2008 / 2009 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) 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 |
||||||
2008 Fox Value Plan | $26.00 | $275 | No Gap Coverage | Yes | S5557 -006 | $0.00 | 25% | 1,031 members | ||||
2009 Fox Value Plan | $13.00 | $295 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2008 First Health Part D-Secure | $16.40 | $175 | No Gap Coverage | No | S5768 -101 | $4.00 | $20.00 | $46.00 | 30% | 169 members | ||
2009 First Health Part D-Secure | $16.10 | $175 | No Gap Coverage | No | $4.00 | $20.00 | $46.00 | 28% | tbd members | |||
2008 SilverScript | $13.00 | $275 | No Gap Coverage | Yes | S5601 -038 | $7.00 | $20.00 | $94.00 | 25% | 7,257 members | ||
2009 SilverScript Value | $18.40 | $295 | No Gap Coverage | Yes | $8.00 | $28.25 | $98.00 | 25% | tbd members | |||
2008 Medco Medicare Prescription Plan - Value | $25.20 | $275 | No Gap Coverage | Yes | S5660 -121 | 23% | 23% | 58% | 25% | 4,362 members | ||
2009 Medco Medicare Prescription Plan - Value | $19.50 | $295 | No Gap Coverage | Yes | 23% | 23% | 50% | 25% | tbd members | |||
2008 AR Blue Cross - Medi-Pak Rx Basic | $17.30 | $275 | No Gap Coverage | Yes | S5795 -003 | 25% | 25% | 25% | 13,014 members | |||
2009 AR Blue Cross - Medi-Pak Rx Basic | $21.60 | $185 | No Gap Coverage | Yes | $5.00 | $30.00 | $68.00 | 25% | tbd members | |||
Plan Name | Monthly Premium |
Deduct- ible |
Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | |||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | ||||||
2008 AdvantraRx Value | $22.70 | $0 | No Gap Coverage | No | S5670 -099 | $8.00 | $24.00 | $55.00 | 33% | 2,166 members | ||
2009 AdvantraRx Value | $22.10 | $0 | No Gap Coverage | No | $8.00 | $24.00 | $55.00 | 33% | tbd members | |||
2008 Aetna Medicare Rx Essentials | $25.70 | $275 | No Gap Coverage | Yes | S5810 -053 | $3.00 | $39.00 | $80.00 | 25% | 1,788 members | ||
2009 Aetna Medicare Rx Essentials | $23.40 | $205 | No Gap Coverage | Yes | $0.00 | $13.00 | $26.00 | $67.00 | tbd members | |||
-- This plan not offered in 2008 -- | S5597 -253 | |||||||||||
2009 Prescriba Rx Bronze | $23.50 | $295 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | ||||
2008 WellCare Classic | $20.20 | $250 | No Gap Coverage | Yes | S5967 -156 | $0.00 | $35.00 | $90.00 | 26% | 2,235 members | ||
2009 WellCare Classic | $24.30 | $295 | No Gap Coverage | Yes | $0.00 | $38.00 | $86.00 | 25% | tbd members | |||
2008 Advantage Star Plan by RxAmerica | $25.70 | $275 | No Gap Coverage | Yes | S5644 -194 | $4.50 | 25% | 25% | 35% | 1,446 members | ||
2009 Advantage Star Plan by RxAmerica | $25.20 | $295 | No Gap Coverage | Yes | $4.75 | 25% | 25% | 45% | tbd members | |||
2008 MedicareRx Rewards Standard | $20.30 | $275 | No Gap Coverage | Yes | S5960 -125 | 25% | 4,837 members | |||||
2009 MedicareRx Rewards Standard | $25.20 | $295 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | |||
Plan Name | Monthly Premium |
Deduct- ible |
Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | |||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | ||||||
