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 -147 | ||||||||||||||
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) | $41.70 | $150 | No Gap Coverage | No | S5768 -118 | $7.00 | 12% | 44% | 29% | 553 members | |||||
2011 First Health Part D Premier (PDP) | $34.10 | $150 | No additional gap coverage, only the Donut Hole Discount | Yes | $8.00 | 17% | 36% | 29% | tbd members | ||||||
2010 HealthSpring Prescription Drug Plan-Reg 31 (PDP) | $33.00 | $310 | No Gap Coverage | Yes | S5932 -030 | 25% | 25% | 5,752 members | |||||||
2011 HealthSpring Prescription Drug Plan-Reg 31 (PDP) | $35.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | tbd members | ||||||||
2010 SilverScript Value (PDP) | $40.30 | $310 | No Gap Coverage | Yes | S5601 -062 | $8.00 | $25.25 | $95.00 | 25% | 11,592 members | |||||
2011 CVS Caremark Value (PDP) | $37.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $5.00 | $42.75 | $95.00 | 25% | tbd members | ||||||
2010 BravoRx (PDP) | $40.50 | $310 | No Gap Coverage | Yes | S5998 -034 | 25% | 25% | 25% | 3,578 members | ||||||
2011 BravoRx (PDP) | $38.70 | $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 Community CCRx Basic (PDP) | $40.10 | $310 | No Gap Coverage | Yes | S5803 -100 | $0.00 | 30% | 50% | 5,440 members | ||||||
2011 Community CCRx Basic (PDP) | $39.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $2.00 | 29% | 60% | 25% | tbd members | ||||||
2010 WellCare Classic (PDP) | $44.50 | $310 | No Gap Coverage | -- | S5967 -168 | $4.00 | $37.00 | $75.00 | 25% | 1,433 members | |||||
2011 WellCare Classic (PDP) | $39.60 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $0.00 | $44.00 | $93.00 | 25% | tbd members | ||||||
2010 AARP MedicareRx Preferred (PDP) | $45.50 | $0 | No Gap Coverage | No | S5820 -030 | $7.00 | $42.00 | $75.00 | 33% | 20,372 members | |||||
2011 AARP MedicareRx Preferred (PDP) | $39.80 | $0 | No additional gap coverage, only the Donut Hole Discount | Yes | $7.00 | $45.00 | $79.00 | 33% | tbd members | ||||||
2010 Sterling Rx (PDP) | $56.30 | $310 | No Gap Coverage | No | S4802 -021 | $9.00 | $32.00 | 25% | 449 members | ||||||
2011 Sterling Rx (PDP) | $39.80 | $100 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $22.00 | $37.00 | 25% | tbd members | ||||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $38.40 | $310 | No Gap Coverage | Yes | S5660 -133 | 25% | 25% | 25% | 25% | 5,011 members | |||||
2011 Medco Medicare Prescription Plan - Value (PDP) | $42.30 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 Health Net Orange Option 1 (PDP) | $40.80 | $310 | No Gap Coverage | Yes | S5678 -064 | $4.00 | $42.00 | $95.00 | 25% | 1,552 members | |||||
2011 Health Net Orange Option 1 (PDP) | $42.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Yes | $4.00 | $34.00 | $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 CIGNA Medicare Rx Plan One (PDP) | $38.50 | $310 | No Gap Coverage | Yes | S5617 -153 | $3.00 | $33.00 | $92.00 | 25% | 3,262 members | |||||
2011 CIGNA Medicare Rx Plan One (PDP) | $42.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $29.00 | $83.00 | 25% | tbd members | ||||||
2010 Humana Standard S5884-089 (PDP) | $42.60 | $310 | No Gap Coverage | No | S5884 -089 | 15% | 25% | 43% | 12,349 members | ||||||
2011 Humana Enhanced (PDP) | $45.40 | $0 | Few Generics | No | $7.00 | $39.00 | $74.00 | 33% | tbd members | ||||||
2010 EnvisionRxPlus Silver (PDP) | $42.20 | $310 | No Gap Coverage | No | S7694 -031 | 25% | 25% | 25% | 25% | 27 members | |||||
2011 EnvisionRxPlus Silver (PDP) | $49.10 | $310 | No additional gap coverage, only the Donut Hole Discount | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2010 MedicareRx Rewards Standard (PDP) | $41.10 | $310 | No Gap Coverage | No | S5960 -137 | $6.50 | 25% | 25% | 25% | 1,532 members | |||||
2011 MedicareRx Rewards Standard (PDP) | $49.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $4.00 | $7.00 | $38.00 | 25% | tbd members | ||||||
