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 | $14.80 | $175 | No Gap Coverage | No | S5768 -084 | $4.00 | $20.00 | $48.00 | 30% | 301 members | ||
2009 First Health Part D-Secure | $12.80 | $175 | No Gap Coverage | No | $4.00 | $20.00 | $48.00 | 28% | tbd members | |||
2008 AdvantraRx Value | $21.50 | $0 | No Gap Coverage | No | S5674 -002 | $8.00 | $24.00 | $55.00 | 33% | 3,241 members | ||
2009 AdvantraRx Value | $13.50 | $0 | No Gap Coverage | No | $8.00 | $20.00 | $50.00 | 33% | tbd members | |||
2008 WellCare Classic | $23.10 | $250 | No Gap Coverage | Yes | S5967 -138 | $0.00 | $35.00 | $83.00 | 26% | 973 members | ||
2009 WellCare Classic | $21.20 | $250 | No Gap Coverage | Yes | $0.00 | $31.00 | $75.00 | 25% | tbd members | |||
2008 First Health Part D-Premier | $20.70 | $0 | No Gap Coverage | Yes | S5768 -005 | $7.00 | $34.00 | $75.00 | 33% | 5,528 members | ||
2009 First Health Part D-Premier | $25.40 | $0 | No Gap Coverage | Yes | $6.00 | $27.00 | $59.00 | 33% | tbd members | |||
2008 HealthSpring Prescription Drug Plan -Reg 1 | $19.60 | $275 | No Gap Coverage | Yes | S5932 -002 | 25% | 25% | 25% | 25% | 910 members | ||
2009 HealthSpring Prescription Drug Plan -Reg 1 | $26.10 | $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 AARP MedicareRx Saver | $26.50 | $275 | No Gap Coverage | Yes | S5921 -171 | $5.00 | $20.00 | $50.05 | 25% | 4,727 members | ||
2009 AARP MedicareRx Saver | $27.10 | $295 | No Gap Coverage | Yes | $5.00 | $22.00 | $59.65 | 25% | tbd members | |||
2008 SilverScript | $19.90 | $275 | No Gap Coverage | Yes | S5601 -002 | $7.00 | $26.25 | $93.00 | 25% | 5,492 members | ||
2009 SilverScript Value | $27.10 | $295 | No Gap Coverage | Yes | $8.00 | $36.50 | $98.00 | 25% | tbd members | |||
2008 WellCare Signature | $25.90 | $0 | No Gap Coverage | Yes | S5967 -035 | $0.00 | $45.00 | $105.00 | 33% | 20,889 members | ||
2009 WellCare Signature | $28.80 | $0 | No Gap Coverage | No | $0.00 | $39.00 | $79.00 | 33% | tbd members | |||
-- This plan not offered in 2008 -- | S5597 -236 | |||||||||||
2009 Prescriba Rx Bronze | $29.10 | $295 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | ||||
2008 Advantage Freedom Plan by RxAmerica | $32.80 | $0 | No Gap Coverage | No | S5644 -045 | $5.00 | 35% | 25% | 45% | 419 members | ||
2009 Advantage Freedom Plan by RxAmerica | $29.90 | $0 | No Gap Coverage | No | $5.00 | 35% | 33% | 45% | tbd members | |||
2008 Community CCRx Basic | $25.90 | $275 | No Gap Coverage | Yes | S5803 -070 | $0.00 | 30% | 55% | 9,504 members | |||
2009 Community CCRx Basic | $30.00 | $295 | No Gap Coverage | No | $0.00 | 30% | 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 Medco Medicare Prescription Plan - Value | $28.00 | $275 | No Gap Coverage | Yes | S5660 -104 | 23% | 23% | 58% | 25% | 361 members | ||
2009 Medco Medicare Prescription Plan - Value | $30.40 | $295 | No Gap Coverage | No | 23% | 23% | 53% | 25% | tbd members | |||
2008 CIGNA Medicare Rx Plan One | $28.70 | $275 | No Gap Coverage | Yes | S5617 -003 | $2.00 | $30.00 | $78.00 | 25% | 19,272 members | ||
2009 CIGNA Medicare Rx Plan One | $30.50 | $295 | No Gap Coverage | No | $2.50 | $33.00 | $81.00 | 25% | tbd members | |||
