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 |
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2008 SierraRx Basic | $14.40 | $275 | No Gap Coverage | Yes | S5917 -029 | 25% | 25% | 25% | 8,442 members | |||
2009 SierraRx Basic | $11.50 | $295 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | ||||
2008 First Health Part D-Secure | $13.00 | $175 | No Gap Coverage | No | S5768 -110 | $4.00 | $20.00 | $51.00 | 30% | 165 members | ||
2009 First Health Part D-Secure | $13.90 | $175 | No Gap Coverage | No | $4.00 | $20.00 | $50.00 | 28% | tbd members | |||
2008 Health Net Orange Option 1 | $12.10 | $275 | No Gap Coverage | Yes | S5678 -001 | $1.00 | $42.00 | 25% | 25% | 15,160 members | ||
2009 Health Net Orange Option 1 | $14.10 | $295 | No Gap Coverage | Yes | $2.00 | $40.00 | $90.00 | 25% | tbd members | |||
2008 SierraRx | $15.40 | $0 | No Gap Coverage | Yes | S5917 -004 | $10.00 | $45.00 | 25% | 4,222 members | |||
2009 UnitedHealth Rx Value | $15.30 | $0 | No Gap Coverage | No | $8.00 | $45.00 | 33% | tbd members | ||||
2008 MedicareRx Rewards Standard | $9.80 | $275 | No Gap Coverage | Yes | S5960 -134 | 25% | 2,685 members | |||||
2009 MedicareRx Rewards Standard | $18.60 | $295 | No Gap Coverage | No | 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 WellCare Classic | $16.20 | $250 | No Gap Coverage | Yes | S5967 -165 | $0.00 | $35.00 | $85.00 | 26% | 2,939 members | ||
2009 WellCare Classic | $18.90 | $295 | No Gap Coverage | No | $0.00 | $30.00 | $75.00 | 25% | tbd members | |||
2008 Fox Value Plan | $21.00 | $275 | No Gap Coverage | No | S5557 -004 | $0.00 | 25% | 13 members | ||||
2009 Fox Value Plan | $21.20 | $295 | No Gap Coverage | No | $0.00 | $32.00 | $36.00 | $75.00 | tbd members | |||
2008 Community CCRx Basic | $23.20 | $275 | No Gap Coverage | No | S5803 -097 | $0.00 | 35% | 60% | 1,437 members | |||
2009 Community CCRx Basic | $21.30 | $295 | No Gap Coverage | No | $0.00 | 30% | 60% | tbd members | ||||
2008 AdvantraRx Value | $19.80 | $0 | No Gap Coverage | No | S5670 -141 | $8.00 | $24.00 | $55.00 | 33% | 2,181 members | ||
2009 AdvantraRx Value | $22.90 | $0 | No Gap Coverage | No | $8.00 | $24.00 | $55.00 | 33% | tbd members | |||
2008 CIGNA Medicare Rx Plan One | $18.20 | $275 | No Gap Coverage | No | S5617 -138 | $2.00 | $25.00 | $71.00 | 25% | 852 members | ||
2009 CIGNA Medicare Rx Plan One | $23.20 | $295 | No Gap Coverage | No | $3.00 | $33.00 | $95.00 | 25% | tbd members | |||
2008 HealthSpring Prescription Drug Plan-Reg 28 | $19.30 | $275 | No Gap Coverage | No | S5932 -027 | 25% | 25% | 25% | 25% | 53 members | ||
2009 HealthSpring Prescription Drug Plan-Reg 28 | $23.90 | $295 | No Gap Coverage | No | 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 | ||||||
-- This plan not offered in 2008 -- | S5768 -121 | |||||||||||
2009 First Health Part D-Premier | $24.10 | $0 | No Gap Coverage | No | $7.00 | $27.00 | $57.00 | 33% | tbd members | |||
2008 MedicareRx Rewards Value | $14.30 | $0 | No Gap Coverage | Yes | S5960 -028 | $9.50 | $43.00 | $80.00 | 33% | 13,782 members | ||
2009 MedicareRx Rewards Value | $24.60 | $130 | No Gap Coverage | No | $9.50 | $40.50 | $85.00 | 29% | tbd members | |||
2008 Aetna Medicare Rx Essentials | $25.00 | $275 | No Gap Coverage | No | S5810 -062 | $3.00 | $39.00 | $80.00 | 25% | 298 members | ||