2008 UA Medicare Part D Rx Covg - Silver Plan | $27.30 | $275 | No Gap Coverage | Yes | S5755 -057 | 25% | 25% | 25% | 25% | 4,927 members | ||
2009 UA Medicare Part D Rx Covg - Silver Plan | $25.40 | $180 | No Gap Coverage | Yes | $4.00 | $40.00 | $80.00 | 25% | tbd members | |||
2008 First Health Part D-Premier | $26.30 | $0 | No Gap Coverage | Yes | S5768 -043 | $7.00 | $33.00 | $61.00 | 33% | 1,524 members | ||
2009 First Health Part D-Premier | $26.00 | $0 | No Gap Coverage | Yes | $7.00 | $31.00 | $65.00 | 33% | tbd members | |||
2008 Community CCRx Basic | $26.00 | $275 | No Gap Coverage | Yes | S5803 -088 | $0.00 | 30% | 60% | 36,594 members | |||
2009 Community CCRx Basic | $26.50 | $295 | No Gap Coverage | Yes | $0.00 | 30% | 45% | tbd members | ||||
2008 CIGNA Medicare Rx Plan One | $23.40 | $275 | No Gap Coverage | Yes | S5617 -093 | $2.00 | $25.00 | $72.00 | 25% | 8,285 members | ||
2009 CIGNA Medicare Rx Plan One | $27.10 | $295 | No Gap Coverage | No | $2.50 | $30.00 | $76.00 | 25% | tbd members | |||
2008 HealthSpring Prescription Drug Plan-Reg 19 | $20.60 | $275 | No Gap Coverage | Yes | S5932 -018 | 25% | 25% | 25% | 25% | 1,527 members | ||
2009 HealthSpring Prescription Drug Plan-Reg 19 | $28.20 | $295 | No Gap Coverage | No | 25% | 25% | tbd members | |||||
2008 Windsor Rx | $26.30 | $150 | No Gap Coverage | Yes | S2505 -003 | $8.00 | $20.00 | $48.00 | 25% | 1,657 members | ||
2009 Windsor Rx | $28.20 | $175 | No Gap Coverage | No | $10.00 | $25.00 | $50.00 | 25% | tbd members | |||
Plan Name | Monthly Premium |
Deduct- ible |
Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | |||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | ||||||
-- This plan not offered in 2008 -- | S5998 -024 | |||||||||||
2009 BravoRx | $29.20 | $295 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | ||||
2008 MedicareRx Rewards Value | $29.70 | $0 | No Gap Coverage | No | S5960 -019 | $8.00 | $43.20 | $80.00 | 33% | 1,153 members | ||
2009 MedicareRx Rewards Value | $29.70 | $130 | No Gap Coverage | No | $8.00 | $39.50 | $85.00 | 29% | tbd members | |||
2008 AARP MedicareRx Saver | $29.90 | $275 | No Gap Coverage | No | S5921 -311 | $5.00 | $20.00 | $49.75 | 25% | 3,764 members | ||
2009 AARP MedicareRx Saver | $30.40 | $295 | No Gap Coverage | No | $5.00 | $22.00 | $56.30 | 25% | tbd members | |||
2008 EnvisionRxPlus Standard | $63.00 | $275 | No Gap Coverage | No | S7694 -019 | 25% | 25% | 25% | 25% | < 10 members | ||
2009 EnvisionRxPlus Silver | $31.80 | $295 | No Gap Coverage | No | $4.00 | $31.00 | $21.00 | $75.00 | tbd members | |||
2008 Health Net Orange Option 1 | $28.00 | $275 | No Gap Coverage | Yes | S5678 -044 | $1.00 | $42.00 | 25% | 25% | 613 members | ||
2009 Health Net Orange Option 1 | $33.70 | $295 | No Gap Coverage | No | $2.00 | $43.00 | $90.00 | 25% | tbd members | |||
2008 Prescription Pathway Gold Plan Reg 19 | $30.80 | $0 | No Gap Coverage | No | S5597 -051 | $6.00 | $44.00 | 33% | 443 members | |||
2009 Prescriba Rx Gold | $34.30 | $0 | No Gap Coverage | No | $6.00 | $44.00 | 33% | tbd members | ||||
