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 First Health Part D-Secure | $16.10 | $175 | No Gap Coverage | No | S5768 -087 | $4.00 | $20.00 | $47.00 | 30% | 848 members | ||
2009 First Health Part D-Secure | $18.40 | $175 | No Gap Coverage | No | $4.00 | $20.00 | $47.00 | 28% | tbd members | |||
2008 AdvantraRx Value | $22.30 | $0 | No Gap Coverage | No | S5670 -027 | $8.00 | $24.00 | $55.00 | 33% | 2,691 members | ||
2009 AdvantraRx Value | $24.50 | $0 | No Gap Coverage | No | $8.00 | $24.00 | $55.00 | 33% | tbd members | |||
2008 First Health Part D-Premier | $24.50 | $0 | No Gap Coverage | Yes | S5768 -008 | $7.00 | $33.00 | $63.00 | 33% | 9,906 members | ||
2009 First Health Part D-Premier | $26.10 | $0 | No Gap Coverage | Yes | $5.00 | $29.00 | $58.00 | 33% | tbd members | |||
2008 EnvisionRxPlus Standard | $69.00 | $275 | No Gap Coverage | No | S7694 -005 | 25% | 25% | 25% | 25% | 15 members | ||
2009 EnvisionRxPlus Silver | $26.50 | $295 | No Gap Coverage | Yes | $4.00 | $33.00 | $23.00 | $75.00 | tbd members | |||
2008 AARP MedicareRx Saver | $29.00 | $275 | No Gap Coverage | Yes | S5921 -237 | $5.00 | $20.00 | $49.80 | 25% | 14,304 members | ||
2009 AARP MedicareRx Saver | $27.00 | $295 | No Gap Coverage | Yes | $5.00 | $22.00 | $65.45 | 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 SilverScript | $19.20 | $275 | No Gap Coverage | Yes | S5601 -010 | $7.00 | $29.50 | $94.00 | 25% | 9,444 members | ||
2009 SilverScript Value | $27.20 | $295 | No Gap Coverage | Yes | $8.00 | $42.00 | $98.00 | 25% | tbd members | |||
2008 Health Net Orange Option 1 | $28.00 | $275 | No Gap Coverage | Yes | S5678 -016 | $1.00 | $42.00 | 25% | 25% | 2,206 members | ||
2009 Health Net Orange Option 1 | $28.80 | $295 | No Gap Coverage | Yes | $2.00 | $45.00 | $90.00 | 25% | tbd members | |||
2008 WellCare Classic | $28.90 | $250 | No Gap Coverage | Yes | S5967 -142 | $0.00 | $35.00 | $90.00 | 26% | 2,507 members | ||
2009 WellCare Classic | $29.40 | $295 | No Gap Coverage | Yes | $0.00 | $39.00 | $88.00 | 25% | tbd members | |||
2008 Medco Medicare Prescription Plan - Value | $24.60 | $275 | No Gap Coverage | Yes | S5660 -107 | 23% | 23% | 58% | 25% | 970 members | ||
2009 Medco Medicare Prescription Plan - Value | $29.80 | $295 | No Gap Coverage | Yes | 23% | 23% | 53% | 25% | tbd members | |||
-- This plan not offered in 2008 -- | S5597 -239 | |||||||||||
2009 Prescriba Rx Bronze | $29.80 | $295 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | ||||
2008 HealthSpring Prescription Drug Plan -Reg 5 | $20.30 | $275 | No Gap Coverage | Yes | S5932 -034 | 25% | 25% | 25% | 25% | 2,339 members | ||
2009 HealthSpring Prescription Drug Plan -Reg 5 | $30.10 | $295 | No Gap Coverage | Yes | 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 MedicareRx Rewards Standard | $26.00 | $275 | No Gap Coverage | Yes | S5960 -111 | 25% | 1,012 members | |||||
2009 MedicareRx Rewards Standard | $30.10 | $295 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2008 Community CCRx Basic | $25.40 | $275 | No Gap Coverage | Yes | S5803 -074 | $0.00 | 30% | 45% | 17,749 members | |||
2009 Community CCRx Basic | $30.40 | $295 | No Gap Coverage | Yes | $0.00 | 25% | 55% | tbd members | ||||
