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 S5884-112 (PDP) | $23.80 | $150 | No Gap Coverage | No | S5884 -112 | $5.00 | $35.00 | 34% | 1,112 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 Advantage Star Plan by RxAmerica (PDP) | $50.50 | $310 | No Gap Coverage | No | S5644 -082 | $6.00 | 25% | 25% | 45% | 221 members | |||||
2011 Advantage Star Plan by RxAmerica (PDP) | $23.70 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.75 | 25% | $95.00 | 25% | tbd members | ||||||
2010 BravoRx (PDP) | $25.40 | $310 | No Gap Coverage | Yes | S5998 -033 | 25% | 25% | 25% | 6,174 members | ||||||
2011 BravoRx (PDP) | $27.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 Health Net Orange Option 1 (PDP) | $24.50 | $310 | No Gap Coverage | Yes | S5678 -062 | $4.00 | $36.00 | $95.00 | 25% | 5,306 members | |||||
2011 Health Net Orange Option 1 (PDP) | $27.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $36.00 | $75.00 | 25% | tbd members | ||||||
2010 Community CCRx Basic (PDP) | $23.10 | $310 | No Gap Coverage | Yes | S5803 -098 | $0.00 | 30% | 70% | 7,386 members | ||||||
2011 Community CCRx Basic (PDP) | $32.50 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | 31% | 71% | 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) | $28.70 | $310 | No Gap Coverage | -- | S5967 -166 | $4.00 | $35.00 | $75.00 | 25% | 2,389 members | |||||
2011 WellCare Classic (PDP) | $34.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $44.00 | $95.00 | 25% | tbd members | ||||||
2010 Blue MedicareRx Standard (PDP) | $30.30 | $310 | No Gap Coverage | No | S5596 -029 | $7.00 | 25% | 25% | 25% | 2,386 members | |||||
2011 Blue MedicareRx Standard (PDP) | $36.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $41.00 | 25% | tbd members | ||||||
2010 EnvisionRxPlus Silver (PDP) | $31.00 | $310 | No Gap Coverage | No | S7694 -029 | 25% | 25% | 25% | 25% | 44 members | |||||
2011 EnvisionRxPlus Silver (PDP) | $38.00 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 AARP MedicareRx Preferred (PDP) | $36.80 | $0 | No Gap Coverage | No | S5820 -028 | $7.00 | $42.00 | $82.00 | 33% | 19,027 members | |||||
2011 AARP MedicareRx Preferred (PDP) | $38.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $8.00 | $44.00 | $89.00 | 33% | tbd members | ||||||
2010 First Health Part D-Premier (PDP) | $29.30 | $150 | No Gap Coverage | No | S5768 -031 | $9.00 | 10% | 40% | 29% | 6,071 members | |||||
2011 First Health Part D Premier (PDP) | $41.00 | $150 | No additional gap coverage, only the Donut Hole Discount | No | $8.00 | 18% | 35% | 29% | tbd members | ||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $34.90 | $310 | No Gap Coverage | No | S5617 -143 | $3.00 | $30.00 | $85.00 | 25% | 316 members | |||||
2011 CIGNA Medicare Rx Plan One (PDP) | $45.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $31.00 | $85.00 | 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 HealthSpring Prescription Drug Plan-Reg 29 (PDP) | $25.60 | $310 | No Gap Coverage | Yes | S5932 -028 | 25% | 25% | 6,474 members | |||||||
2011 HealthSpring Prescription Drug Plan-Reg 29 (PDP) | $47.60 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | tbd members | ||||||||
2010 Humana Standard S5884-087 (PDP) | $45.10 | $310 | No Gap Coverage | No | S5884 -087 | 15% | 25% | 43% | 2,364 members | ||||||
2011 Humana Enhanced (PDP) | $47.90 | $0 | Few Generics | No | $7.00 | $40.00 | $70.00 | 33% | tbd members | ||||||
2010 SilverScript Value (PDP) | $44.60 | $310 | No Gap Coverage | No | S5601 -058 | $8.00 | $23.75 | $95.00 | 25% | 501 members | |||||