2010 Aetna Medicare Rx Essentials (PDP) | $50.80 | $310 | No Gap Coverage | No | S5810 -065 | $3.00 | $28.00 | $30.00 | $70.00 | 834 members | |||||
2011 Aetna Medicare Rx Essentials (PDP) | $52.40 | $310 | n/a | tbd | tbd members | ||||||||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $49.60 | $0 | No Gap Coverage | No | S5755 -034 | $9.00 | $38.00 | $76.00 | 33% | 858 members | |||||
2011 UA Medicare Part D Prescription Drug Cov (PDP) | $54.40 | $70 | No additional gap coverage, only the Donut Hole Discount | No | $10.00 | $45.00 | $95.00 | 31% | 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) | $41.80 | $0 | No Gap Coverage | No | S5960 -160 | $7.00 | $43.00 | $85.00 | 33% | 335 members | |||||
2011 MedicareRx Rewards Plus (PDP) | $55.10 | $0 | Some Generics | No | $4.00 | $7.00 | $43.00 | $85.00 | tbd members | ||||||
2010 Educators Rx Basic (PDP) | $53.50 | $310 | No Gap Coverage | No | S5877 -004 | $3.00 | $35.00 | $50.00 | $70.00 | 381 members | |||||
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2011 Educators Rx Basic (PDP) | $55.80 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $3.00 | $40.00 | $60.00 | $85.00 | tbd members | ||||||
2010 Advantage Star Plan by RxAmerica (PDP) | $53.20 | $310 | No Gap Coverage | No | S5644 -087 | $3.50 | 25% | 25% | 45% | 1,209 members | |||||
2011 Advantage Star Plan by RxAmerica (PDP) | $57.40 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $5.50 | 25% | $95.00 | 25% | tbd members | ||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $42.50 | $0 | No Gap Coverage | No | S5810 -235 | $2.00 | $27.00 | $32.00 | $80.00 | 1,471 members | |||||
2011 Aetna Medicare Rx Costco Plus Plan (PDP) | $59.60 | $0 | n/a | tbd | tbd members | ||||||||||
2010 EnvisionRxPlus Gold (PDP) | $50.80 | $150 | No Gap Coverage | No | S7694 -065 | $4.00 | $30.00 | $25.00 | 25% | 92 members | |||||
2011 EnvisionRxPlus Gold (PDP) | $67.40 | $150 | Many Generics | No | $4.00 | 25% | $25.00 | 25% | tbd members | ||||||
2010 WellCare Signature (PDP) | $51.50 | $0 | No Gap Coverage | -- | S5967 -065 | $0.00 | $42.00 | $85.00 | 33% | 1,225 members | |||||
2011 WellCare Signature (PDP) | $68.60 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $40.00 | $91.00 | 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 CIGNA Medicare Rx Plan Three (PDP) | $69.90 | $0 | Many Generics, Few Brands |
No | S5617 -201 | $6.00 | $35.00 | $60.00 | 33% | 117 members | |||||
2011 CIGNA Medicare Rx Plan Two (PDP) | $73.20 | $0 | Few Generics | No | $0.00 | $3.00 | $34.00 | $78.00 | tbd members | ||||||
2010 Regence Medicare Script (PDP) | $76.50 | $200 | No Gap Coverage | No | S5916 -001 | $4.00 | $30.00 | $61.00 | 27% | 6,096 members | |||||
2011 Regence Medicare Script (PDP) | $77.00 | $130 | No additional gap coverage, only the Donut Hole Discount | No | $5.00 | $35.00 | $35.00 | $75.00 | tbd members | ||||||
2010 SilverScript CVS Caremark Plus (PDP) | $45.00 | $50 | No Gap Coverage | No | S5601 -063 | $2.50 | $7.50 | $25.00 | $30.00 | 524 members | |||||
2011 CVS Caremark Plus (PDP) | $77.90 | $0 | Many Generics | No | $2.00 | $5.00 | $35.00 | $90.00 | tbd members | ||||||
2010 Health Net Value Orange Option 2 (PDP) | $52.10 | $0 | No Gap Coverage | No | S5678 -063 | $0.00 | $42.00 | $95.00 | 33% | 708 members | |||||
2011 Health Net Value Orange Option 2 (PDP) | $79.70 | $0 | No additional gap coverage, only the Donut Hole Discount | No | $0.00 | $32.00 | $64.00 | 33% | tbd members | ||||||
2010 Educators Rx Advantage (PDP) | $68.20 | $50 | No Gap Coverage | No | S5877 -007 | 20% | 25% | 50% | 30% | 850 members | |||||
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2011 Educators Rx Advantage (PDP) | $86.00 | $0 | No additional gap coverage, only the Donut Hole Discount | No | 10% | 20% | 50% | 33% | tbd members | ||||||
2010 AARP MedicareRx Enhanced (PDP) | $82.00 | $0 | Many Generics | No | S5921 -033 | $7.00 | $42.00 | $90.00 | 33% | 895 members | |||||