2008 CIGNA Medicare Rx Plan One | $28.10 | $275 | No Gap Coverage | Yes | S5617 -023 | $2.00 | $25.00 | $73.00 | 25% | 4,819 members | ||
2009 CIGNA Medicare Rx Plan One | $31.60 | $295 | No Gap Coverage | No | $2.50 | $30.00 | $83.00 | 25% | tbd members | |||
2008 Advantage Star Plan by RxAmerica | $25.30 | $275 | No Gap Coverage | Yes | S5644 -071 | $5.00 | 25% | 25% | 35% | 9,177 members | ||
2009 Advantage Star Plan by RxAmerica | $31.80 | $295 | No Gap Coverage | No | $5.50 | 25% | 25% | 45% | tbd members | |||
2008 Aetna Medicare Rx Essentials | $27.80 | $275 | No Gap Coverage | Yes | S5810 -039 | $3.50 | $39.00 | $80.00 | 25% | 9,638 members | ||
2009 Aetna Medicare Rx Essentials | $31.80 | $205 | No Gap Coverage | No | $0.00 | $11.00 | $32.00 | $72.00 | tbd members | |||
-- This plan not offered in 2008 -- | S5998 -037 | |||||||||||
2009 BravoRx | $33.10 | $295 | No Gap Coverage | No | 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 | $36.40 | $100 | No Gap Coverage | No | S5755 -043 | $4.00 | $40.00 | $80.00 | 25% | 245 members | ||
2009 UA Medicare Part D Rx Covg - Silver Plan | $34.20 | $180 | No Gap Coverage | No | $4.00 | $40.00 | $80.00 | 25% | tbd members | |||
2008 MedicareRx Rewards Value | $31.50 | $0 | No Gap Coverage | Yes | S5960 -005 | $10.00 | $44.30 | $80.00 | 33% | 6,265 members | ||
2009 MedicareRx Rewards Value | $34.40 | $130 | No Gap Coverage | No | $10.00 | $47.00 | $85.00 | 29% | tbd members | |||
2008 Medco Medicare Prescription Plan - Choice | $32.50 | $0 | No Gap Coverage | No | S5660 -004 | $6.00 | $35.00 | 75% | 33% | 3,663 members | ||
2009 Medco Medicare Prescription Plan - Choice | $35.70 | $0 | No Gap Coverage | No | $6.00 | $35.00 | 75% | 33% | tbd members | |||
2008 Advantage Freedom Plan by RxAmerica | $29.90 | $0 | No Gap Coverage | No | S5644 -050 | $5.00 | 35% | 25% | 45% | 483 members | ||
2009 Advantage Freedom Plan by RxAmerica | $36.30 | $0 | No Gap Coverage | No | $5.00 | 35% | 33% | 45% | tbd members | |||
2008 WellCare Signature | $31.70 | $0 | No Gap Coverage | Yes | S5967 -039 | $0.00 | $45.00 | $107.00 | 33% | 15,873 members | ||
2009 WellCare Signature | $36.40 | $0 | No Gap Coverage | No | $0.00 | $39.00 | $79.00 | 33% | tbd members | |||
2008 AARP MedicareRx Preferred | $32.50 | $0 | No Gap Coverage | No | S5820 -004 | $7.00 | $30.00 | $76.65 | 33% | 76,499 members | ||
2009 AARP MedicareRx Preferred | $37.00 | $0 | No Gap Coverage | No | $7.00 | $38.00 | $79.95 | 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 S5884-004 | $23.50 | $0 | No Gap Coverage | No | S5884 -004 | $4.00 | $25.00 | $54.00 | 25% | 30,354 members | ||
2009 Humana PDP Enhanced S5884-004 | $38.20 | $0 | No Gap Coverage | No | $7.00 | $40.00 | $70.00 | 33% | tbd members | |||
2008 UnitedHealth Rx Basic | $37.50 | $0 | No Gap Coverage | No | S5921 -238 | $7.00 | $28.00 | $66.70 | 33% | 6,593 members | ||
2009 UnitedHealth Rx Basic | $38.20 | $0 | No Gap Coverage | No | $7.00 | $35.00 | $98.00 | 33% | tbd members | |||
2008 Prescription Pathway Gold Plan Reg 5 | $28.40 | $0 | No Gap Coverage | No | S5597 -037 | $6.00 | $44.00 | 33% | 1,021 members | |||
2009 Prescriba Rx Gold | $38.30 | $0 | No Gap Coverage | No | $6.00 | $44.00 | 33% | tbd members | ||||
