | No | S5596 -025 | $6.50 | 25% | 25% | 25% | 3,006 members | |||||
2011 Blue MedicareRx Standard (PDP) | $36.70 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $38.00 | 25% | tbd members | ||||||
2010 AARP MedicareRx Preferred (PDP) | $41.30 | $0 | No Gap Coverage | No | S5820 -026 | $7.00 | $42.00 | $81.00 | 33% | 34,175 members | |||||
2011 AARP MedicareRx Preferred (PDP) | $40.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $45.00 | $90.00 | 33% | tbd members | ||||||
2010 EnvisionRxPlus Silver (PDP) | $41.90 | $310 | No Gap Coverage | No | S7694 -027 | 25% | 25% | 25% | 25% | 32 members | |||||
2011 EnvisionRxPlus Silver (PDP) | $41.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 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 Health Net Orange Option 1 (PDP) | $36.70 | $310 | No Gap Coverage | No | S5678 -060 | $4.00 | $39.00 | $95.00 | 25% | 312 members | |||||
2011 Health Net Orange Option 1 (PDP) | $41.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $35.00 | $75.00 | 25% | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $40.80 | $310 | No Gap Coverage | No | S5660 -129 | 25% | 25% | 25% | 25% | 182 members | |||||
2011 Medco Medicare Prescription Plan - Value (PDP) | $43.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 Humana Standard S5884-085 (PDP) | $44.60 | $310 | No Gap Coverage | No | S5884 -085 | 15% | 25% | 41% | 7,369 members | ||||||
2011 Humana Enhanced (PDP) | $47.40 | $0 | Few Generics | No | $7.00 | $40.00 | $71.00 | 33% | tbd members | ||||||
2010 Sterling Rx (PDP) | $49.70 | $310 | No Gap Coverage | No | S4802 -017 | $10.00 | $33.00 | 25% | 39 members | ||||||
2011 Sterling Rx (PDP) | $50.90 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $21.00 | $38.00 | 25% | tbd members | ||||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $46.50 | $0 | No Gap Coverage | No | S5755 -030 | $9.00 | $38.00 | $76.00 | 33% | 1,360 members | |||||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $53.30 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $45.00 | $95.00 | 30% | tbd members | ||||||
2010 EnvisionRxPlus Gold (PDP) | $43.80 | $150 | No Gap Coverage | No | S7694 -061 | $4.00 | $30.00 | $25.00 | 25% | 90 members | |||||
2011 EnvisionRxPlus Gold (PDP) | $54.10 | $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 WellCare Signature (PDP) | $40.90 | $0 | No Gap Coverage | -- | S5967 -061 | $0.00 | $42.00 | $85.00 | 33% | 2,646 members | |||||
2011 WellCare Signature (PDP) | $57.30 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $81.00 | 33% | tbd members | ||||||
2010 Aetna Medicare Rx Essentials (PDP) | $49.80 | $310 | No Gap Coverage | No | S5810 -061 | $3.00 | $27.00 | $28.00 | $70.00 | 872 members | |||||
2011 Aetna Medicare Rx Essentials (PDP) | $57.50 | $310 | n/a | tbd | tbd members | ||||||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $37.40 | $0 | No Gap Coverage | No | S5810 -231 | $2.00 | $28.00 | $33.00 | $80.00 | 1,812 members | |||||
2011 Aetna Medicare Rx Costco Plus Plan (PDP) | $58.70 | $0 | n/a | tbd | tbd members | ||||||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $55.20 | $310 | No Gap Coverage | No | S5617 -133 | $3.00 | $32.00 | $80.00 | 25% | 320 members | |||||
2011 CIGNA Medicare Rx Plan One (PDP) | $59.50 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $30.00 | $78.00 | 25% | tbd members | ||||||
2010 Blue MedicareRx Plus (PDP) | $52.80 | $0 | No Gap Coverage | No | S5596 -026 | $7.00 | $43.00 | $85.00 | 33% | 3,101 members | |||||
2011 Blue MedicareRx Plus (PDP) | $65.80 | $0 | Some Generics | No | $4.00 | $7.00 | $43.00 | $85.00 | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $84.20 | $0 | Many Generics | No | S5660 -197 | $6.00 | $40.00 | 75% | 33% | 188 members | |||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $71.90 | $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 CIGNA Medicare Rx Plan Three (PDP) | $70.60 | $0 | Many Generics, Few Brands |
No | S5617 -197 | $6.00 | $35.00 | $60.00 | 33% | 98 members | |||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $78.50 | $0 | Few Generics | No | $0.00 | $3.00 | $35.00 | $78.00 | tbd members | ||||||
2010 SilverScript CVS Caremark Plus (PDP) | $56.90 | $50 | No Gap Coverage | No | S5601 -055 | $2.50 | $7.50 | $25.00 | $30.00 | 609 members | |||||
