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 -- | S5552 -004 | ||||||||||||||
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 PrescribaRx Bronze (PDP) | $28.30 | $310 | No Gap Coverage | Yes | S5825 -045 | 25% | 25% | 25% | 102,779 members | ||||||
2011 Community CCRx Basic (PDP) | $30.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 31% | 59% | 25% | tbd members | ||||||
2010 Advantage Star Plan by RxAmerica (PDP) | $28.80 | $310 | No Gap Coverage | Yes | S5644 -004 | $5.00 | 25% | 25% | 45% | 55,060 members | |||||
2011 Advantage Star Plan by RxAmerica (PDP) | $31.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.75 | 25% | $95.00 | 25% | tbd members | ||||||
2010 WellCare Classic (PDP) | $33.30 | $310 | No Gap Coverage | -- | S5967 -140 | $4.00 | $36.00 | $75.00 | 25% | 16,624 members | |||||
2011 WellCare Classic (PDP) | $33.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $41.00 | $90.00 | 25% | tbd members | ||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $27.70 | $310 | No Gap Coverage | Yes | S5617 -013 | $3.00 | $30.00 | $74.00 | 25% | 92,890 members | |||||
2011 CIGNA Medicare Rx Plan One (PDP) | $33.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $31.00 | $78.00 | 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) | $31.60 | $310 | No Gap Coverage | Yes | S5601 -006 | $8.00 | $23.50 | $95.00 | 25% | 81,754 members | |||||
2011 CVS Caremark Value (PDP) | $33.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $42.00 | $95.00 | 25% | tbd members | ||||||
2010 EnvisionRxPlus Silver (PDP) | $31.20 | $310 | No Gap Coverage | Yes | S7694 -003 | 25% | 25% | 25% | 25% | 13,853 members | |||||
2011 EnvisionRxPlus Silver (PDP) | $34.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $28.00 | $310 | No Gap Coverage | Yes | S5983 -004 | 25% | 25% | 25% | 51,089 members | ||||||
2011 Medco Medicare Prescription Plan - Value (PDP) | $34.50 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 HealthSpring Prescription Drug Plan -Reg 3 (PDP) | $41.10 | $310 | No Gap Coverage | No | S5932 -004 | 25% | 25% | 2,280 members | |||||||
2011 HealthSpring Prescription Drug Plan -Reg 3 (PDP) | $35.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | ||||||||
2010 BravoRx (PDP) | $30.60 | $310 | No Gap Coverage | Yes | S5998 -001 | 25% | 25% | 25% | 53,213 members | ||||||
2011 BravoRx (PDP) | $36.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 AARP MedicareRx Preferred (PDP) | $37.40 | $0 | No Gap Coverage | No | S5805 -001 | $7.00 | $42.00 | $71.25 | 33% | 153,559 members | |||||
2011 AARP MedicareRx Preferred (PDP) | $38.60 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $7.00 | $45.00 | $82.00 | 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 SmartHealth RX PDP (PDP) | $35.50 | $100 | No Gap Coverage | No | S5585 -001 | $6.00 | $40.00 | 40% | 25% | 198 members | |||||
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2011 SmartHealth Rx PDP (PDP) | $44.70 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $6.75 | $40.00 | 40% | 25% | tbd members | ||||||
2010 MedicareRx Rewards Standard (PDP) | $38.70 | $310 | No Gap Coverage | No | S5960 -109 | $7.00 | 25% | 25% | 25% | 10,060 members | |||||
2011 MedicareRx Rewards Standard (PDP) | $44.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $44.00 | 25% | tbd members | ||||||
2010 Humana Standard S5552-003 (PDP) | $59.90 | $310 | No Gap Coverage | No | S5552 -003 | 15% | 25% | 38% | 14,563 members | ||||||
2011 Humana Enhanced (PDP) | $45.50 | $0 | Few Generics | No | $8.00 | $44.00 | 34% | tbd members | |||||||
2010 Simply Prescriptions Rx 1 (PDP) | $43.70 | $310 | No Gap Coverage | No | S3521 -001 | 25% | 25% | 25% | 4,975 members | ||||||
2011 Simply Prescriptions Rx 1 (PDP) | $45.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | tbd members | ||||||||
2010 First Health Part D-Premier (PDP) | $38.20 | $150 | No Gap Coverage | No | S5569 -003 | $7.00 | 11% | 44% | 29% | 6,493 members | |||||