2009 Aetna Medicare Rx Essentials | $24.80 | $200 | No Gap Coverage | No | $0.00 | $13.00 | $26.00 | $68.00 | tbd members | |||
-- This plan not offered in 2008 -- | S5597 -262 | |||||||||||
2009 Prescriba Rx Bronze | $25.00 | $295 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | ||||
-- This plan not offered in 2008 -- | S5998 -032 | |||||||||||
2009 BravoRx | $25.20 | $295 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | ||||
2008 Humana PDP Standard S5884-086 | $15.10 | $275 | No Gap Coverage | Yes | S5884 -086 | 25% | 25% | 25% | 25% | 31,336 members | ||
2009 Humana PDP Standard S5884-086 | $26.40 | $295 | No Gap Coverage | No | 15% | 25% | 48% | 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 AARP MedicareRx Saver | $20.60 | $275 | No Gap Coverage | No | S5921 -231 | $5.00 | $20.00 | $51.10 | 25% | 9,627 members | ||
2009 AARP MedicareRx Saver | $26.50 | $295 | No Gap Coverage | No | $5.00 | $22.00 | $50.25 | 25% | tbd members | |||
2008 Advantage Star Plan by RxAmerica | $18.00 | $275 | No Gap Coverage | No | S5644 -081 | $5.00 | 25% | 25% | 35% | 412 members | ||
2009 Advantage Star Plan by RxAmerica | $26.90 | $295 | No Gap Coverage | No | $4.75 | 25% | 25% | 45% | tbd members | |||
2008 EnvisionRxPlus Standard | $72.00 | $275 | No Gap Coverage | No | S7694 -028 | 25% | 25% | 25% | 25% | < 10 members | ||
2009 EnvisionRxPlus Silver | $26.90 | $295 | No Gap Coverage | No | $4.00 | $31.00 | $21.00 | $75.00 | tbd members | |||
2008 WellCare Signature | $19.90 | $0 | No Gap Coverage | No | S5967 -062 | $0.00 | $45.00 | $107.00 | 33% | 2,419 members | ||
2009 WellCare Signature | $27.10 | $0 | No Gap Coverage | No | $0.00 | $39.00 | $79.00 | 33% | tbd members | |||
2008 Medco Medicare Prescription Plan - Value | $22.90 | $275 | No Gap Coverage | No | S5660 -130 | 23% | 23% | 58% | 25% | 28 members | ||
2009 Medco Medicare Prescription Plan - Value | $29.90 | $295 | No Gap Coverage | No | 23% | 23% | 53% | 25% | tbd members | |||
2008 Prescription Pathway Gold Plan Reg 28 | $25.40 | $0 | No Gap Coverage | No | S5597 -060 | $6.00 | $44.00 | 33% | 1,167 members | |||
2009 Prescriba Rx Gold | $31.80 | $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 AARP MedicareRx Preferred | $27.10 | $0 | No Gap Coverage | No | S5820 -027 | $7.00 | $30.00 | $80.70 | 33% | 56,615 members | ||
2009 AARP MedicareRx Preferred | $32.60 | $0 | No Gap Coverage | No | $7.00 | $38.00 | $84.70 | 33% | tbd members | |||
2008 SilverScript | $17.90 | $275 | No Gap Coverage | No | S5601 -056 | $7.00 | $23.50 | $90.00 | 25% | 661 members | ||
2009 SilverScript Value | $32.90 | $295 | No Gap Coverage | No | $8.00 | $27.25 | $98.00 | 25% | tbd members | |||
2008 UnitedHealth Rx Basic | $36.40 | $0 | No Gap Coverage | No | S5921 -232 | $7.00 | $28.00 | $72.25 | 33% | 3,326 members | ||
2009 UnitedHealth Rx Basic | $35.90 | $0 | No Gap Coverage | No | $7.00 | $35.00 | $98.00 | 33% | tbd members | |||
2008 Health Net Orange Option 2 | $24.10 | $0 | No Gap Coverage | No | S5678 -007 | $5.00 | $31.00 | $75.00 | 33% | 3,481 members | ||
2009 Health Net Orange Option 2 | $36.50 | $0 | No Gap Coverage | No | $5.00 | $30.00 | $90.00 | 33% | tbd members | |||