2011 CVS Caremark Plus (PDP) | $82.30 | $0 | Many Generics | No | $2.00 | $5.00 | $35.00 | $90.00 | tbd members | ||||||
2010 Community CCRx Choice (PDP) | $46.40 | $150 | No Gap Coverage | No | S5803 -164 | $5.00 | $35.00 | $65.00 | 29% | 415 members | |||||
2011 Community CCRx Choice (PDP) | $87.80 | $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) | $71.10 | $0 | No Gap Coverage | No | S5678 -059 | $5.00 | $35.00 | $95.00 | 33% | 120 members | |||||
2011 Health Net Orange Option 2 (PDP) | $89.40 | $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) | $73.50 | $0 | Many Generics | No | S5670 -138 | $5.00 | $25.00 | 18% | 75% | 1,766 members | |||||
2011 First Health Part D Premier Plus (PDP) | $97.20 | $0 | Some Generics, Some Brands |
No | $0.00 | $25.00 | 30% | 57% | tbd members | ||||||
2010 AARP MedicareRx Enhanced (PDP) | $86.60 | $0 | Many Generics | No | S5921 -223 | $7.00 | $42.00 | $90.00 | 33% | 1,395 members | |||||
2011 AARP MedicareRx Enhanced (PDP) | $99.90 | $0 | Some Generics | No | $5.00 | $40.00 | $74.00 | 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) | $95.00 | $0 | Many Generics | No | S5810 -197 | $6.00 | $36.00 | $38.00 | $84.00 | 716 members | |||||
2011 Aetna Medicare Rx Premier (PDP) | $111.10 | $0 | n/a | tbd | tbd members | ||||||||||
2010 Blue MedicareRx Premier (PDP) | $98.70 | $0 | Many Generics | No | S5596 -027 | $7.00 | $43.00 | $85.00 | 33% | 1,880 members | |||||
2011 Blue MedicareRx Premier (PDP) | $111.70 | $0 | Many Generics, Some Brands |
No | $6.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2010 Humana Enhanced S5884-025 (PDP) | $47.00 | $0 | No Gap Coverage | No | S5884 -025 | $7.00 | $45.00 | $75.00 | 33% | 11,019 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $44.80 | $100 | No Gap Coverage | No | S5617 -135 | $0.00 | $8.00 | $39.00 | $82.00 | 465 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Bronze (PDP) | $28.40 | $310 | No Gap Coverage | Yes | S5597 -261 | 25% | 25% | 25% | 15,952 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Value (PDP) | $29.90 | $100 | No Gap Coverage | No | S5670 -135 | $6.00 | 18% | 64% | 30% | 8,863 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) | $51.80 | $0 | No Gap Coverage | No | S5670 -136 | $12.00 | 16% | 56% | 33% | 1,573 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Essential Rx Plan (PDP) | $39.10 | $123 | No Gap Coverage | No | S5860 -003 | $9.75 | $39.50 | $59.50 | 29% | 746 members | |||||
-- | |||||||||||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Fox Grand Plan (PDP) | $53.00 | $0 | Some Generics | No | S5557 -019 | $1.00 | $36.00 | $40.00 | $95.00 | < 10 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Fox Value Plan (PDP) | $28.30 | $310 | No Gap Coverage | Yes | S5557 -028 | 0% | 50% | 40% | 60% | < 10 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $51.00 | $130 | No Gap Coverage | No | S5755 -065 | $4.00 | $45.00 | $90.00 | 25% | 98 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 First Health Part D-Secure (PDP) | $16.90 | $175 | No Gap Coverage | No | S5768 -109 | $4.00 | 20% | 40% | 28% | 7,251 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 Medco Medicare Prescription Plan - Choice (PDP) | $52.40 | $100 | No Gap Coverage | No | S5660 -027 | $6.00 | $39.00 | 75% | 30% | 570 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Community CCRx Gold (PDP) | $84.20 | $0 | All Generics | No | S5803 -244 | $6.00 | $35.00 | $65.00 | 33% | 503 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Gold (PDP) | $39.20 | $150 | No Gap Coverage | No | S5597 -059 | $6.00 | $43.00 | 29% | 470 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $45.80 | $0 | No Gap Coverage | No | S5644 -186 | $2.50 | $5.00 | 33% | 33% | 333 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 UnitedHealthcare MedicareRx (PDP) | $26.60 | $310 | No Gap Coverage | Yes | S5917 -003 | $6.00 | $30.00 | $70.00 | 25% | 7,834 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AARP MedicareRx Saver (PDP) | $35.60 | $310 | No Gap Coverage | No | S5921 -221 | $6.00 | $25.00 | $86.00 | 25% | 4,098 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 SilverScript CVS Caremark Complete (PDP) | $58.50 | $0 | Many Generics | No | S5601 -098 | $2.50 | $7.50 | $39.00 | $98.00 | 789 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
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