2011 First Health Part D Premier (PDP) | $48.10 | $150 | No additional gap coverage, only the Donut Hole Discount | No | $8.00 | 20% | 36% | 29% | tbd members | ||||||
2010 First UA Medicare Part D Prescription Drug (PDP) | $46.00 | $0 | No Gap Coverage | No | S5580 -003 | $10.00 | $39.00 | $78.00 | 33% | 5,893 members | |||||
-- | |||||||||||||||
2011 First UA Medicare Part D Prescription Drug (PDP) | $49.80 | $110 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $45.00 | $95.00 | 30% | 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 Sterling Rx (PDP) | $64.90 | $310 | No Gap Coverage | No | S4802 -024 | $9.00 | $30.00 | 25% | 74 members | ||||||
2011 Sterling Rx (PDP) | $54.50 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $21.00 | $38.00 | 25% | tbd members | ||||||
2010 SilverScript CVS Caremark Plus (PDP) | $51.40 | $50 | No Gap Coverage | No | S5601 -007 | $2.50 | $7.50 | $25.00 | $30.00 | 2,971 members | |||||
2011 CVS Caremark Plus (PDP) | $55.50 | $0 | Many Generics | No | $2.00 | $5.00 | $35.00 | $90.00 | tbd members | ||||||
2010 GHI Medicare Prescription Drug Plan (PDP) | $27.60 | $310 | No Gap Coverage | Yes | S5966 -001 | $5.00 | 25% | 40% | 25% | 63,583 members | |||||
2011 GHI Medicare Prescription Drug Plan (PDP) | $55.50 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | 25% | 30% | 25% | tbd members | ||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $42.00 | $0 | No Gap Coverage | No | S5810 -207 | $2.00 | $29.00 | $32.00 | $80.00 | 1,890 members | |||||
2011 Aetna Medicare Rx Costco Plus Plan (PDP) | $58.10 | $0 | n/a | tbd | tbd members | ||||||||||
2010 Aetna Medicare Rx Essentials (PDP) | $50.00 | $310 | No Gap Coverage | No | S5810 -037 | $3.00 | $24.00 | $25.00 | $67.00 | 2,230 members | |||||
2011 Aetna Medicare Rx Essentials (PDP) | $58.10 | $310 | n/a | tbd | tbd members | ||||||||||
2010 WellCare Signature (PDP) | $41.60 | $0 | No Gap Coverage | -- | S5967 -037 | $0.00 | $42.00 | $85.00 | 33% | 6,800 members | |||||
2011 WellCare Signature (PDP) | $58.20 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $76.00 | 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) | $51.40 | $0 | No Gap Coverage | No | S5960 -141 | $7.00 | $43.00 | $85.00 | 33% | 434 members | |||||
2011 MedicareRx Rewards Plus (PDP) | $64.60 | $0 | Some Generics | No | $4.00 | $7.00 | $43.00 | $85.00 | tbd members | ||||||
2010 EnvisionRxPlus Gold (PDP) | $51.10 | $150 | No Gap Coverage | No | S7694 -037 | $4.00 | $30.00 | $25.00 | 25% | 206 members | |||||
2011 EnvisionRxPlus Gold (PDP) | $66.90 | $150 | Many Generics | No | $4.00 | 25% | $25.00 | 25% | tbd members | ||||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $71.00 | $0 | Many Generics, Few Brands |
No | S5617 -173 | $6.00 | $35.00 | $60.00 | 33% | 349 members | |||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $71.20 | $0 | Few Generics | No | $0.00 | $3.00 | $36.00 | $78.00 | tbd members | ||||||
2010 PrescribaRx Gold (PDP) | $37.60 | $150 | No Gap Coverage | No | S5825 -017 | $6.00 | $43.00 | 29% | 3,845 members | ||||||
2011 Community CCRx Choice (PDP) | $74.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2010 Simply Prescriptions Rx 3 (PDP) | $57.00 | $100 | No Gap Coverage | No | S3521 -003 | $5.00 | $30.00 | $75.00 | 25% | 3,074 members | |||||
2011 Simply Prescriptions Rx 3 (PDP) | $76.90 | $100 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $25.00 | $65.00 | 25% | tbd members | ||||||
2010 AdvantraRx Premier Plus (PDP) | $67.20 | $0 | Many Generics | No | S0197 -005 | $5.00 | $25.00 | 20% | 75% | 1,230 members | |||||
2011 First Health Part D Premier Plus (PDP) | $86.70 | $0 | Some Generics, Some Brands |
No | $0.00 | $25.00 | 33% | 53% | 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) | $80.10 | $0 | Many Generics | No | S5921 -213 | $7.00 | $42.00 | $90.00 | 33% | 6,225 members | |||||