2008 Sterling Rx | $31.00 | $275 | No Gap Coverage | Yes | S4802 -002 | $5.00 | $30.00 | 40% | 25% | 310 members | ||
2009 Sterling Rx | $39.40 | $295 | No Gap Coverage | No | $7.00 | $25.00 | $57.00 | 25% | tbd members | |||
2008 Health Net Value Orange Option 2 | $30.70 | $0 | No Gap Coverage | No | S5678 -015 | $0.00 | $39.00 | 33% | 33% | 468 members | ||
2009 Health Net Value Orange Option 2 | $39.90 | $0 | No Gap Coverage | No | $0.00 | $39.00 | $75.00 | 33% | tbd members | |||
2008 CIGNA Medicare Rx Plan Two | $32.30 | $0 | No Gap Coverage | No | S5617 -025 | $6.00 | $35.00 | $74.00 | 33% | 1,131 members | ||
2009 CIGNA Medicare Rx Plan Two | $40.70 | $0 | No Gap Coverage | No | $0.00 | $6.00 | $38.00 | $80.00 | 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 AdvantraRx Premier | $36.90 | $0 | No Gap Coverage | No | S5670 -028 | $5.00 | $25.00 | $65.00 | 33% | 1,581 members | ||
2009 AdvantraRx Premier | $41.50 | $0 | No Gap Coverage | No | $5.00 | $30.00 | $71.00 | 33% | tbd members | |||
2008 Humana PDP Standard S5884-063 | $27.20 | $275 | No Gap Coverage | Yes | S5884 -063 | 25% | 25% | 25% | 25% | 30,696 members | ||
2009 Humana PDP Standard S5884-063 | $41.60 | $295 | No Gap Coverage | No | 15% | 25% | 43% | tbd members | ||||
2008 UA Medicare Part D Prescription Drug Cov | $42.50 | $0 | No Gap Coverage | No | S5755 -008 | $9.00 | $35.00 | $70.00 | 33% | 7,266 members | ||
2009 UA Medicare Part D Prescription Drug Cov | $44.40 | $0 | No Gap Coverage | No | $6.00 | $32.00 | $64.00 | 33% | tbd members | |||
2008 Community CCRx Choice | $42.90 | $0 | No Gap Coverage | No | S5803 -142 | $0.00 | $20.00 | $45.00 | 642 members | |||
2009 Community CCRx Choice | $49.10 | $0 | No Gap Coverage | No | $5.00 | $30.00 | $60.00 | 33% | tbd members | |||
2008 Blue Rx Standard | $42.10 | $0 | No Gap Coverage | No | S5766 -002 | $8.00 | $25.00 | $69.00 | 25% | 31,146 members | ||
2009 Blue Rx Standard | $52.00 | $0 | No Gap Coverage | No | $9.00 | $28.00 | $66.00 | 25% | tbd members | |||
2008 SilverScript Plus | $37.50 | $0 | All Generics | No | S5601 -011 | $9.00 | $26.00 | $85.00 | 33% | 693 members | ||
2009 SilverScript Plus | $55.00 | $50 | Many Generics | No | $4.00 | $9.00 | $30.00 | $35.00 | 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 EnvisionRxPlus Gold | $97.50 | $0 | All Preferred Generics | No | S7694 -039 | $0.00 | $40.00 | $30.00 | $45.00 | 272 members | ||
2009 EnvisionRxPlus Gold | $57.20 | $0 | No Gap Coverage | No | $0.00 | $45.00 | $40.00 | $75.00 | tbd members | |||
2008 AdvantraRx Premier Plus | $50.30 | $0 | All Preferred Generics | No | S5670 -030 | $2.00 | $22.00 | $70.00 | 33% | 2,092 members | ||
2009 AdvantraRx Premier Plus | $58.40 | $0 | Many Generics | No | $4.00 | $30.00 | $75.00 | 33% | tbd members | |||
2008 Aetna Medicare Rx Plus | $42.00 | $0 | No Gap Coverage | No | S5810 -141 | $4.00 | $35.00 | $65.00 | 33% | 981 members | ||
2009 Aetna Medicare Rx Plus | $64.50 | $0 | Some Generics | No | $0.00 | $10.00 | $36.00 | $77.00 | tbd members | |||
2008 Community CCRx Gold | $51.40 | $0 | All Generics | No | S5803 -222 | $5.00 | $25.00 | $60.00 | 423 members | |||
2009 Community CCRx Gold | $66.60 | $0 | All Generics | No | $5.00 | $30.00 | $60.00 | 33% | tbd members | |||
