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 | $18.90 | $175 | No Gap Coverage | No | S5768 -103 | $4.00 | $19.00 | $47.00 | 30% | 194 members | ||
2009 First Health Part D-Secure | $17.90 | $175 | No Gap Coverage | No | $4.00 | $20.00 | $47.00 | 28% | tbd members | |||
2008 SilverScript | $14.30 | $275 | No Gap Coverage | Yes | S5601 -042 | $7.00 | $21.50 | $90.00 | 25% | 12,213 members | ||
2009 SilverScript Value | $24.00 | $295 | No Gap Coverage | Yes | $8.00 | $28.25 | $98.00 | 25% | tbd members | |||
2008 AdvantraRx Value | $25.20 | $0 | No Gap Coverage | No | S5670 -111 | $8.00 | $23.00 | $55.00 | 33% | 2,352 members | ||
2009 AdvantraRx Value | $24.60 | $0 | No Gap Coverage | No | $8.00 | $24.00 | $55.00 | 33% | tbd members | |||
2008 Medco Medicare Prescription Plan - Value | $22.20 | $275 | No Gap Coverage | Yes | S5660 -123 | 23% | 23% | 58% | 25% | 6,653 members | ||
2009 Medco Medicare Prescription Plan - Value | $24.70 | $295 | No Gap Coverage | Yes | 23% | 23% | 53% | 25% | tbd members | |||
2008 HealthSpring Prescription Drug Plan-Reg 21 | $21.00 | $275 | No Gap Coverage | Yes | S5932 -020 | 25% | 25% | 25% | 25% | 10,612 members | ||
2009 HealthSpring Prescription Drug Plan-Reg 21 | $25.60 | $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 | ||||||
-- This plan not offered in 2008 -- | S5597 -255 | |||||||||||
2009 Prescriba Rx Bronze | $26.80 | $295 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | ||||
2008 Community CCRx Basic | $23.20 | $275 | No Gap Coverage | Yes | S5803 -090 | $0.00 | 30% | 45% | 43,688 members | |||
2009 Community CCRx Basic | $27.00 | $295 | No Gap Coverage | Yes | $0.00 | 25% | 50% | tbd members | ||||
2008 MedicareRx Rewards Standard | $23.00 | $275 | No Gap Coverage | Yes | S5960 -127 | 25% | 15,221 members | |||||
2009 MedicareRx Rewards Standard | $27.00 | $295 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2008 Advantage Star Plan by RxAmerica | $23.30 | $275 | No Gap Coverage | Yes | S5644 -196 | $4.50 | 25% | 25% | 35% | 7,322 members | ||
2009 Advantage Star Plan by RxAmerica | $27.40 | $295 | No Gap Coverage | Yes | $5.00 | 25% | 25% | 45% | tbd members | |||
-- This plan not offered in 2008 -- | S5998 -026 | |||||||||||
2009 BravoRx | $27.60 | $295 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | ||||
2008 CIGNA Medicare Rx Plan One | $25.00 | $275 | No Gap Coverage | Yes | S5617 -103 | $2.00 | $25.00 | $60.00 | 25% | 6,722 members | ||
2009 CIGNA Medicare Rx Plan One | $28.40 | $295 | No Gap Coverage | No | $2.50 | $28.00 | $71.00 | 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 First Health Part D-Premier | $28.00 | $0 | No Gap Coverage | No | S5768 -044 | $7.00 | $33.00 | $59.00 | 33% | 54 members | ||
2009 First Health Part D-Premier | $28.50 | $0 | No Gap Coverage | No | $7.00 | $27.00 | $52.00 | 33% | tbd members | |||
2008 WellCare Classic | $26.00 | $250 | No Gap Coverage | No | S5967 -158 | $0.00 | $35.00 | $82.00 | 26% | 1,493 members | ||
2009 WellCare Classic | $28.50 | $295 | No Gap Coverage | No | $0.00 | $32.00 | $83.00 | 25% | tbd members | |||