2008 Aetna Medicare Rx Essentials | $26.10 | $275 | No Gap Coverage | Yes | 035 -035 | $3.00 | $39.00 | $80.00 | 25% | 1,047 members | ||
2009 Aetna Medicare Rx Essentials | $31.20 | $205 | No Gap Coverage | No | $0.00 | $12.00 | $27.00 | $67.00 | tbd members | |||
2008 MedicareRx Rewards Standard | $29.60 | $275 | No Gap Coverage | Yes | S5960 -107 | 25% | 3,024 members | |||||
2009 MedicareRx Rewards Standard | $31.40 | $295 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | |||
2008 Advantage Star Plan by RxAmerica | $26.80 | $275 | No Gap Coverage | Yes | S5644 -067 | $5.00 | 25% | 25% | 35% | 6,877 members | ||
2009 Advantage Star Plan by RxAmerica | $32.00 | $295 | No Gap Coverage | No | $5.50 | 25% | 25% | 45% | tbd members | |||
2008 EnvisionRxPlus Standard | $63.00 | $275 | No Gap Coverage | No | S7694 -001 | 25% | 25% | 25% | 25% | < 10 members | ||
2009 EnvisionRxPlus Silver | $34.20 | $295 | No Gap Coverage | No | $4.00 | $32.00 | $22.00 | $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 Health Net Orange Option 1 | $28.00 | $275 | No Gap Coverage | Yes | S5678 -014 | $1.00 | $42.00 | 25% | 25% | 861 members | ||
2009 Health Net Orange Option 1 | $34.40 | $295 | No Gap Coverage | No | $2.00 | $43.00 | $90.00 | 25% | tbd members | |||
2008 Blue MedicareRx Value | $32.60 | $275 | No Gap Coverage | No | 046 -046 | $8.00 | $25.00 | $59.00 | 25% | 981 members | ||
2009 Blue MedicareRx Value | $35.00 | $130 | No Gap Coverage | No | $10.00 | $44.00 | $85.00 | 29% | tbd members | |||
2008 AARP MedicareRx Preferred | $31.00 | $0 | No Gap Coverage | Yes | S5820 -001 | $7.00 | $30.00 | $79.40 | 33% | 84,301 members | ||
2009 AARP MedicareRx Preferred | $35.50 | $0 | No Gap Coverage | No | $7.00 | $38.00 | $98.00 | 33% | tbd members | |||
2008 AdvantraRx Premier | $35.30 | $0 | No Gap Coverage | No | S5674 -003 | $7.00 | $25.00 | $60.00 | 33% | 2,225 members | ||
2009 AdvantraRx Premier | $37.20 | $0 | No Gap Coverage | No | $7.00 | $28.00 | $64.00 | 33% | tbd members | |||
2008 CIGNA Medicare Rx Plan Two | $31.40 | $0 | No Gap Coverage | No | S5617 -005 | $6.00 | $35.00 | $80.00 | 33% | 2,330 members | ||
2009 CIGNA Medicare Rx Plan Two | $37.20 | $0 | No Gap Coverage | No | $0.00 | $6.00 | $38.00 | $80.00 | tbd members | |||
2008 Sterling Rx | $30.20 | $275 | No Gap Coverage | Yes | S4802 -022 | $5.00 | $30.00 | 40% | 25% | 389 members | ||
2009 Sterling Rx | $37.50 | $295 | No Gap Coverage | No | $7.00 | $25.00 | $58.00 | 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 Prescription Pathway Gold Plan Reg 1 | $33.00 | $0 | No Gap Coverage | No | S5597 -034 | $6.00 | $44.00 | 33% | 430 members | |||
2009 Prescriba Rx Gold | $38.60 | $0 | No Gap Coverage | No | $6.00 | $44.00 | 33% | tbd members | ||||
2008 Humana PDP Standard S5884-092 | $19.60 | $275 | No Gap Coverage | Yes | S5884 -092 | 25% | 25% | 25% | 25% | 2,695 members | ||
2009 Humana PDP Standard S5884-092 | $39.20 | $295 | No Gap Coverage | No | 15% | 25% | 45% | tbd members | ||||
2008 UA Medicare Part D Rx Covg - Silver Plan | $39.40 | $150 | No Gap Coverage | No | S5755 -040 | $4.00 | $40.00 | $80.00 | 25% | 19 members | ||
2009 UA Medicare Part D Rx Covg - Silver Plan | $40.20 | $160 | No Gap Coverage | No | $4.00 | $40.00 | $80.00 | 25% | tbd members | |||