Plan Name | Monthly Premium |
Deduct- ible |
Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | |||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | ||||||
2008 WellCare Signature | $26.30 | $0 | No Gap Coverage | Yes | S5967 -053 | $0.00 | $45.00 | $107.00 | 33% | 10,980 members | ||
2009 WellCare Signature | $35.70 | $0 | No Gap Coverage | No | $0.00 | $39.00 | $79.00 | 33% | tbd members | |||
2008 Fox Grand Plan | $30.00 | $275 | All Preferred Generics | No | S5557 -011 | $0.00 | $28.00 | $65.00 | 25% | 13 members | ||
2009 Fox Grand Plan | $36.00 | $260 | Some Generics | No | $0.00 | $19.00 | $35.00 | $75.00 | tbd members | |||
2008 Humana PDP Standard S5884-077 | $23.70 | $275 | No Gap Coverage | Yes | S5884 -077 | 25% | 25% | 25% | 25% | 34,622 members | ||
2009 Humana PDP Standard S5884-077 | $37.50 | $295 | No Gap Coverage | No | 15% | 25% | 48% | tbd members | ||||
2008 Sterling Rx | $31.50 | $275 | No Gap Coverage | No | S4802 -011 | $5.00 | $30.00 | 40% | 25% | 151 members | ||
2009 Sterling Rx | $37.80 | $295 | No Gap Coverage | No | $7.00 | $25.00 | $58.00 | 25% | tbd members | |||
2008 Medco Medicare Prescription Plan - Choice | $34.10 | $0 | No Gap Coverage | No | S5660 -019 | $6.00 | $35.00 | 75% | 33% | 1,206 members | ||
2009 Medco Medicare Prescription Plan - Choice | $37.90 | $0 | No Gap Coverage | No | $6.00 | $35.00 | 75% | 33% | tbd members | |||
2008 AARP MedicareRx Preferred | $33.50 | $0 | No Gap Coverage | No | S5820 -018 | $7.00 | $30.00 | $72.60 | 33% | 24,565 members | ||
2009 AARP MedicareRx Preferred | $38.00 | $0 | No Gap Coverage | No | $7.00 | $38.00 | $75.85 | 33% | tbd members | |||
Plan Name | Monthly Premium |
Deduct- ible |
Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | |||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | ||||||
2008 Humana PDP Enhanced S5884-017 | $22.70 | $0 | No Gap Coverage | No | S5884 -017 | $4.00 | $25.00 | $54.00 | 25% | 35,183 members | ||
2009 Humana PDP Enhanced S5884-017 | $38.10 | $0 | No Gap Coverage | No | $7.00 | $40.00 | $70.00 | 33% | tbd members | |||
2008 AdvantraRx Premier | $37.10 | $0 | No Gap Coverage | No | S5670 -100 | $5.00 | $25.00 | $63.00 | 33% | 2,558 members | ||
2009 AdvantraRx Premier | $38.50 | $0 | No Gap Coverage | No | $6.00 | $30.00 | $74.00 | 33% | tbd members | |||
2008 AR Blue Cross - Medi-Pak Rx Classic | $38.20 | $0 | No Gap Coverage | No | S5795 -006 | $5.00 | $32.00 | $64.00 | 9,733 members | |||
2009 AR Blue Cross - Medi-Pak Rx Classic | $39.60 | $0 | No Gap Coverage | No | $5.00 | $30.00 | $68.00 | 25% | tbd members | |||
2008 CIGNA Medicare Rx Plan Two | $33.90 | $0 | No Gap Coverage | No | S5617 -095 | $6.00 | $35.00 | $74.00 | 33% | 524 members | ||
2009 CIGNA Medicare Rx Plan Two | $40.20 | $0 | No Gap Coverage | No | $0.00 | $6.00 | $38.00 | $80.00 | tbd members | |||
2008 Health Net Value Orange Option 2 | $30.70 | $0 | No Gap Coverage | No | S5678 -043 | $0.00 | $39.00 | 33% | 33% | 131 members | ||