2008 AdvantraRx Premier | $32.70 | $0 | No Gap Coverage | No | S5670 -142 | $7.00 | $25.00 | $58.00 | 33% | 1,755 members | ||
2009 AdvantraRx Premier | $38.80 | $0 | No Gap Coverage | No | $6.00 | $26.00 | $71.00 | 33% | tbd members | |||
2008 Fox Grand Plan | $30.00 | $275 | All Preferred Generics | No | S5557 -009 | $0.00 | $28.00 | $65.00 | 25% | < 10 members | ||
2009 Fox Grand Plan | $38.90 | $295 | Some Generics | No | $0.00 | $19.00 | $35.00 | $75.00 | 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 Advantage Freedom Plan by RxAmerica | $24.20 | $0 | No Gap Coverage | No | S5644 -060 | $5.00 | 35% | 25% | 45% | 266 members | ||
2009 Advantage Freedom Plan by RxAmerica | $39.00 | $0 | No Gap Coverage | No | $4.25 | 35% | 33% | 45% | tbd members | |||
2008 UA Medicare Part D Rx Covg - Silver Plan | $41.30 | $120 | No Gap Coverage | No | S5755 -066 | $4.00 | $40.00 | $80.00 | 25% | 57 members | ||
2009 UA Medicare Part D Rx Covg - Silver Plan | $40.30 | $115 | No Gap Coverage | No | $4.00 | $40.00 | $80.00 | 25% | tbd members | |||
2008 Humana PDP Enhanced S5884-026 | $24.50 | $0 | No Gap Coverage | No | S5884 -026 | $4.00 | $25.00 | $54.00 | 25% | 19,476 members | ||
2009 Humana PDP Enhanced S5884-026 | $41.00 | $0 | No Gap Coverage | No | $7.00 | $40.00 | $70.00 | 33% | tbd members | |||
2008 Sterling Rx | $29.90 | $275 | No Gap Coverage | No | S4802 -018 | $5.00 | $30.00 | 40% | 25% | 191 members | ||
2009 Sterling Rx | $41.00 | $295 | No Gap Coverage | No | $7.00 | $25.00 | $57.00 | 25% | tbd members | |||
2008 Medco Medicare Prescription Plan - Choice | $37.80 | $0 | No Gap Coverage | No | S5660 -028 | $6.00 | $35.00 | 75% | 33% | 835 members | ||
2009 Medco Medicare Prescription Plan - Choice | $45.60 | $0 | No Gap Coverage | No | $6.00 | $38.00 | 75% | 33% | tbd members | |||
2008 UA Medicare Part D Prescription Drug Cov | $44.90 | $0 | No Gap Coverage | No | S5755 -031 | $9.00 | $39.00 | $78.00 | 33% | 1,951 members | ||
2009 UA Medicare Part D Prescription Drug Cov | $47.30 | $0 | No Gap Coverage | No | $7.00 | $33.00 | $66.00 | 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 CIGNA Medicare Rx Plan Two | $33.60 | $0 | No Gap Coverage | No | S5617 -140 | $6.00 | $35.00 | $80.00 | 33% | 423 members | ||
2009 CIGNA Medicare Rx Plan Two | $47.70 | $0 | No Gap Coverage | No | $0.00 | $6.00 | $38.00 | $80.00 | tbd members | |||
2008 SilverScript Plus | $35.20 | $0 | All Generics | No | S5601 -057 | $9.00 | $26.00 | $85.00 | 33% | 387 members | ||
2009 SilverScript Plus | $52.20 | $50 | Many Generics | No | $4.00 | $9.00 | $30.00 | $35.00 | tbd members | |||
2008 AdvantraRx Premier Plus | $45.10 | $0 | All Preferred Generics | No | S5670 -144 | $2.00 | $22.00 | $70.00 | 33% | 1,684 members | ||
2009 AdvantraRx Premier Plus | $54.30 | $0 | Many Generics | No | $4.00 | $30.00 | $75.00 | 33% | tbd members | |||
2008 EnvisionRxPlus Gold | $99.50 | $0 | All Preferred Generics | No | S7694 -062 | $0.00 | $40.00 | $30.00 | $45.00 | 153 members | ||
2009 EnvisionRxPlus Gold | $54.80 | $0 | No Gap Coverage | No | $0.00 | $45.00 | $40.00 | $75.00 | tbd members | |||
2008 Aetna Medicare Rx Plus | $41.80 | $0 | No Gap Coverage | No | S5810 -164 | $4.00 | $35.00 | $65.00 | 33% | 691 members | ||
2009 Aetna Medicare Rx - Costco Plus Plan | $54.90 | $0 | Some Generics | No | $0.00 | $5.00 | $35.00 | $90.00 | tbd members | |||