2011 AARP MedicareRx Enhanced (PDP) | $92.70 | $0 | Some Generics | No | $4.50 | $40.00 | $77.00 | 33% | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $77.80 | $0 | Many Generics | No | S5983 -005 | $6.00 | $40.00 | 75% | 33% | 584 members | |||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $98.00 | $250 | Many Generics | No | $6.00 | $40.00 | $95.00 | 26% | tbd members | ||||||
-- This plan not offered in 2010 -- | S5810 -239 | ||||||||||||||
2011 Aetna Medicare Rx Premier (PDP) | $103.80 | $0 | n/a | tbd | tbd members | ||||||||||
2010 Humana Complete S5552-002 (PDP) | $105.50 | $0 | Many Generics | No | S5552 -002 | $7.00 | $45.00 | $75.00 | 33% | 2,240 members | |||||
2011 Humana Complete (PDP) | $107.80 | $0 | Many Generics, Some Brands |
No | $7.00 | $44.00 | $75.00 | 33% | tbd members | ||||||
2010 Health Net Orange Option 2 (PDP) | $65.80 | $0 | No Gap Coverage | No | S5678 -009 | $5.00 | $35.00 | $95.00 | 33% | 2,323 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Aetna Medicare Rx Premier (PDP) | $117.50 | $0 | Many Generics | No | S5810 -173 | $8.00 | $37.00 | $38.00 | $88.00 | 850 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 Community CCRx Gold (PDP) | $81.00 | $0 | All Generics | No | S5825 -085 | $6.00 | $35.00 | $65.00 | 33% | 1,006 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $40.80 | $100 | No Gap Coverage | No | S5617 -015 | $0.00 | $8.00 | $37.00 | $90.00 | 2,004 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Value (PDP) | $47.10 | $100 | No Gap Coverage | No | S0197 -002 | $7.00 | 20% | 65% | 30% | 2,711 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Fox Value Plan (PDP) | $29.30 | $310 | No Gap Coverage | Yes | S5557 -034 | members | |||||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Premier (PDP) | $57.40 | $0 | No Gap Coverage | No | S0197 -003 | $13.00 | 19% | 50% | 33% | 867 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 First UA Medicare Part D Rx Covg - Silver (PDP) | $38.20 | $160 | No Gap Coverage | No | S5580 -004 | $4.00 | $45.00 | $90.00 | 25% | 772 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) | $19.50 | $175 | No Gap Coverage | No | S5569 -005 | $4.00 | 20% | 49% | 28% | 8,770 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Health Net Orange Option 1 (PDP) | $37.10 | $310 | No Gap Coverage | No | S5678 -003 | $4.00 | $35.00 | $95.00 | 25% | 5,604 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $35.70 | $0 | No Gap Coverage | No | S5644 -048 | $2.50 | $5.00 | 33% | 33% | 4,756 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 HIP Part D New York (PDP) | $30.60 | $310 | No Gap Coverage | Yes | S5741 -001 | $4.00 | 25% | 40% | 25% | 32,840 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 HIP Enhanced Part D New York (PDP) | $68.60 | $0 | Many Generics | No | S5741 -003 | $5.00 | $25.00 | 40% | 25% | 1,634 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Humana Enhanced S5552-001 (PDP) | $42.70 | $0 | No Gap Coverage | No | S5552 -001 | $8.00 | $45.00 | 41% | 19,905 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 AARP MedicareRx Saver (PDP) | $36.40 | $310 | No Gap Coverage | No | S5921 -203 | $6.00 | $25.00 | $93.00 | 25% | 43,718 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $47.20 | $100 | No Gap Coverage | No | S5983 -001 | $6.00 | $39.00 | 75% | 30% | 2,343 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Community CCRx Basic (PDP) | $33.40 | $310 | No Gap Coverage | No | S5803 -072 | $0.00 | 25% | 60% | 7,470 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Community CCRx Choice (PDP) | $36.20 | $150 | No Gap Coverage | No | S5803 -140 | $5.00 | $35.00 | $65.00 | 29% | 1,133 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 SilverScript CVS Caremark Complete (PDP) | $76.70 | $0 | Many Generics | No | S5601 -074 | $2.50 | $7.50 | $39.00 | $98.00 | 486 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
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