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2009 Pennsylvania Medicare Part D Plan Archive

Pennsylvania State Flag .
The name Pennsylvania was specified in the charter given to William Penn by England's Charles II in 1680. The Latin Sylvania meaning "woodlands" was added to Penn to create "Penn's woods." (Source: Shearer, Benjamin F. and Barbara S. State Names, Seals, Flags and Symbols Greenwood Press, Westport, Connecticut - 2001)

2009 Medicare Part D Products Available to Residents of Pennsylvania

Pennsylvania is CMS Region 6.

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Below is a summary of national Medicare Prescription Drug plans (PDP) for Pennsylvania.

Other 2009 Q1Medicare.com Plan Tools:
» PDP-Wizard to help you find your 2009 plan
» Click here to view Pennsylvania national and regional plan details
    (copays/ coinsurance, plan ratings, 2009 enrollment figures, etc. in a separate window)
» Click here to compare 2009 Pennsylvania plan details with the 2008 plans
» Click here to show 2009 Medicare Part D plans for a different state

2009 Stand-Alone Prescription Drug Plan Highlights
CMS PDP Region 6
Print Version

 2022  2021  2020  2019  2018  2017  2016  2015  2014  2013  2012  2011  2010  2009  2008  2007  2006
Plan Name Monthly
Premium		 Deductible Qualifies
for $0
Premium
with Full
Low-Income
Subsidy?		 Coverage Gap
(Donut Hole)
Coverage		 Benefit Type
Available		 Plan ID
AARP Plans by United HealthCare
 
AARP MedicareRx Saver
$22.40$295YesNo Gap CoverageBasicS5921-091
Browse Formulary
AARP MedicareRx Preferred
$34.80$0NoNo Gap CoverageBasicS5820-005
Browse Formulary
AARP MedicareRx Enhanced
$76.40$0NoMany GenericsEnhancedS5921-093
Browse Formulary
Aetna Life Insurance Company
» Summary of Benefits All Aetna Plans
 » Aetna Preferred Drug List
Aetna Medicare Rx Essentials
$33.40$195NoNo Gap CoverageBasicS5810-040
Browse Formulary
Aetna Medicare Rx Plus
$63.90$0NoSome GenericsEnhancedS5810-142
Browse Formulary
Aetna Medicare Rx Premier
$99.90$0NoMany GenericsEnhancedS5810-176
Browse Formulary
Blue Cross and Blue Shield
» Summary of Benefits for all Plans
» Evidence of Coverage for all Plans 		» BlueRx Formulary
BlueRx Value
$33.10$295NoNo Gap CoverageBasicS5593-004
Browse Formulary
BlueRx Plus
$49.10$0NoNo Gap CoverageEnhancedS5593-002
Browse Formulary
BlueRx Complete
$108.00$0NoMany GenericsEnhancedS5593-003
Browse Formulary
Cigna Insurance Company
  » Plan One Formulary
» Summary of Benefits All CIGNA Plans
» Transition Policy		 » Plan Two Formulary
» Plan Three Formulary
CIGNA Medicare Rx Plan One
$30.00$295NoNo Gap CoverageBasicS5617-028
Browse Formulary
CIGNA Medicare Rx Plan Two
$39.50$0NoNo Gap CoverageEnhancedS5617-030
Browse Formulary
CIGNA Medicare Rx Plan Three
$72.60$0NoSome GenericsEnhancedS5617-176
Browse Formulary
Coventry AdvantraRx
» Summary of Benefits All AdvantraRx Plans
 » AdvantraRx Formulary
AdvantraRx Premier
$36.90$0NoNo Gap CoverageBasicS5670-034
Browse Formulary
AdvantraRx Value
$22.20$0NoNo Gap CoverageEnhancedS5670-033
Browse Formulary
AdvantraRx Premier Plus
$52.80$0NoMany GenericsEnhancedS5670-036
Browse Formulary
EnvisionRx Plus
EnvisionRxPlus Silver
$32.00$295NoNo Gap CoverageBasicS7694-006
Browse Formulary
EnvisionRxPlus Gold
$66.60$0NoNo Gap CoverageEnhancedS7694-040
Browse Formulary
First Health Part D
First Health Part D-Premier
$28.70$0YesNo Gap CoverageBasicS5768-009
Browse Formulary
First Health Part D-Secure
$13.70$175NoNo Gap CoverageEnhancedS5768-088
Browse Formulary
Health Net
Health Net Orange Option 1
$35.30$295NoNo Gap CoverageBasicS5678-018
Browse Formulary
Health Net Value Orange Option 2
$46.60$0NoNo Gap CoverageEnhancedS5678-017
Browse Formulary
Humana Health Insurance Company
» Humana Summary of Benefits All 3 Plans » Humana Formulary
Humana PDP Standard S5884-064
$39.50$295NoNo Gap CoverageBasicS5884-064
Browse Formulary
Humana PDP Enhanced S5884-005
$44.90$0NoNo Gap CoverageEnhancedS5884-005
Browse Formulary
Humana PDP Complete S5884-034
$95.40$0NoMany GenericsEnhancedS5884-034
Browse Formulary
Medco Medicare Prescription Plan
Medco Medicare Prescription Plan - Value
$28.50$295YesNo Gap CoverageBasicS5660-108
Browse Formulary
Medco Medicare Prescription Plan - Choice
$32.60$0NoNo Gap CoverageEnhancedS5660-005
Browse Formulary
Medco Medicare Prescription Plan - Access
$68.30$0NoAll GenericsEnhancedS5660-176
Browse Formulary
Prescriba (formerly Prescription Pathway)
  » Prescriba Formulary
» Summary of Benefits All Prescriba Plans » Evidence of Coverage All Prescriba Plans
Prescriba Rx Bronze
$28.80$295YesNo Gap CoverageBasicS5597-240
Browse Formulary
Prescriba Rx Gold
$32.10$0NoNo Gap CoverageEnhancedS5597-038
Browse Formulary
Prescriba Rx Platinum
$65.00$0NoAll GenericsEnhancedS5597-203
Browse Formulary
RxAmerica
Advantage Star Plan by RxAmerica
$27.80$295YesNo Gap CoverageBasicS5644-072
Browse Formulary
Advantage Freedom Plan by RxAmerica
$38.30$0NoNo Gap CoverageEnhancedS5644-051
Browse Formulary
SierraRx
» SierraRx Transition Process » Summary of Benefits SierraRx Basic Plan
» SierraRx Basic Formulary
» Evidence of Coverage SierraRx Basic
SierraRx Basic
$64.90$295NoNo Gap CoverageBasicS5917-011
Browse Formulary
SilverScript
SilverScript Value
$28.70$295YesNo Gap CoverageBasicS5601-012
Browse Formulary
SilverScript Plus
$51.50$50NoMany GenericsEnhancedS5601-013
Browse Formulary
SilverScript Complete
$69.10$0NoMany GenericsEnhancedS5601-077
Browse Formulary
Sterling Prescription Drug Plan
Sterling Rx
$42.10$295NoNo Gap CoverageBasicS4802-003
Browse Formulary
Unicare - MedicareRx Rewards
MedicareRx Rewards Standard
$28.10$295YesNo Gap CoverageBasicS5960-112
Browse Formulary
MedicareRx Rewards Value
$32.90$130NoNo Gap CoverageBasicS5960-006
Browse Formulary
United American Insurance Company
UA Medicare Part D Rx Covg - Silver Plan
$39.00$150NoNo Gap CoverageBasicS5755-044
Browse Formulary
UA Medicare Part D Prescription Drug Cov
$42.40$0NoNo Gap CoverageEnhancedS5755-009
Browse Formulary
United HealthCare Insurance Company
 
