2011 Medicare Part D Stand- Alone Prescription Drug Plans - New York State
Data as of September 15, 2010. Includes all contracts/plans regardless of 2011 approval status.
Employer sponsored plans (800 series) are excluded. Plans under sanction are not shown.
Notes: Data are subject to change as contracts are finalized. For 2011, enhanced alternative plans may offer additional gap coverage which is calculated as the percentage of “generic” formulary products with coverage above and beyond the 2011 standard "generic" coverage gap cost-sharing benefit and/or the percentage of “brand” formulary products covered in addition to the coverage gap discount for applicable drugs. Additional gap coverage levels are determined separately for formulary generic and brand products and are described as follows: “All”: 100% of formulary drugs are covered through the gap, “Many”: ≥65% to <100% of formulary drugs are covered through the gap, “Some”: ≥10% to <65 % of formulary drugs are covered through the gap, “Few”: >0% to <10% of formulary drugs are covered through the gap (and must also be >15 products covered through the gap), “No Gap Coverage”: 0% of formulary drugs are covered through the gap (or ≤15 products covered through the gap). A label of “All Formulary Drugs” is applied for plans that cover 100% of “generic” and 100% of “brand” products (either by covering all formulary drug products in the gap or by having no initial coverage limit).
| Company Name | Benchmark Status | Plan Name | Benefit Type | $0 Premium with Full Low-Income Subsidy? | Monthly Drug Premium | Annual Drug Deductible | Type of Additional Drug Coverage Offered in the Gap |
|---|---|---|---|---|---|---|---|
| First Health Part D | First Health Part D Premier Plus (PDP) | Enhanced | $86.70 | $0 | Some Generics and Some Brands | ||
| Simply Prescriptions | Rx 1 (PDP) | Basic | $45.90 | $310 | No Gap Coverage | ||
| Simply Prescriptions | Rx 3 (PDP) | Enhanced | $76.90 | $100 | No Gap Coverage | ||
| Sterling Life Insurance Company | Sterling Rx (PDP) | Basic | $54.50 | $100 | No Gap Coverage | ||
| Humana Insurance Company of New York | Humana Complete (PDP) | Enhanced | $107.80 | $0 | Many Generics and Some Brands | ||
| Humana Insurance Company of New York | Humana Enhanced (PDP) | Enhanced | $45.50 | $0 | Few Generics | ||
| Humana Insurance Company of New York | New | Humana Walmart-Preferred Rx Plan (PDP) | Basic | X | $14.80 | $310 | No Gap Coverage |
| First Health Part D | First Health Part D Premier (PDP) | Basic | $48.10 | $150 | No Gap Coverage | ||
| First United American Life Insurance Company | First UA Medicare Part D Prescription Drug (PDP) | Basic | $49.80 | $110 | No Gap Coverage | ||
| HealthNow New York Inc. | SmartHealth Rx PDP (PDP) | Basic | $44.70 | $100 | No Gap Coverage | ||
| SilverScript Insurance Company | Existing | CVS Caremark Value (PDP) | Basic | X | $33.50 | $310 | No Gap Coverage |
| SilverScript Insurance Company | CVS Caremark Plus (PDP) | Enhanced | $55.50 | $0 | Many Generics | ||
| CIGNA Medicare Rx | Existing | CIGNA Medicare Rx Plan One (PDP) | Basic | X | $33.50 | $310 | No Gap Coverage |
| CIGNA Medicare Rx | CIGNA Medicare Rx Plan Two (PDP) | Enhanced | $71.20 | $0 | Few Generics | ||
| RxAmerica | Existing | Advantage Star Plan by RxAmerica (PDP) | Basic | X | $31.40 | $310 | No Gap Coverage |
| UnitedHealthcare | New | AARP MedicareRx Preferred (PDP) | Basic | X | $38.60 | $0 | No Gap Coverage |
| Universal American | Community CCRx Choice (PDP) | Enhanced | $74.00 | $0 | No Gap Coverage | ||
| Universal American | Existing | Community CCRx Basic (PDP) | Basic | X | $30.20 | $310 | No Gap Coverage |
| UnitedHealthcare | AARP MedicareRx Enhanced (PDP) | Enhanced | $92.70 | $0 | Some Generics | ||
| HealthSpring Prescription Drug Plan | New | HealthSpring Prescription Drug Plan -Reg 3 (PDP) | Basic | X | $35.00 | $310 | No Gap Coverage |
| UniCare | MedicareRx Rewards Standard (PDP) | Basic | $44.90 | $310 | No Gap Coverage | ||
| UniCare | MedicareRx Rewards Plus (PDP) | Enhanced | $64.60 | $0 | Some Generics | ||
| EmblemHealth Medicare PDP (Formerly GHI & HIP Benchmark Plans) | Former | Medicare Prescription Drug Plan (PDP) | Basic | $55.50 | $310 | No Gap Coverage | |
| WellCare | WellCare Signature (PDP) | Enhanced | $58.20 | $0 | No Gap Coverage | ||
| WellCare | New | WellCare Classic (PDP) | Basic | X | $33.40 | $310 | No Gap Coverage |
| Medco Medicare Prescription Plan | Existing | Medco Medicare Prescription Plan - Value (PDP) | Basic | X | $34.50 | $310 | No Gap Coverage |
| Medco Medicare Prescription Plan | Medco Medicare Prescription Plan - Choice (PDP) | Enhanced | $98.00 | $250 | Many Generics | ||
| Bravo Health | Existing | BravoRx (PDP) | Basic | X | $36.40 | $310 | No Gap Coverage |
| EnvisionRx Plus | Existing | EnvisionRxPlus Silver (PDP) | Basic | X | $34.40 | $310 | No Gap Coverage |
| EnvisionRx Plus | EnvisionRxPlus Gold (PDP) | Enhanced | $66.90 | $150 | Many Generics | ||
| Fox Insurance Company | Former | Fox Value Plan | Discontinued |