2008 UnitedHealth Rx Basic | $41.30 | $0 | No Gap Coverage | No | S5921 -172 | $7.00 | $28.00 | $68.70 | 33% | 3,201 members | ||
2009 UnitedHealth Rx Basic | $40.80 | $0 | No Gap Coverage | No | $7.00 | $35.00 | $98.00 | 33% | tbd members | |||
2008 Medco Medicare Prescription Plan - Choice | $40.50 | $0 | No Gap Coverage | No | S5660 -001 | $6.00 | $35.00 | 75% | 33% | 1,243 members | ||
2009 Medco Medicare Prescription Plan - Choice | $41.70 | $0 | No Gap Coverage | No | $6.00 | $35.00 | 75% | 33% | tbd members | |||
2008 Community CCRx Choice | $44.50 | $0 | No Gap Coverage | No | S5803 -138 | $0.00 | $20.00 | $45.00 | 352 members | |||
2009 Community CCRx Choice | $42.50 | $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 Humana PDP Enhanced S5884-095 | $19.20 | $0 | No Gap Coverage | No | S5884 -095 | $4.00 | $25.00 | $54.00 | 25% | 5,578 members | ||
2009 Humana PDP Enhanced S5884-095 | $42.50 | $0 | No Gap Coverage | No | $7.00 | $40.00 | $70.00 | 33% | tbd members | |||
2008 SilverScript Plus | $37.60 | $0 | All Generics | No | S5601 -003 | $9.00 | $26.00 | $85.00 | 33% | 268 members | ||
2009 SilverScript Plus | $45.30 | $50 | Many Generics | No | $4.00 | $9.00 | $30.00 | $35.00 | tbd members | |||
2008 Blue MedicareRx Value Plus | $45.10 | $0 | No Gap Coverage | No | 001 -001 | $8.00 | $29.00 | $60.00 | 33% | 9,154 members | ||
2009 Blue MedicareRx Value Plus | $45.50 | $0 | No Gap Coverage | No | $9.00 | $35.00 | $75.00 | 33% | tbd members | |||
2008 UA Medicare Part D Prescription Drug Cov | $45.40 | $0 | No Gap Coverage | No | S5755 -005 | $9.00 | $37.00 | $74.00 | 33% | 624 members | ||
2009 UA Medicare Part D Prescription Drug Cov | $45.80 | $0 | No Gap Coverage | No | $6.00 | $32.00 | $64.00 | 33% | tbd members | |||
2008 Health Net Value Orange Option 2 | $30.70 | $0 | No Gap Coverage | No | S5678 -013 | $0.00 | $39.00 | 33% | 33% | 258 members | ||
2009 Health Net Value Orange Option 2 | $47.40 | $0 | No Gap Coverage | No | $0.00 | $39.00 | $75.00 | 33% | tbd members | |||
2008 AdvantraRx Premier Plus | $47.20 | $0 | All Preferred Generics | No | S5674 -005 | $2.00 | $22.00 | $70.00 | 33% | 4,203 members | ||
2009 AdvantraRx Premier Plus | $53.40 | $0 | Many Generics | No | $4.00 | $30.00 | $74.00 | 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 | $99.50 | $0 | All Preferred Generics | No | S7694 -035 | $0.00 | $40.00 | $30.00 | $45.00 | 92 members | ||
2009 EnvisionRxPlus Gold | $56.50 | $0 | No Gap Coverage | No | $0.00 | $45.00 | $40.00 | $75.00 | tbd members | |||
2008 Community CCRx Gold | $52.10 | $0 | All Generics | No | S5803 -218 | $5.00 | $25.00 | $60.00 | 145 members | |||
2009 Community CCRx Gold | $59.20 | $0 | All Generics | No | $5.00 | $30.00 | $60.00 | 33% | tbd members | |||
2008 Aetna Medicare Rx Plus | $42.80 | $0 | No Gap Coverage | No | S5810 -137 | $4.00 | $35.00 | $65.00 | 33% | 239 members | ||
2009 Aetna Medicare Rx Plus | $61.20 | $0 | Some Generics | No | $0.00 | $10.00 | $36.00 | $77.00 | tbd members | |||
2008 SilverScript Complete | $44.30 | $0 | All Generics | No | S5601 -072 | $7.00 | $30.00 | $90.00 | 33% | 358 members | ||
2009 SilverScript Complete | $62.00 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | |||
