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 -135 | ||||||||||||||
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 Advantage Star Plan by RxAmerica (PDP) | $33.20 | $310 | No Gap Coverage | No | S5644 -076 | $4.00 | 25% | 25% | 45% | 3,113 members | |||||
2011 Advantage Star Plan by RxAmerica (PDP) | $27.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.50 | 25% | $95.00 | 25% | tbd members | ||||||
2010 Community CCRx Basic (PDP) | $25.00 | $310 | No Gap Coverage | Yes | S5803 -079 | $0.00 | 30% | 55% | 84,513 members | ||||||
2011 Community CCRx Basic (PDP) | $28.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 31% | 65% | 25% | tbd members | ||||||
2010 WellCare Classic (PDP) | $27.40 | $310 | No Gap Coverage | -- | S5967 -147 | $4.00 | $33.00 | $70.00 | 25% | 21,051 members | |||||
2011 WellCare Classic (PDP) | $29.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $41.00 | $84.00 | 25% | tbd members | ||||||
2010 BravoRx (PDP) | $31.50 | $310 | No Gap Coverage | No | S5998 -019 | 25% | 25% | 25% | 411 members | ||||||
2011 BravoRx (PDP) | $29.60 | $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 SilverScript Value (PDP) | $33.30 | $310 | No Gap Coverage | No | S5601 -020 | $8.00 | $20.50 | $95.00 | 25% | 2,903 members | |||||
2011 CVS Caremark Value (PDP) | $29.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $37.00 | $95.00 | 25% | tbd members | ||||||
2010 Blue MedicareRx Standard (PDP) | $26.90 | $310 | No Gap Coverage | Yes | S5596 -009 | $5.50 | 25% | 25% | 25% | 15,169 members | |||||
2011 Blue MedicareRx Standard (PDP) | $30.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $7.00 | $35.00 | 25% | tbd members | ||||||
2010 EnvisionRxPlus Silver (PDP) | $31.40 | $310 | No Gap Coverage | No | S7694 -010 | 25% | 25% | 25% | 25% | 103 members | |||||
2011 EnvisionRxPlus Silver (PDP) | $30.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $26.70 | $310 | No Gap Coverage | Yes | S5617 -219 | $3.00 | $30.00 | $80.00 | 25% | 10,658 members | |||||
2011 CIGNA Medicare Rx Plan One (PDP) | $31.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $28.00 | $79.00 | 25% | tbd members | ||||||
2010 Health Net Orange Option 1 (PDP) | $29.80 | $310 | No Gap Coverage | No | S5678 -026 | $4.00 | $37.00 | $95.00 | 25% | 784 members | |||||
2011 Health Net Orange Option 1 (PDP) | $31.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $32.00 | $75.00 | 25% | tbd members | ||||||
2010 First Health Part D-Premier (PDP) | $22.80 | $150 | No Gap Coverage | Yes | S5768 -040 | $7.00 | 10% | 47% | 29% | 22,734 members | |||||
2011 First Health Part D Premier (PDP) | $31.50 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | $9.00 | 17% | 34% | 29% | 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 Essentials (PDP) | $25.20 | $310 | No Gap Coverage | Yes | S5810 -044 | $2.00 | $26.00 | $28.00 | $70.00 | 27,571 members | |||||
2011 Aetna Medicare Rx Essentials (PDP) | $31.90 | $310 | n/a | tbd | tbd members | ||||||||||
2010 HealthSpring Prescription Drug Plan-Reg 10 (PDP) | $31.40 | $310 | No Gap Coverage | No | S5932 -010 | 25% | 25% | 670 members | |||||||
2011 HealthSpring Prescription Drug Plan-Reg 10 (PDP) | $32.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | ||||||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $30.80 | $310 | No Gap Coverage | No | S5660 -112 | 25% | 25% | 25% | 25% | 1,999 members | |||||
