Benchmark PDPs and Actions Needed for 2011
| Company Name | Plan Name (and ID Numbers) | $0 Premium with Full Low-Income Subsidy? | Monthly Drug Premium | Benchmark Status |
|---|---|---|---|---|
| Bravo Health | Bravo Rx (S5998-001) | Yes | $36.40 | 2011 Benchmark. Remains a benchmark. No action needed. |
| CIGNA Medicare Rx | CIGNA Medicare Rx Plan One (S5617-013) | Yes | $33.50 | 2011 Benchmark. Remains a benchmark. No action needed. |
| EnvisionRx Plus | EnvisionRxPlus Silver (S7694-003) | Yes | $34.40 | 2011 Benchmark. Remains a benchmark. No action needed. |
| Fox Insurance Company | Fox Value Plan | N/A | N/A | No longer a benchmark for 2011. Plan Terminated. |
| GHI Medicare Prescription Drug Plan | GHI Medicare Prescription Drug Plan (S5966-001) | No | $55.50 | No longer a benchmark for 2011. Merged into EmblemHealth. Plan name is now Medicare Prescription Drug Plan. Individuals who were assigned to GHI or HIP in 2010 will be reassigned to another Benchmark plan. Will cost those with Extra Help $16.81 to remain in plan. |
| HIP Medicare PDP | HIP Standard Part D New York (S5741-001) | No | $55.50 | No longer a benchmark for 2011. Merged into EmblemHealth. Plan name is now Medicare Prescription Drug Plan. Individuals who were assigned to GHI or HIP in 2010 will be reassigned to another Benchmark plan. Will cost those with Extra Help $16.81 to remain in plan. |
| HealthSpring Prescription Drug Plan | HealthSpring Prescription Drug Plan - Reg 3 (S5932-004) | Yes | $35.00 | 2011 Benchmark. New benchmark for 2011. |
| Humana Insurance Company of New York | Humana Walmart - Preferred Rx Plan (S5552-004) | Yes | $14.80 | 2011 Benchmark. New benchmark for 2011. |
| Medco Medicare Prescription Plan | Medco Medicare Prescription Plan - Value (S5983-004) | Yes | $34.50 | 2011 Benchmark. Remains a benchmark. No action needed. |
| RxAmerica | Advantage Star Plan by RxAmerica (S5644-004) | Yes | $31.40 | 2011 Benchmark. Remains a benchmark. No action needed. |
| SilverScript | SilverScript Value (S5601-006) name changed to CVS Caremark Value | Yes | $33.50 | 2011 Benchmark. Remains a benchmark. No action needed. Name change. |
| UnitedHealthcare | AARP MedicareRx Preferred (S5805-001) | Yes | $38.60 | 2011 Benchmark. New benchmark for 2011. |
| Universal American | Prescriba Rx Bronze (S5825-045) name changed to Community CCRx Basic for 2011 | Yes | $30.20 | 2011 Benchmark. Remains a benchmark. No action needed. Name change. |
| WellCare | Wellcare Classic (S5967-140) | Yes | $33.40 | 2011 Benchmark. New benchmark for 2011. |
Notes:
- LIS = Low Income Subsidy
- Apply for Extra Help (LIS) at www.socialsecurity.gov/prescriptionhelp
or call 1-800-772-1213 - Review the Annual Notice of Change letters (blue letters sent out by PDPs to all members by 10/31/10) for formulary changes that may effect an individual and switch plans, as needed.
- NYS Benchmark premium amount for 2011 is $38.69