2008 Health Net Orange Option 1 | $26.80 | $275 | No Gap Coverage | No | S5678 -048 | $1.00 | $41.00 | 25% | 25% | 329 members | ||
2009 Health Net Orange Option 1 | $30.00 | $295 | No Gap Coverage | No | $2.00 | $41.00 | $90.00 | 25% | tbd members | |||
2008 Aetna Medicare Rx Essentials | $25.60 | $275 | No Gap Coverage | Yes | S5810 -055 | $3.00 | $39.00 | $80.00 | 25% | 846 members | ||
2009 Aetna Medicare Rx Essentials | $30.70 | $200 | No Gap Coverage | No | $0.00 | $13.00 | $26.00 | $67.00 | tbd members | |||
2008 EnvisionRxPlus Standard | $63.00 | $275 | No Gap Coverage | No | S7694 -021 | 25% | 25% | 25% | 25% | < 10 members | ||
2009 EnvisionRxPlus Silver | $30.70 | $295 | No Gap Coverage | No | $4.00 | $31.00 | $21.00 | $75.00 | tbd members | |||
2008 MedicareRx Rewards Value | $27.50 | $0 | No Gap Coverage | No | S5960 -021 | $7.50 | $42.50 | $80.00 | 33% | 1,507 members | ||
2009 MedicareRx Rewards Value | $31.70 | $130 | No Gap Coverage | No | $8.00 | $41.00 | $85.00 | 29% | 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 - Choice | $31.90 | $0 | No Gap Coverage | No | S5660 -021 | $5.00 | $35.00 | 75% | 33% | 2,019 members | ||
2009 Medco Medicare Prescription Plan - Choice | $32.10 | $0 | No Gap Coverage | No | $6.00 | $35.00 | 75% | 33% | tbd members | |||
2008 Advantage Freedom Plan by RxAmerica | $28.70 | $0 | No Gap Coverage | No | S5644 -182 | $5.00 | 35% | 25% | 45% | 298 members | ||
2009 Advantage Freedom Plan by RxAmerica | $34.80 | $0 | No Gap Coverage | No | $4.75 | 35% | 33% | 45% | tbd members | |||
2008 AARP MedicareRx Saver | $27.30 | $275 | No Gap Coverage | No | S5921 -331 | $5.00 | $20.00 | $49.50 | 25% | 15,333 members | ||
2009 AARP MedicareRx Saver | $34.90 | $295 | No Gap Coverage | No | $5.00 | $22.00 | $49.45 | 25% | tbd members | |||
2008 WellCare Signature | $29.90 | $0 | No Gap Coverage | No | S5967 -055 | $0.00 | $45.00 | $101.00 | 33% | 5,679 members | ||
2009 WellCare Signature | $35.40 | $0 | No Gap Coverage | No | $0.00 | $39.00 | $79.00 | 33% | tbd members | |||
2008 SierraRx Basic | $42.30 | $275 | No Gap Coverage | No | S5917 -023 | 25% | 25% | 25% | 290 members | |||
2009 SierraRx Basic | $37.30 | $295 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | ||||
2008 AARP MedicareRx Preferred | $33.10 | $0 | No Gap Coverage | No | S5820 -020 | $7.00 | $30.00 | $69.15 | 33% | 23,501 members | ||
2009 AARP MedicareRx Preferred | $37.50 | $0 | No Gap Coverage | No | $7.00 | $38.00 | $66.25 | 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 UA Medicare Part D Rx Covg - Silver Plan | $36.80 | $140 | No Gap Coverage | No | S5755 -059 | $4.00 | $40.00 | $80.00 | 25% | 140 members | ||
2009 UA Medicare Part D Rx Covg - Silver Plan | $38.30 | $130 | No Gap Coverage | No | $4.00 | $40.00 | $80.00 | 25% | tbd members | |||
2008 CIGNA Medicare Rx Plan Two | $31.60 | $0 | No Gap Coverage | No | S5617 -105 | $6.00 | $33.00 | $65.00 | 33% | 942 members | ||
2009 CIGNA Medicare Rx Plan Two | $39.80 | $0 | No Gap Coverage | No | $0.00 | $6.00 | $36.00 | $80.00 | tbd members | |||
2008 Sterling Rx | $31.90 | $275 | No Gap Coverage | No | S4802 -012 | $5.00 | $30.00 | 40% | 25% | 616 members | ||