2011 Medco Medicare Prescription Plan - Value (PDP) | $32.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 Sterling Rx (PDP) | $59.20 | $310 | No Gap Coverage | No | S4802 -007 | $9.00 | $28.00 | 25% | 160 members | ||||||
2011 Sterling Rx (PDP) | $38.50 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $21.00 | $37.00 | 25% | tbd members | ||||||
2010 AARP MedicareRx Preferred (PDP) | $40.70 | $0 | No Gap Coverage | No | S5820 -009 | $7.00 | $42.00 | $63.75 | 33% | 94,291 members | |||||
2011 AARP MedicareRx Preferred (PDP) | $39.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $7.00 | $44.00 | $76.00 | 33% | tbd members | ||||||
2010 Humana Enhanced S5884-009 (PDP) | $44.50 | $0 | No Gap Coverage | No | S5884 -009 | $7.00 | $43.00 | $75.00 | 33% | 32,862 members | |||||
2011 Humana Enhanced (PDP) | $47.30 | $0 | Few Generics | No | $6.00 | $38.00 | $72.00 | 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 UA Medicare Part D Prescription Drug Cov (PDP) | $47.30 | $0 | No Gap Coverage | No | S5755 -013 | $8.00 | $37.00 | $74.00 | 33% | 5,897 members | |||||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $50.10 | $60 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $45.00 | $95.00 | 31% | tbd members | ||||||
2010 Blue MedicareRx Plus (PDP) | $45.30 | $0 | No Gap Coverage | No | S5596 -010 | $7.00 | $43.00 | $85.00 | 33% | 8,775 members | |||||
2011 Blue MedicareRx Plus (PDP) | $54.50 | $0 | Some Generics | No | $4.00 | $7.00 | $43.00 | $85.00 | tbd members | ||||||
2010 WellCare Signature (PDP) | $39.30 | $0 | No Gap Coverage | -- | S5967 -044 | $0.00 | $42.00 | $85.00 | 33% | 7,501 members | |||||
2011 WellCare Signature (PDP) | $56.90 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $70.00 | 33% | tbd members | ||||||
2010 Aetna Medicare Rx Plus (PDP) | $28.40 | $0 | No Gap Coverage | No | S5810 -214 | $5.00 | $32.00 | $38.00 | $80.00 | 7,090 members | |||||
2011 Aetna Medicare Rx Plus (PDP) | $60.40 | $0 | n/a | tbd | tbd members | ||||||||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $77.10 | $0 | Many Generics | No | S5660 -180 | $6.00 | $40.00 | 75% | 33% | 1,007 members | |||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $61.90 | $250 | Many Generics | No | $6.00 | $40.00 | $95.00 | 26% | tbd members | ||||||
2010 EnvisionRxPlus Gold (PDP) | $57.70 | $150 | No Gap Coverage | No | S7694 -044 | $4.00 | $30.00 | $25.00 | 25% | 164 members | |||||
2011 EnvisionRxPlus Gold (PDP) | $62.80 | $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 CIGNA Medicare Rx Plan Three (PDP) | $66.80 | $0 | Many Generics, Few Brands |
No | S5617 -180 | $6.00 | $35.00 | $60.00 | 33% | 472 members | |||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $69.90 | $0 | Few Generics | No | $0.00 | $3.00 | $33.00 | $78.00 | tbd members | ||||||
2010 Health Net Value Orange Option 2 (PDP) | $58.90 | $0 | No Gap Coverage | No | S5678 -025 | $0.00 | $42.00 | $95.00 | 33% | 788 members | |||||
2011 Health Net Value Orange Option 2 (PDP) | $76.60 | $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) | $52.60 | $50 | No Gap Coverage | No | S5601 -021 | $2.50 | $7.50 | $25.00 | $30.00 | 893 members | |||||
2011 CVS Caremark Plus (PDP) | $77.90 | $0 | Many Generics | No | $2.00 | $5.00 | $35.00 | $90.00 | tbd members | ||||||
2010 Community CCRx Choice (PDP) | $42.40 | $150 | No Gap Coverage | No | S5803 -147 | $5.00 | $35.00 | $65.00 | 29% | 8,872 members | |||||
2011 Community CCRx Choice (PDP) | $87.30 | $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) | $61.30 | $0 | Many Generics | No | S5670 -060 | $5.00 | $25.00 | 19% | 75% | 4,665 members | |||||