2011 AARP MedicareRx Enhanced (PDP) | $94.40 | $0 | Some Generics | No | $4.50 | $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 Community CCRx Choice (PDP) | $51.40 | $150 | No Gap Coverage | No | S5803 -168 | $5.00 | $35.00 | $65.00 | 29% | 477 members | |||||
2011 Community CCRx Choice (PDP) | $96.60 | $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) | $83.10 | $0 | Many Generics | No | S5674 -053 | $5.00 | $25.00 | 20% | 75% | 1,532 members | |||||
2011 First Health Part D Premier Plus (PDP) | $100.30 | $0 | Some Generics, Some Brands |
No | $0.00 | $25.00 | 30% | 56% | tbd members | ||||||
2010 Regence Medicare Script Enhanced (PDP) | $94.50 | $100 | Many Generics | No | S5916 -002 | $4.00 | $30.00 | $56.00 | 30% | 1,450 members | |||||
2011 Regence Medicare Script Enhanced (PDP) | $105.50 | $0 | Many Generics | No | $4.00 | $30.00 | $30.00 | $70.00 | tbd members | ||||||
2010 Humana Complete S5884-059 (PDP) | $103.10 | $0 | Many Generics | No | S5884 -059 | $7.00 | $45.00 | $75.00 | 33% | 1,540 members | |||||
2011 Humana Complete (PDP) | $112.40 | $0 | Many Generics, Some Brands |
No | $5.00 | $37.00 | $71.00 | 33% | tbd members | ||||||
2010 Aetna Medicare Rx Premier (PDP) | $106.20 | $0 | Many Generics | No | S5810 -201 | $7.00 | $31.00 | $34.00 | $85.00 | 332 members | |||||
2011 Aetna Medicare Rx Premier (PDP) | $117.60 | $0 | n/a | tbd | tbd members | ||||||||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $91.00 | $0 | Many Generics | No | S5660 -201 | $6.00 | $40.00 | 75% | 33% | 161 members | |||||
2011 Medco Medicare Prescription Plan - Choice (PDP) | $121.70 | $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 Medco Medicare Prescription Plan - Choice (PDP) | $55.60 | $100 | No Gap Coverage | No | S5660 -031 | $6.00 | $40.00 | 75% | 30% | 503 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $42.90 | $100 | No Gap Coverage | No | S5617 -155 | $0.00 | $8.00 | $37.00 | $86.00 | 688 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Value (PDP) | $36.80 | $100 | No Gap Coverage | No | S5674 -050 | $6.00 | 18% | 64% | 30% | 7,972 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Bronze (PDP) | $34.90 | $310 | No Gap Coverage | Yes | S5597 -265 | 25% | 25% | 25% | 5,042 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 AdvantraRx Premier (PDP) | $45.30 | $0 | No Gap Coverage | No | S5674 -051 | $12.00 | 17% | 54% | 33% | 1,571 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Humana Enhanced S5884-029 (PDP) | $43.80 | $0 | No Gap Coverage | No | S5884 -029 | $7.00 | $45.00 | $75.00 | 33% | 18,061 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) | $18.70 | $175 | No Gap Coverage | No | S5768 -113 | $4.00 | 20% | 50% | 28% | 8,433 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $56.50 | $125 | No Gap Coverage | No | S5755 -069 | $4.00 | $45.00 | $90.00 | 25% | 90 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Community CCRx Gold (PDP) | $80.40 | $0 | All Generics | No | S5803 -248 | $6.00 | $35.00 | $65.00 | 33% | 585 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 PrescribaRx Gold (PDP) | $40.50 | $150 | No Gap Coverage | No | S5597 -063 | $6.00 | $43.00 | 29% | 230 members | ||||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $49.70 | $0 | No Gap Coverage | No | S5644 -063 | $2.50 | $5.00 | 33% | 33% | 339 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 UnitedHealthcare MedicareRx (PDP) | $33.90 | $310 | No Gap Coverage | Yes | S5917 -007 | $6.00 | $25.00 | $80.00 | 25% | 4,472 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) | $42.80 | $310 | No Gap Coverage | No | S5921 -031 | $6.00 | $25.00 | $83.00 | 25% | 2,218 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
2010 SilverScript CVS Caremark Complete (PDP) | $87.90 | $0 | Many Generics | No | S5601 -102 | $2.50 | $7.50 | $39.00 | $98.00 | 40 members | |||||
-- This plan not offered in 2011 -- | |||||||||||||||
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