2009 Sterling Rx | $39.80 | $295 | No Gap Coverage | No | $7.00 | $25.00 | $58.00 | 25% | tbd members | |||
2008 Health Net Value Orange Option 2 | $28.40 | $0 | No Gap Coverage | No | S5678 -047 | $0.00 | $39.00 | 33% | 33% | 543 members | ||
2009 Health Net Value Orange Option 2 | $40.30 | $0 | No Gap Coverage | No | $0.00 | $39.00 | $75.00 | 33% | tbd members | |||
2008 Prescription Pathway Gold Plan Reg 21 | $33.60 | $0 | No Gap Coverage | No | S5597 -053 | $6.00 | $44.00 | 33% | 651 members | |||
2009 Prescriba Rx Gold | $40.50 | $0 | No Gap Coverage | No | $6.00 | $44.00 | 33% | tbd members | ||||
2008 AdvantraRx Premier | $40.50 | $0 | No Gap Coverage | No | S5670 -112 | $5.00 | $25.00 | $60.00 | 33% | 2,834 members | ||
2009 AdvantraRx Premier | $41.50 | $0 | No Gap Coverage | No | $5.00 | $30.00 | $69.00 | 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 Humana PDP Standard S5884-079 | $25.20 | $275 | No Gap Coverage | Yes | S5884 -079 | 25% | 25% | 25% | 25% | 37,784 members | ||
2009 Humana PDP Standard S5884-079 | $43.70 | $295 | No Gap Coverage | No | 15% | 25% | 45% | tbd members | ||||
2008 UA Medicare Part D Prescription Drug Cov | $44.50 | $0 | No Gap Coverage | No | S5755 -024 | $9.00 | $35.00 | $70.00 | 33% | 2,522 members | ||
2009 UA Medicare Part D Prescription Drug Cov | $44.50 | $0 | No Gap Coverage | No | $7.00 | $33.00 | $66.00 | 33% | tbd members | |||
2008 Community CCRx Choice | $43.60 | $0 | No Gap Coverage | No | S5803 -158 | $0.00 | $20.00 | $45.00 | 2,495 members | |||
2009 Community CCRx Choice | $44.80 | $0 | No Gap Coverage | No | $5.00 | $30.00 | $60.00 | 33% | tbd members | |||
2008 Humana PDP Enhanced S5884-019 | $28.60 | $0 | No Gap Coverage | No | S5884 -019 | $4.00 | $25.00 | $54.00 | 25% | 17,484 members | ||
2009 Humana PDP Enhanced S5884-019 | $45.10 | $0 | No Gap Coverage | No | $7.00 | $40.00 | $70.00 | 33% | tbd members | |||
2008 RxBLUE | $36.30 | $200 | No Gap Coverage | No | S5937 -001 | $0.00 | $5.00 | $30.00 | $70.00 | 12,725 members | ||
2009 RxBLUE | $45.30 | $0 | No Gap Coverage | No | $8.00 | $32.00 | $73.00 | 33% | tbd members | |||
2008 UnitedHealth Rx Basic | $47.80 | $0 | No Gap Coverage | No | S5921 -332 | $7.00 | $28.00 | $63.00 | 33% | 1,349 members | ||
2009 UnitedHealth Rx Basic | $47.20 | $0 | No Gap Coverage | No | $7.00 | $35.00 | $86.00 | 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 EnvisionRxPlus Gold | $97.50 | $0 | All Preferred Generics | No | S7694 -055 | $0.00 | $40.00 | $30.00 | $45.00 | 64 members | ||
2009 EnvisionRxPlus Gold | $47.60 | $0 | No Gap Coverage | No | $0.00 | $45.00 | $40.00 | $75.00 | tbd members | |||
2008 AdvantraRx Premier Plus | $51.00 | $0 | All Preferred Generics | No | S5670 -114 | $2.00 | $24.00 | $75.00 | 33% | 1,909 members | ||
2009 AdvantraRx Premier Plus | $55.90 | $0 | Many Generics | No | $4.00 | $30.00 | $75.00 | 33% | tbd members | |||
2008 Aetna Medicare Rx Plus | $42.30 | $0 | No Gap Coverage | No | S5810 -157 | $4.00 | $35.00 | $65.00 | 33% | 463 members | ||
2009 Aetna Medicare Rx Plus | $59.70 | $0 | Some Generics | No | $0.00 | $10.00 | $36.00 | $76.00 | tbd members | |||