2009 Health Net Value Orange Option 2 | $40.40 | $0 | No Gap Coverage | No | $0.00 | $39.00 | $75.00 | 33% | tbd members | |||
2008 Advantage Freedom Plan by RxAmerica | $30.60 | $0 | No Gap Coverage | No | S5644 -180 | $5.00 | 35% | 25% | 45% | 117 members | ||
2009 Advantage Freedom Plan by RxAmerica | $41.20 | $0 | No Gap Coverage | No | $4.50 | 35% | 33% | 45% | tbd members | |||
Plan Name | Monthly Premium |
Deduct- ible |
Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | |||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | ||||||
2008 UA Medicare Part D Prescription Drug Cov | $42.20 | $0 | No Gap Coverage | No | S5755 -022 | $9.00 | $37.00 | $74.00 | 33% | 1,540 members | ||
2009 UA Medicare Part D Prescription Drug Cov | $42.60 | $0 | No Gap Coverage | No | $6.00 | $32.00 | $64.00 | 33% | tbd members | |||
2008 UnitedHealth Rx Basic | $46.10 | $0 | No Gap Coverage | No | S5921 -312 | $7.00 | $28.00 | $64.15 | 33% | 690 members | ||
2009 UnitedHealth Rx Basic | $45.60 | $0 | No Gap Coverage | No | $7.00 | $35.00 | $98.00 | 33% | tbd members | |||
2008 Community CCRx Choice | $44.20 | $0 | No Gap Coverage | No | S5803 -156 | $0.00 | $20.00 | $45.00 | 6,887 members | |||
2009 Community CCRx Choice | $49.90 | $0 | No Gap Coverage | No | $5.00 | $30.00 | $60.00 | 33% | tbd members | |||
2008 EnvisionRxPlus Gold | $98.00 | $0 | All Preferred Generics | No | S7694 -053 | $0.00 | $40.00 | $30.00 | $45.00 | 33 members | ||
2009 EnvisionRxPlus Gold | $50.10 | $0 | No Gap Coverage | No | $0.00 | $45.00 | $40.00 | $75.00 | tbd members | |||
2008 SilverScript Plus | $37.10 | $0 | All Generics | No | S5601 -039 | $9.00 | $26.00 | $85.00 | 33% | 250 members | ||
2009 SilverScript Plus | $50.40 | $50 | Many Generics | No | $4.00 | $9.00 | $30.00 | $35.00 | tbd members | |||
2008 AdvantraRx Premier Plus | $49.70 | $0 | All Preferred Generics | No | S5670 -102 | $2.00 | $22.00 | $70.00 | 33% | 1,423 members | ||
2009 AdvantraRx Premier Plus | $55.20 | $0 | Many Generics | No | $4.00 | $30.00 | $75.00 | 33% | tbd members | |||
Plan Name | Monthly Premium |
Deduct- ible |
Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | |||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | ||||||
2008 Aetna Medicare Rx Plus | $42.40 | $0 | No Gap Coverage | No | S5810 -155 | $4.00 | $35.00 | $65.00 | 33% | 183 members | ||
2009 Aetna Medicare Rx Plus | $60.50 | $0 | Some Generics | No | $0.00 | $10.00 | $36.00 | $77.00 | tbd members | |||
2008 AR Blue Cross - Medi-Pak Rx Premier | $63.50 | $0 | All Generics | No | S5795 -002 | $5.00 | $30.00 | $60.00 | 6,654 members | |||
2009 AR Blue Cross - Medi-Pak Rx Premier | $64.90 | $0 | Many Generics | No | $5.00 | $30.00 | $68.00 | 25% | tbd members | |||
2008 Community CCRx Gold | $52.20 | $0 | All Generics | No | S5803 -236 | $5.00 | $25.00 | $60.00 | 3,129 members | |||
2009 Community CCRx Gold | $65.30 | $0 | All Generics | No | $5.00 | $30.00 | $60.00 | 33% | tbd members | |||
2008 SierraRx Basic | $39.70 | $275 | No Gap Coverage | No | S5917 -021 | 25% | 25% | 25% | 249 members | |||
2009 SierraRx Basic | $66.80 | $295 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | ||||
