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 -143 | |||||||||||
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 Community CCRx Basic (PDP) | $25.70 | $310 | No Gap Coverage | Yes | S5803 -091 | $0.00 | 25% | 70% | 109,800 members | |||
2011 Community CCRx Basic (PDP) | $25.10 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 31% | 62% | 25% | tbd members | |||
2010 Advantage Star Plan by RxAmerica (PDP) | $29.40 | $310 | No Gap Coverage | No | S5644 -079 | $4.00 | 25% | 25% | 45% | 6,955 members | ||
2011 Advantage Star Plan by RxAmerica (PDP) | $25.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.50 | 25% | $95.00 | 25% | tbd members | |||
2010 BravoRx (PDP) | $26.70 | $310 | No Gap Coverage | Yes | S5998 -039 | 25% | 25% | 25% | 41,314 members | |||
2011 BravoRx (PDP) | $26.90 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2010 Health Net Orange Option 1 (PDP) | $29.40 | $310 | No Gap Coverage | No | S5678 -050 | $4.00 | $36.00 | $95.00 | 25% | 4,963 members | ||
2011 Health Net Orange Option 1 (PDP) | $27.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $35.00 | $75.00 | 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 22 (PDP) | $25.40 | $310 | No Gap Coverage | Yes | S5932 -021 | 25% | 25% | 48,690 members | ||||
2011 HealthSpring Prescription Drug Plan-Reg 22 (PDP) | $27.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | |||||
2010 WellCare Classic (PDP) | $24.50 | $310 | No Gap Coverage | -- | S5967 -159 | $4.00 | $37.00 | $75.00 | 25% | 45,586 members | ||
2011 WellCare Classic (PDP) | $28.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $45.00 | $93.00 | 25% | tbd members | |||
2010 SilverScript Value (PDP) | $29.40 | $310 | No Gap Coverage | No | S5601 -044 | $8.00 | $22.50 | $95.00 | 25% | 14,929 members | ||
2011 CVS Caremark Value (PDP) | $28.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $45.00 | $95.00 | 25% | tbd members | |||
2010 EnvisionRxPlus Silver (PDP) | $25.70 | $310 | No Gap Coverage | Yes | S7694 -022 | 25% | 25% | 25% | 25% | 19,925 members | ||
2011 EnvisionRxPlus Silver (PDP) | $29.20 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2010 CIGNA Medicare Rx Plan One (PDP) | $25.00 | $310 | No Gap Coverage | Yes | S5617 -108 | $3.00 | $30.00 | $77.00 | 25% | 23,223 members | ||
2011 CIGNA Medicare Rx Plan One (PDP) | $29.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $3.00 | $28.00 | $75.00 | 25% | tbd members | |||
2010 First Health Part D-Premier (PDP) | $24.80 | $150 | No Gap Coverage | Yes | S5768 -045 | $8.00 | 12% | 44% | 29% | 45,654 members | ||
2011 First Health Part D Premier (PDP) | $30.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | $9.00 | 15% | 38% | 29% | tbd members | |||
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