2011 CVS Caremark Value (PDP) | $48.30 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $44.00 | $95.00 | 25% | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $35.10 | $310 | No Gap Coverage | No | S5660 -131 | 25% | 25% | 25% | 25% | 151 members | |||||
2011 Medco Medicare Prescription Plan - Value (PDP) | $48.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $49.00 | $0 | No Gap Coverage | No | S5755 -032 | $9.00 | $38.00 | $76.00 | 33% | 1,642 members | |||||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $50.90 | $80 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $45.00 | $95.00 | 31% | tbd members | ||||||
2010 Aetna Medicare Rx Essentials (PDP) | $43.10 | $310 | No Gap Coverage | No | S5810 -063 | $2.00 | $29.00 | $30.00 | $70.00 | 166 members | |||||
2011 Aetna Medicare Rx Essentials (PDP) | $52.30 | $310 | n/a | tbd | 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) | $36.30 | $0 | No Gap Coverage | -- | S5967 -063 | $0.00 | $42.00 | $85.00 | 33% | 1,797 members | |||||
2011 WellCare Signature (PDP) | $53.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $93.00 | 33% | tbd members | ||||||
2010 Sterling Rx (PDP) | $49.70 | $310 | No Gap Coverage | No | S4802 -019 | $10.00 | $30.50 | 25% | 93 members | ||||||
2011 Sterling Rx (PDP) | $56.80 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $23.00 | $38.00 | 25% | tbd members | ||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $31.10 | $0 | No Gap Coverage | No | S5810 -233 | $2.00 | $28.00 | $34.00 | $80.00 | 1,688 members | |||||
2011 Aetna Medicare Rx Costco Plus Plan (PDP) | $60.30 | $0 | n/a | tbd | tbd members | ||||||||||
2010 EnvisionRxPlus Gold (PDP) | $45.00 | $150 | No Gap Coverage | No | S7694 -063 | $4.00 | $30.00 | $25.00 | 25% | 47 members | |||||
2011 EnvisionRxPlus Gold (PDP) | $65.10 | $150 | Many Generics | No | $4.00 | 25% | $25.00 | 25% | tbd members | ||||||
2010 Blue MedicareRx Plus (PDP) | $53.30 | $0 | No Gap Coverage | No | S5596 -030 | $7.00 | $43.00 | $85.00 | 33% | 1,069 members | |||||
2011 Blue MedicareRx Plus (PDP) | $66.30 | $0 | Some Generics | No | $4.00 | $7.00 | $43.00 | $85.00 | tbd members | ||||||
2010 SilverScript CVS Caremark Plus (PDP) | $41.80 | $50 | No Gap Coverage | No | S5601 -059 | $2.50 | $7.50 | $25.00 | $30.00 | 566 members | |||||
2011 CVS Caremark Plus (PDP) | $67.20 | $0 | Many Generics | No | $2.00 | $5.00 | $35.00 | $90.00 | 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) | $79.50 | $0 | Many Generics | No | S5660 -199 | $6.00 | $40.00 | 75% | 33% | 177 members | |||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $68.80 | $250 | Many Generics | No | $6.00 | $40.00 | $95.00 | 26% | tbd members | ||||||
2010 Health Net Orange Option 2 (PDP) | $62.40 | $0 | No Gap Coverage | No | S5678 -061 | $5.00 | $35.00 | $95.00 | 33% | 174 members | |||||
2011 Health Net Orange Option 2 (PDP) | $82.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $2.00 | $34.00 | $68.00 | 33% | tbd members | ||||||
2010 AARP MedicareRx Enhanced (PDP) | $81.70 | $0 | Many Generics | No | S5921 -273 | $7.00 | $42.00 | $90.00 | 33% | 829 members | |||||
2011 AARP MedicareRx Enhanced (PDP) | $91.00 | $0 | Some Generics | No | $5.00 | $40.00 | $80.00 | 33% | tbd members | ||||||
2010 Community CCRx Choice (PDP) | $48.80 | $150 | No Gap Coverage | No | S5803 -166 | $5.00 | $35.00 | $65.00 | 29% | 166 members | |||||