2008 CIGNA Medicare Rx Plan Three | $56.80 | $0 | Some Generics | No | S5617 -189 | $6.00 | $35.00 | $60.00 | 33% | 183 members | ||
2009 CIGNA Medicare Rx Plan Three | $67.50 | $0 | Some Generics | No | $6.00 | $35.00 | $60.00 | 33% | tbd members | |||
2008 SilverScript Complete | $47.50 | $0 | All Generics | No | S5601 -090 | $7.00 | $30.00 | $90.00 | 33% | 390 members | ||
2009 SilverScript Complete | $69.00 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | |||
Plan Name | Monthly Premium |
Deduct- ible |
Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | |||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | ||||||
2008 Medco Medicare Prescription Plan - Access | $65.30 | $0 | All Generics | No | S5660 -189 | $6.00 | $35.00 | 75% | 33% | 250 members | ||
2009 Medco Medicare Prescription Plan - Access | $69.20 | $0 | All Generics | No | $6.00 | $35.00 | 75% | 33% | tbd members | |||
2008 Prescription Pathway Platinum Plan Reg 19 | $65.70 | $0 | All Generics | No | S5597 -216 | $6.00 | $44.00 | 33% | 124 members | |||
2009 Prescriba Rx Platinum | $72.10 | $0 | All Generics | No | $6.00 | $44.00 | 33% | tbd members | ||||
2008 AARP MedicareRx Enhanced | $63.60 | $0 | All Preferred Generics | No | S5921 -313 | $7.00 | $30.00 | $72.60 | 33% | 855 members | ||
2009 AARP MedicareRx Enhanced | $77.50 | $0 | Many Generics | No | $7.00 | $39.00 | $95.00 | 33% | tbd members | |||
2008 Humana PDP Complete S5884-047 | $85.00 | $0 | All Preferred Generics | No | S5884 -047 | $4.00 | $25.00 | $54.00 | 25% | 3,496 members | ||
2009 Humana PDP Complete S5884-047 | $96.10 | $0 | Many Generics | No | $7.00 | $40.00 | $70.00 | 33% | tbd members | |||
2008 Aetna Medicare Rx Premier | $81.60 | $0 | All Generics | No | S5810 -189 | $4.00 | $40.00 | $70.00 | 33% | 510 members | ||
2009 Aetna Medicare Rx Premier | $108.00 | $0 | Many Generics | No | $0.00 | $10.00 | $30.00 | $65.00 | tbd members | |||
2008 Prescription Pathway Bronze Plan Reg 19 | $22.90 | $275 | No Gap Coverage | Yes | S5597 -084 | 25% | 25% | 25% | 4,610 members | |||
-- Members will be assigned to the PrescribaRx Bronze -- | ||||||||||||
Plan Name | Monthly Premium |
Deduct- ible |
Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | |||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | ||||||
2008 First Health Part D-Select | $44.80 | $0 | All Preferred Generics | No | S5768 -066 | $5.00 | $21.00 | $55.00 | 33% | 94 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 Advantage Allegiance Plan by RxAmerica | $45.40 | $0 | All Preferred Generics | No | S5644 -304 | $5.00 | 35% | 25% | 45% | 32 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 UnitedHealth Rx Value | $25.40 | $275 | No Gap Coverage | No | S5820 -122 | $6.00 | $27.75 | 25% | 25% | 624 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 Sterling Rx Plus | $79.40 | $100 | All Generics | No | S4802 -052 | $0.00 | $25.00 | 25% | 25% | 94 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
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