UnitedHealth Rx Basic
$43.10$0NoNo Gap CoverageEnhancedS5921-092
Browse Formulary
Universal American - Community CCRx
» Summary of Benefits All CCRx Plans
» CCRx Basic Plan (Select) Formulary
» CCRx Choice & Gold (Optimal) Formulary 		» Evidence of Coverage Basic Plan all States
» Evidence of Coverage Choice Plan all States
» Evidence of Coverage Gold Plan all States
Community CCRx Basic
$25.40$295YesNo Gap CoverageBasicS5803-075
Browse Formulary
Community CCRx Choice
$42.60$0NoNo Gap CoverageEnhancedS5803-143
Browse Formulary
Community CCRx Gold
$75.10$0NoAll GenericsEnhancedS5803-223
Browse Formulary
WellCare Health Plans
  » Signature Formulary
» Summary of Benefits all plans
» Pre-enrollment Brochure		 » Classic Formulary
» Transition Policy
WellCare Classic
$31.40$295NoNo Gap CoverageBasicS5967-143
Browse Formulary
WellCare Signature
$33.90$0NoNo Gap CoverageEnhancedS5967-040
Browse Formulary

A few notes to help with the understanding of the 2009 Medicare Part D Plan chart above.
  • Plan Name: This is the official plan name from CMS
  • Deductible: This is the $295 deductible that was presented in the CMS Standard Plan. Many provider's plans do not have a deductible, however the premium may be higher.
  • Qualifies for $0 Premium with Full Low-Income Subsidy?: If Yes is in the field, then you would pay a $0 premium if you have a Full Low-Income Subsidy. If No is in the field, then you would be responsible for the difference between what the state provides as the Full Low-Income Subsidy and the actual cost of the plan even if you have a Full Low-Income Subsidy.
  • Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3453.75 in drug costs (the Donut Hole). Many provider's plans cover the costs that fall into this category for an additional premium. In our chart, you will see one of the following:
    • No Gap Coverage: you must pay the $3453.75;

    • Some Generics: 10% to 65% of formulary generics are covered, but you must pay for Brand Drugs up to $3453.75;

    • Many Generics: 65% to 100% of formulary generics are covered, but you must pay for Brand Drugs up to $3453.75;

    • All Generics : All formulary Generics are covered, but you must pay for Brand Drugs up to $3453.75;

    • All Generics & Few Brands: One regional plan (Alliance Medicare RX), only available in Michigan covers all Generics and a few (less than 10%) of Brand drugs on the plan's formulary.

    • Many Generics & Few Brands: two regional plans, only available in Florida (Quality Rx Plus) and Wisconsin (DeanCare Rx Enhanced) cover many Generics (65%-100% of formulary generics) and a few (less than 10%) of formulary Brands.

  • Benefit Type: Basic means that this plan follows the standard CMS plan. Enhanced means that this plan has features above and beyond the standard CMS plan.
  • Plan ID: This is the unique id for this particular plan.


(Chart Source: Centers for Medicare and Medicaid file 2009LandscapeSourceData_PDP_09_18_08.xls)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information. Through the application process we will provide you with the most up-to-the-minute information/pricing.


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Last updated on: 09/26/2008

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Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.
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