2008 SierraRx Basic | $35.60 | $275 | No Gap Coverage | No | S5917 -010 | 25% | 25% | 25% | 320 members | |||
2009 SierraRx Basic | $66.90 | $295 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | ||||
2008 Medco Medicare Prescription Plan - Access | $64.40 | $0 | All Generics | No | S5660 -175 | $6.00 | $35.00 | 75% | 33% | 466 members | ||
2009 Medco Medicare Prescription Plan - Access | $67.00 | $0 | All Generics | No | $6.00 | $35.00 | 75% | 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 Three | $66.20 | $0 | Some Generics | No | S5617 -175 | $6.00 | $35.00 | $60.00 | 33% | 338 members | ||
2009 CIGNA Medicare Rx Plan Three | $71.30 | $0 | Some Generics | No | $6.00 | $35.00 | $60.00 | 33% | tbd members | |||
2008 Prescription Pathway Platinum Plan Reg 5 | $61.30 | $0 | All Generics | No | S5597 -202 | $6.00 | $44.00 | 33% | 335 members | |||
2009 Prescriba Rx Platinum | $72.10 | $0 | All Generics | No | $6.00 | $44.00 | 33% | tbd members | ||||
2008 AARP MedicareRx Enhanced | $60.70 | $0 | All Preferred Generics | No | S5921 -239 | $7.00 | $30.00 | $76.65 | 33% | 3,661 members | ||
2009 AARP MedicareRx Enhanced | $74.30 | $0 | Many Generics | No | $7.00 | $39.00 | $95.00 | 33% | tbd members | |||
2008 SilverScript Complete | $43.90 | $0 | All Generics | No | S5601 -076 | $7.00 | $30.00 | $90.00 | 33% | 220 members | ||
2009 SilverScript Complete | $76.00 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | |||
2008 Blue Rx Enhanced | $66.20 | $0 | All Generics | No | S5766 -003 | $8.00 | $25.00 | $69.00 | 25% | 4,888 members | ||
2009 Blue Rx Enhanced | $85.10 | $0 | Many Generics | No | $9.00 | $28.00 | $66.00 | 25% | tbd members | |||
2008 Humana PDP Complete S5884-033 | $87.10 | $0 | All Preferred Generics | No | S5884 -033 | $4.00 | $25.00 | $54.00 | 25% | 3,905 members | ||
2009 Humana PDP Complete S5884-033 | $95.20 | $0 | Many Generics | No | $7.00 | $40.00 | $70.00 | 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 | $87.60 | $0 | All Generics | No | S5810 -175 | $4.00 | $40.00 | $70.00 | 33% | 1,803 members | ||
2009 Aetna Medicare Rx Premier | $111.80 | $0 | Many Generics | No | $0.00 | $10.00 | $30.00 | $65.00 | tbd members | |||
2008 Prescription Pathway Bronze Plan Reg 5 | $26.10 | $275 | No Gap Coverage | Yes | S5597 -070 | 25% | 25% | 25% | 8,634 members | |||
-- Members will be assigned to SilverScript -- | ||||||||||||
2008 Sterling Rx Plus | $78.10 | $100 | All Generics | No | S4802 -038 | $0.00 | $25.00 | 25% | 25% | 136 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 UnitedHealth Rx Value | $22.00 | $275 | No Gap Coverage | No | S5820 -108 | $6.00 | $27.75 | 25% | 25% | 1,866 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 First Health Part D-Select | $44.80 | $0 | All Preferred Generics | No | S5768 -052 | $5.00 | $21.00 | $55.00 | 33% | 173 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 Advantage Allegiance Plan by RxAmerica | $47.00 | $0 | All Preferred Generics | No | S5644 -290 | $5.00 | 35% | 25% | 45% | 83 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 BravoRx | $24.60 | $275 | No Gap Coverage | Yes | S5822 -001 | 25% | 25% | 25% | 6,941 members | |||
-- This plan not offered in 2009 -- | ||||||||||||
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