2008 CIGNA Medicare Rx Plan Three | $68.10 | $0 | Some Generics | No | S5617 -171 | $6.00 | $35.00 | $60.00 | 33% | 215 members | ||
2009 CIGNA Medicare Rx Plan Three | $67.60 | $0 | Some Generics | No | $6.00 | $35.00 | $60.00 | 33% | tbd members | |||
2008 Prescription Pathway Platinum Plan Reg 1 | $66.30 | $0 | All Generics | No | S5597 -199 | $6.00 | $44.00 | 33% | 76 members | |||
2009 Prescriba Rx Platinum | $72.50 | $0 | All Generics | 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 Medco Medicare Prescription Plan - Access | $79.20 | $0 | All Generics | No | S5660 -172 | $6.00 | $35.00 | 75% | 33% | 93 members | ||
2009 Medco Medicare Prescription Plan - Access | $78.90 | $0 | All Generics | No | $6.00 | $35.00 | 75% | 33% | tbd members | |||
2008 AARP MedicareRx Enhanced | $62.30 | $0 | All Preferred Generics | No | S5921 -173 | $7.00 | $30.00 | $79.40 | 33% | 1,739 members | ||
2009 AARP MedicareRx Enhanced | $81.70 | $0 | Many Generics | No | $7.00 | $39.00 | $95.00 | 33% | tbd members | |||
2008 Blue MedicareRx Premier | $76.50 | $0 | Some Generics | No | S5596 -003 | $8.00 | $24.00 | $54.00 | 33% | 6,190 members | ||
2009 Blue MedicareRx Premier | $81.80 | $0 | Many Generics | No | $9.00 | $35.00 | $75.00 | 33% | tbd members | |||
2008 Humana PDP Complete S5884-098 | $92.40 | $0 | All Preferred Generics | No | S5884 -098 | $4.00 | $25.00 | $54.00 | 25% | 28 members | ||
2009 Humana PDP Complete S5884-098 | $100.20 | $0 | Many Generics | No | $7.00 | $40.00 | $70.00 | 33% | tbd members | |||
2008 Aetna Medicare Rx Premier | $82.00 | $0 | All Generics | No | S5810 -171 | $4.00 | $40.00 | $70.00 | 33% | 506 members | ||
2009 Aetna Medicare Rx Premier | $101.70 | $0 | Many Generics | No | $0.00 | $10.00 | $30.00 | $65.00 | tbd members | |||
2008 Prescription Pathway Bronze Plan Reg 1 | $27.60 | $275 | No Gap Coverage | Yes | S5597 -067 | 25% | 25% | 25% | 3,463 members | |||
-- Members will be assigned to SilverScript -- | ||||||||||||
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 Fox Grand Plan | $30.00 | $275 | All Preferred Generics | No | S5557 -007 | $0.00 | $28.00 | $65.00 | 25% | 18 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 UnitedHealth Rx Value | $16.30 | $275 | No Gap Coverage | No | S5820 -105 | $6.00 | $27.75 | 25% | 25% | 2,136 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 Sterling Rx Plus | $75.20 | $100 | All Generics | No | S4802 -034 | $0.00 | $25.00 | 25% | 25% | 24 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 Fox Value Plan | $26.00 | $275 | No Gap Coverage | Yes | S5557 -002 | $0.00 | 25% | 2,292 members | ||||
-- This plan not offered in 2009 -- | ||||||||||||
2008 First Health Part D-Select | $43.00 | $0 | All Preferred Generics | No | S5768 -049 | $5.00 | $21.00 | $55.00 | 33% | 69 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 Advantage Allegiance Plan by RxAmerica | $51.00 | $0 | All Preferred Generics | No | S5644 -286 | $5.00 | 35% | 25% | 45% | 15 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 MedicareRx Rewards Value | $34.00 | $0 | No Gap Coverage | No | S5960 -001 | $10.00 | $42.20 | $80.00 | 33% | 1,326 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
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