2011 First Health Part D Premier Plus (PDP) | $91.20 | $0 | Some Generics, Some Brands |
No | $0.00 | $25.00 | 30% | 57% | tbd members | ||||||
2010 Blue MedicareRx Premier (PDP) | $84.40 | $0 | Many Generics | No | S5596 -011 | $7.00 | $43.00 | $85.00 | 33% | 7,629 members | |||||
2011 Blue MedicareRx Premier (PDP) | $94.80 | $0 | Many Generics, Some Brands |
No | $6.00 | $43.00 | $85.00 | 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 AARP MedicareRx Enhanced (PDP) | $77.40 | $0 | Many Generics | No | S5921 -133 | $7.00 | $42.00 | $90.00 | 33% | 3,308 members | |||||
2011 AARP MedicareRx Enhanced (PDP) | $95.00 | $0 | Some Generics | No | $4.00 | $40.00 | $76.00 | 33% | tbd members | ||||||
2010 Aetna Medicare Rx Premier (PDP) | $91.60 | $0 | Many Generics | No | S5810 -180 | $7.00 | $32.00 | $33.00 | $80.00 | 1,411 members | |||||
2011 Aetna Medicare Rx Premier (PDP) | $107.90 | $0 | n/a | tbd | tbd members | ||||||||||
2010 Humana Complete S5884-038 (PDP) | $108.10 | $0 | Many Generics | No | S5884 -038 | $7.00 | $45.00 | $75.00 | 33% | 2,104 members | |||||
2011 Humana Complete (PDP) | $117.40 | $0 | Many Generics, Some Brands |
No | $4.00 | $37.00 | $69.00 | 33% | tbd members | ||||||
2010 AARP MedicareRx Saver (PDP) | $29.20 | $310 | No Gap Coverage | Yes | S5921 -131 | $6.00 | $25.00 | $76.50 | 25% | 47,552 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $35.60 | $160 | No Gap Coverage | No | S5755 -048 | $4.00 | $45.00 | $90.00 | 25% | 630 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 SilverScript CVS Caremark Complete (PDP) | $74.80 | $0 | Many Generics | No | S5601 -081 | $2.50 | $7.50 | $39.00 | $98.00 | 344 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) | $55.80 | $0 | No Gap Coverage | No | S5644 -055 | $2.50 | $5.00 | 33% | 33% | 421 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Gold (PDP) | $34.20 | $150 | No Gap Coverage | No | S5597 -042 | $6.00 | $43.00 | 29% | 997 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 First Health Part D-Secure (PDP) | $27.80 | $175 | No Gap Coverage | No | S5768 -092 | $4.00 | 20% | 52% | 28% | 2,454 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Community CCRx Gold (PDP) | $71.80 | $0 | All Generics | No | S5803 -227 | $6.00 | $35.00 | $65.00 | 33% | 4,276 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $40.00 | $100 | No Gap Coverage | No | S5660 -009 | $6.00 | $39.00 | 75% | 30% | 5,047 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Bronze (PDP) | $21.60 | $310 | No Gap Coverage | Yes | S5597 -244 | 25% | 25% | 25% | 17,584 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 Fox Value Plan (PDP) | $32.60 | $310 | No Gap Coverage | No | S5557 -040 | members | |||||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Premier (PDP) | $44.80 | $0 | No Gap Coverage | No | S5670 -058 | $12.00 | 16% | 52% | 33% | 8,118 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Value (PDP) | $35.30 | $100 | No Gap Coverage | No | S5670 -057 | $6.00 | 20% | 63% | 30% | 13,702 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Humana Basic S5884-119 (PDP) | $33.70 | $310 | No Gap Coverage | No | S5884 -119 | $4.00 | 29% | 29% | 577 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $32.20 | $100 | No Gap Coverage | No | S5617 -050 | $0.00 | $8.00 | $38.00 | $87.00 | 5,985 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
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