2008 Community CCRx Choice | $39.50 | $0 | No Gap Coverage | No | S5803 -165 | $0.00 | $20.00 | $45.00 | 592 members | |||
2009 Community CCRx Choice | $55.10 | $0 | No Gap Coverage | No | $5.00 | $30.00 | $60.00 | 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 Prescription Pathway Platinum Plan Reg 28 | $61.70 | $0 | All Generics | No | S5597 -225 | $6.00 | $44.00 | 33% | 344 members | |||
2009 Prescriba Rx Platinum | $63.80 | $0 | All Generics | No | $6.00 | $44.00 | 33% | tbd members | ||||
2008 Medco Medicare Prescription Plan - Access | $71.10 | $0 | All Generics | No | S5660 -198 | $6.00 | $35.00 | 75% | 33% | 252 members | ||
2009 Medco Medicare Prescription Plan - Access | $71.00 | $0 | All Generics | No | $6.00 | $35.00 | 75% | 33% | tbd members | |||
2008 SilverScript Complete | $40.50 | $0 | All Generics | No | S5601 -099 | $7.00 | $30.00 | $90.00 | 33% | 326 members | ||
2009 SilverScript Complete | $73.90 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | |||
2008 Community CCRx Gold | $31.20 | $0 | All Generics | No | S5803 -245 | $5.00 | $25.00 | $60.00 | 971 members | |||
2009 Community CCRx Gold | $75.30 | $0 | All Generics | No | $5.00 | $30.00 | $60.00 | 33% | tbd members | |||
2008 AARP MedicareRx Enhanced | $63.40 | $0 | All Preferred Generics | No | S5921 -233 | $7.00 | $30.00 | $80.70 | 33% | 3,395 members | ||
2009 AARP MedicareRx Enhanced | $77.40 | $0 | Many Generics | No | $7.00 | $39.00 | $95.00 | 33% | tbd members | |||
2008 CIGNA Medicare Rx Plan Three | $69.30 | $0 | Some Generics | No | S5617 -198 | $6.00 | $35.00 | $60.00 | 33% | 142 members | ||
2009 CIGNA Medicare Rx Plan Three | $86.50 | $0 | Some Generics | No | $6.00 | $35.00 | $60.00 | 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 Premier | $85.00 | $0 | All Generics | No | S5810 -198 | $4.00 | $40.00 | $70.00 | 33% | 947 members | ||
2009 Aetna Medicare Rx Premier | $101.00 | $0 | Many Generics | No | $0.00 | $10.00 | $30.00 | $65.00 | tbd members | |||
2008 Humana PDP Complete S5884-056 | $87.10 | $0 | All Preferred Generics | No | S5884 -056 | $4.00 | $25.00 | $54.00 | 25% | 1,958 members | ||
2009 Humana PDP Complete S5884-056 | $102.20 | $0 | Many Generics | No | $7.00 | $40.00 | $70.00 | 33% | tbd members | |||
2008 Prescription Pathway Bronze Plan Reg 28 | $20.50 | $275 | No Gap Coverage | No | S5597 -093 | 25% | 25% | 25% | 218 members | |||
-- Members will be assigned to SilverScript -- | ||||||||||||
2008 Sterling Rx Plus | $74.30 | $100 | All Generics | No | S4802 -061 | $0.00 | $25.00 | 25% | 25% | 85 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 UnitedHealth Rx Value | $19.20 | $275 | No Gap Coverage | No | S5820 -131 | $6.00 | $27.75 | 25% | 25% | 753 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 First Health Part D-Select | $41.00 | $0 | All Preferred Generics | No | S5768 -075 | $5.00 | $21.00 | $55.00 | 33% | 45 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
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 Advantage Allegiance Plan by RxAmerica | $39.30 | $0 | All Preferred Generics | No | S5644 -313 | $5.00 | 35% | 25% | 45% | 54 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
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