2008 SilverScript Plus | $39.90 | $0 | All Generics | No | S5601 -043 | $9.00 | $26.00 | $85.00 | 33% | 316 members | ||
2009 SilverScript Plus | $59.80 | $50 | Many Generics | No | $4.00 | $9.00 | $30.00 | $35.00 | tbd members | |||
2008 Community CCRx Gold | $48.10 | $0 | All Generics | No | S5803 -238 | $5.00 | $25.00 | $60.00 | 2,511 members | |||
2009 Community CCRx Gold | $63.80 | $0 | All Generics | No | $5.00 | $30.00 | $60.00 | 33% | tbd members | |||
2008 Medco Medicare Prescription Plan - Access | $63.10 | $0 | All Generics | No | S5660 -191 | $6.00 | $35.00 | 75% | 33% | 319 members | ||
2009 Medco Medicare Prescription Plan - Access | $69.10 | $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 | $55.80 | $0 | Some Generics | No | S5617 -191 | $6.00 | $35.00 | $60.00 | 33% | 298 members | ||
2009 CIGNA Medicare Rx Plan Three | $69.90 | $0 | Some Generics | No | $6.00 | $35.00 | $60.00 | 33% | tbd members | |||
2008 Prescription Pathway Platinum Plan Reg 21 | $69.30 | $0 | All Generics | No | S5597 -218 | $6.00 | $44.00 | 33% | 226 members | |||
2009 Prescriba Rx Platinum | $71.40 | $0 | All Generics | No | $6.00 | $44.00 | 33% | tbd members | ||||
2008 AARP MedicareRx Enhanced | $66.50 | $0 | All Preferred Generics | No | S5921 -333 | $7.00 | $30.00 | $69.15 | 33% | 1,409 members | ||
2009 AARP MedicareRx Enhanced | $73.60 | $0 | Many Generics | No | $7.00 | $39.00 | $82.00 | 33% | tbd members | |||
2008 SilverScript Complete | $48.60 | $0 | All Generics | No | S5601 -092 | $7.00 | $30.00 | $90.00 | 33% | 190 members | ||
2009 SilverScript Complete | $79.90 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | |||
2008 Aetna Medicare Rx Premier | $70.70 | $0 | All Generics | No | S5810 -191 | $4.00 | $40.00 | $70.00 | 33% | 1,219 members | ||
2009 Aetna Medicare Rx Premier | $92.10 | $0 | Many Generics | No | $0.00 | $10.00 | $30.00 | $65.00 | tbd members | |||
2008 Humana PDP Complete S5884-049 | $84.00 | $0 | All Preferred Generics | No | S5884 -049 | $4.00 | $25.00 | $54.00 | 25% | 3,678 members | ||
2009 Humana PDP Complete S5884-049 | $93.60 | $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 Prescription Pathway Bronze Plan Reg 21 | $23.00 | $275 | No Gap Coverage | Yes | S5597 -086 | 25% | 25% | 25% | 17,601 members | |||
-- Members will be assigned to SilverScript -- | ||||||||||||
2008 Sterling Rx Plus | $81.00 | $100 | All Generics | No | S4802 -054 | $0.00 | $25.00 | 25% | 25% | 294 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 UnitedHealth Rx Value | $25.40 | $275 | No Gap Coverage | No | S5820 -124 | $6.00 | $27.75 | 25% | 25% | 1,111 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 Advantage Allegiance Plan by RxAmerica | $42.80 | $0 | All Preferred Generics | No | S5644 -306 | $5.00 | 35% | 25% | 45% | 56 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 First Health Part D-Select | $48.60 | $0 | All Preferred Generics | No | S5768 -068 | $5.00 | $21.00 | $54.00 | 33% | 76 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
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