2011 Community CCRx Choice (PDP) | $91.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $84.20 | $0 | Many Generics, Few Brands |
No | S5617 -199 | $6.00 | $35.00 | $60.00 | 33% | 68 members | |||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $91.50 | $0 | Few Generics | No | $0.00 | $3.00 | $37.00 | $78.00 | tbd members | ||||||
2010 AdvantraRx Premier Plus (PDP) | $72.80 | $0 | Many Generics | No | S5670 -150 | $5.00 | $25.00 | 20% | 75% | 730 members | |||||
2011 First Health Part D Premier Plus (PDP) | $94.80 | $0 | Some Generics, Some Brands |
No | $0.00 | $25.00 | 30% | 56% | 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 Blue MedicareRx Premier (PDP) | $92.50 | $0 | Many Generics | No | S5596 -031 | $7.00 | $43.00 | $85.00 | 33% | 784 members | |||||
2011 Blue MedicareRx Premier (PDP) | $112.50 | $0 | Many Generics, Some Brands |
No | $6.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2010 Aetna Medicare Rx Premier (PDP) | $104.70 | $0 | Many Generics | No | S5810 -199 | $7.00 | $32.00 | $36.00 | $88.00 | 226 members | |||||
2011 Aetna Medicare Rx Premier (PDP) | $121.20 | $0 | n/a | tbd | tbd members | ||||||||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $47.90 | $160 | No Gap Coverage | No | S5755 -067 | $4.00 | $45.00 | $90.00 | 25% | 105 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 SilverScript CVS Caremark Complete (PDP) | $71.70 | $0 | Many Generics | No | S5601 -100 | $2.50 | $7.50 | $39.00 | $98.00 | 115 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AARP MedicareRx Saver (PDP) | $35.80 | $310 | No Gap Coverage | No | S5921 -265 | $6.00 | $25.00 | $84.75 | 25% | 3,291 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 UnitedHealthcare MedicareRx (PDP) | $20.40 | $0 | No Gap Coverage | No | S5917 -005 | $9.00 | $45.00 | $90.00 | 33% | 2,864 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) | $42.10 | $0 | No Gap Coverage | No | S5644 -061 | $2.50 | $5.00 | 33% | 33% | 227 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Gold (PDP) | $40.90 | $150 | No Gap Coverage | No | S5597 -061 | $6.00 | $43.00 | 29% | 224 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Community CCRx Gold (PDP) | $86.00 | $0 | All Generics | No | S5803 -246 | $6.00 | $35.00 | $65.00 | 33% | 206 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 First Health Part D-Secure (PDP) | $33.20 | $175 | No Gap Coverage | No | S5768 -111 | $4.00 | 20% | 52% | 28% | 284 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $50.20 | $100 | No Gap Coverage | No | S5660 -029 | $6.00 | $40.00 | 75% | 30% | 405 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Humana Enhanced S5884-027 (PDP) | $47.70 | $0 | No Gap Coverage | No | S5884 -027 | $7.00 | $45.00 | $75.00 | 33% | 4,441 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) | $53.90 | $0 | No Gap Coverage | No | S5670 -148 | $12.00 | 18% | 56% | 33% | 619 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Bronze (PDP) | $37.10 | $310 | No Gap Coverage | No | S5597 -263 | 25% | 25% | 25% | 41 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Fox Value Plan (PDP) | $24.60 | $310 | No Gap Coverage | Yes | S5557 -052 | members | |||||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Value (PDP) | $37.80 | $100 | No Gap Coverage | No | S5670 -147 | $7.00 | 20% | 65% | 30% | 1,874 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $38.40 | $100 | No Gap Coverage | No | S5617 -145 | $0.00 | $8.00 | $40.00 | $95.00 | 320 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
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