2017
California Medicare Prescription Drug Plans
The following Medicare prescription drug plans are available to Medicare beneficiaries who live in California. This information was
taken from the Centers for Medicare & Medicare Services (CMS) website www.medicare.gov .
For more information or help comparing Part D and Medicare Advantage Prescription Drug plans, contact your local Health
Insurance Counseling and Advocacy Program (HICAP) Kern County at 661 868-1000 or 1-800-434-0222.


24 prescription plans statewide
6 benchmark plans ($36.23)
TTY/TDD
Rating
Drug Plan Monthly Premium
Phone
Number
Annual Drug
Deductible
Coverage in
the Gap?
Out of
5 stars
www.aetnamedicare.com
1-855-338-7030
711
$32.10
$400
No
www.anthem.com/ca/medicare
1-800-261-8667
711
$68.20
$400
No
4.0
$106.00
$0
Tier 1 & Tier 6
4.0
$159.80
$0
Tier 1,2,3,6
4.0
www.blueshieldca.com
1-800-488-8000
711
Blue Shield Medicare Basic Plan(S2468-003)
$82.40
$400
No
3.5
Blue Shield Medicare Enhanced (S2468-004)
$129.30
$0
No
3.5
Sponsor/Organization Name
Plan Name & ID Number
Aetna Medicare
Aetna Medicare RX Saver ( S5810-066)
BENCHMARK
Anthem Blue Cross
Anthem Blue Cross MedicareRX Standard
(S5596-033)
Anthem Blue Cross MedicareRX Plus
(S5596-034)
Anthem Blue Cross MedicareRX Gold
(S5596-035)
Blue Shield of California
Website
3.5
Phone
Number
TTY/TDD
Rating
Drug Plan Monthly Premium
Annual Drug
Deductible
Coverage in
the Gap?
Out of
5 Stars
CIGNA-HealthSpring Rx
www.cignamedicarerx.com
1-800-735-1459
711
Cigna-HealthSpring RX Secure (S5617-158)
Sanctioned- info not available
Cigna-HealthSpring Rx Secure-Xtra (S5617-277)
Sanctioned- Info not available
www.envisionrxplus.com
1-866-250-2005
711
$53.90
$400
No
express-scriptsmedicare.com
1-866-477-5704
711
Express Scripts Medicare Value (S5660-134)
$59.10
$400
No
4.0
Express Scripts Medicare Choice(S5660-202)
$91.40
$350
No
4.0
www.coventryhealthcare.com
1-855-389-9688
711
First Health Part D Value Plus (S5768-155)
$42.30
$0
First Health Part D Premier Plus (S5678-194)
$120.70
$0
Full Tier 1 & 2
Full Tier 1, 2
Partial Tier 4
www.humana-medicare.com
1-800-706-0872
711
Humana Walmart Rx Plan (S5884-178)
$17.00
$400
No
3.0
Humana Preferred Rx Plan (S5884-114)
$28.20
$400
No
3.0
$71.10
$0
Some Tier
3 and 4
3.0
www.silverscript.com
1-866-552-6106
711
SilverScript Choice (S5601-064) BENCHMARK
$29.90
$0
No
SilverScript Plus (S5601-065)
$83.70
$0
Tier 1 & 2
Sponsor/Organization Name
Plan Name & ID Number
EnvisionRX Plus
EnvisionRx Plus (S7694-032)
Express Scripts
First Health Part D
Humana Insurance Company
BENCHMARK
Humana Enhanced (S5884-030)
SilverScript
Website
3.0
3.5
3.5
4.0
4.0
Sponsor/Organization Name
Plan Name & ID Number
Symphonix Health
Symphonix Value RX (S0522-034) BENCHMARK
United Health Care - AARP
TTY/TDD
Rating
Drug Plan Monthly Premium
Phone
Number
Annual Drug
Deductible
Coverage in
the Gap?
Out of
5 Stars
www.symphonixhealth.com
1-855-283-2958
711
$30.60
$400
No
www.aarpmedicareplans.com
1-888-867-5564
$0 – Tiers 1- 2
$400 – Tiers 3-5
711
No
2.5
Website
2.5
AARP MedicareRX Walgreens (S0522-065)
$22.40
AARP Medicare RX Saver Plus (S5921-376)
$33.40
$400
No
3.0
$86.00
$0
No
3.5
www.wellcarepdp.com
1-888-900-4307
711
$34.90
$400
No
2.5
$67.50
$0
No
2.5
BENCHMARK
AARP MedicareRX Preferred (S5820-031)
Wellcare
Wellcare Classic (S4802-094)
Wellcare Extra (S4802-128)
BENCHMARK
“The production of this document was supported by a federal grant from the Administration for Community Living (ACL). Its contents are solely the responsibility of
Kern County Aging and Adult Services and do not necessarily represent the official views of ACL.”