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 -086 | $4.00 | $20.00 | $48.00 | 30% | 1,394 members | ||
2009 First Health Part D-Secure | $16.70 | $175 | No Gap Coverage | No | $4.00 | $20.00 | $48.00 | 28% | tbd members | |||
2008 AdvantraRx Value | $21.40 | $0 | No Gap Coverage | No | S5674 -014 | $8.00 | $24.00 | $55.00 | 33% | 4,056 members | ||
2009 AdvantraRx Value | $24.60 | $0 | No Gap Coverage | No | $8.00 | $24.00 | $55.00 | 33% | tbd members | |||
2008 Fox Value Plan | $24.00 | $275 | No Gap Coverage | Yes | S5557 -023 | $0.00 | 25% | 1,726 members | ||||
2009 Fox Value Plan | $24.60 | $295 | No Gap Coverage | Yes | $0.00 | $29.00 | $33.00 | $75.00 | tbd members | |||
2008 AARP MedicareRx Saver | $29.00 | $275 | No Gap Coverage | Yes | S5921 -286 | $5.00 | $20.00 | $49.40 | 25% | 63,719 members | ||
2009 AARP MedicareRx Saver | $26.10 | $295 | No Gap Coverage | Yes | $5.00 | $22.00 | $61.25 | 25% | tbd members | |||
2008 HealthSpring Prescription Drug Plan -Reg 4 | $19.20 | $275 | No Gap Coverage | Yes | S5932 -005 | 25% | 25% | 25% | 25% | 3,511 members | ||
2009 HealthSpring Prescription Drug Plan -Reg 4 | $26.60 | $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 | ||||||
2008 Medco Medicare Prescription Plan - Value | $24.10 | $275 | No Gap Coverage | Yes | S5660 -106 | 23% | 23% | 58% | 25% | 5,340 members | ||
2009 Medco Medicare Prescription Plan - Value | $27.70 | $295 | No Gap Coverage | Yes | 23% | 23% | 53% | 25% | tbd members | |||
2008 Advantage Freedom Plan by RxAmerica | $28.00 | $0 | No Gap Coverage | No | S5644 -049 | $5.00 | 35% | 25% | 45% | 658 members | ||
2009 Advantage Freedom Plan by RxAmerica | $28.60 | $0 | No Gap Coverage | No | $5.00 | 35% | 33% | 45% | tbd members | |||
2008 First Health Part D-Premier | $26.80 | $0 | No Gap Coverage | Yes | S5768 -007 | $7.00 | $33.00 | $59.00 | 33% | 26,401 members | ||
2009 First Health Part D-Premier | $29.10 | $0 | No Gap Coverage | Yes | $7.00 | $27.00 | $52.00 | 33% | tbd members | |||
2008 SilverScript | $22.10 | $275 | No Gap Coverage | Yes | S5601 -008 | $7.00 | $28.25 | $93.00 | 25% | 43,549 members | ||
2009 SilverScript Value | $29.40 | $295 | No Gap Coverage | Yes | $8.00 | $39.00 | $98.00 | 25% | tbd members | |||
2008 Advantage Star Plan by RxAmerica | $22.20 | $275 | No Gap Coverage | Yes | S5644 -005 | $5.50 | 25% | 25% | 35% | 8,117 members | ||
2009 Advantage Star Plan by RxAmerica | $30.50 | $295 | No Gap Coverage | Yes | $6.50 | 25% | 25% | 45% | tbd members | |||
2008 MedicareRx Rewards Standard | $24.40 | $275 | No Gap Coverage | Yes | S5960 -110 | 25% | 1,268 members | |||||
2009 MedicareRx Rewards Standard | $31.20 | $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 AmeriHealth NJ Rx Option I | $28.60 | $125 | No Gap Coverage | Yes | S4496 -001 | $5.00 | $35.00 | $50.00 | 2,940 members | |||
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2009 AmeriHealth NJ Rx Option I | $32.20 | $295 | No Gap Coverage | No | $0.00 | $30.00 | $88.00 | 25% | tbd members | |||
2008 Aetna Medicare Rx Essentials | $25.50 | $275 | No Gap Coverage | Yes | S5810 -038 | $3.00 | $39.00 | $80.00 | 25% | 27,480 members | ||
2009 Aetna Medicare Rx Essentials | $32.90 | $220 | No Gap Coverage | No | $5.00 | $11.00 | $22.00 | $63.00 | tbd members | |||
2008 Health Net Orange Option 1 | $25.40 | $275 | No Gap Coverage | Yes | S5678 -005 | $1.00 | $40.00 | 25% | 25% | 14,063 members | ||
2009 Health Net Orange Option 1 | $32.90 | $295 | No Gap Coverage | No | $2.00 | $40.00 | $90.00 | 25% | tbd members | |||
2008 EnvisionRxPlus Standard | $69.00 | $275 | No Gap Coverage | No | S7694 -004 | 25% | 25% | 25% | 25% | 18 members | ||
2009 EnvisionRxPlus Silver | $33.20 | $295 | No Gap Coverage | No | $4.00 | $33.00 | $23.00 | $75.00 | tbd members | |||
2008 WellCare Classic | $27.70 | $250 | No Gap Coverage | Yes | S5967 -141 | $0.00 | $35.00 | $81.00 | 26% | 17,989 members | ||
2009 WellCare Classic | $33.60 | $295 | No Gap Coverage | No | $0.00 | $41.00 | $92.00 | 25% | tbd members | |||
2008 Humana PDP Enhanced S5884-003 | $23.20 | $0 | No Gap Coverage | No | S5884 -003 | $4.00 | $25.00 | $54.00 | 25% | 40,151 members | ||
2009 Humana PDP Enhanced S5884-003 | $33.70 | $0 | No Gap Coverage | 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 CIGNA Medicare Rx Plan One | $23.80 | $275 | No Gap Coverage | Yes | S5617 -018 | $2.00 | $25.00 | $62.00 | 25% | 5,092 members | ||
2009 CIGNA Medicare Rx Plan One | $34.90 | $295 | No Gap Coverage | No | $2.50 | $28.00 | $77.00 | 25% | tbd members | |||
2008 AARP MedicareRx Preferred | $32.40 | $0 | No Gap Coverage | No | S5820 -003 | $7.00 | $30.00 | $76.45 | 33% | 117,970 members | ||
2009 AARP MedicareRx Preferred | $36.90 | $0 | No Gap Coverage | No | $7.00 | $38.00 | $75.10 | 33% | tbd members | |||
2008 WellCare Signature | $32.70 | $0 | No Gap Coverage | No | S5967 -038 | $0.00 | $45.00 | $102.00 | 33% | 4,460 members | ||
2009 WellCare Signature | $37.20 | $0 | No Gap Coverage | No | $0.00 | $39.00 | $79.00 | 33% | tbd members | |||
2008 Sterling Rx | $29.80 | $275 | No Gap Coverage | Yes | S4802 -001 | $5.00 | $30.00 | 40% | 25% | 2,460 members | ||
2009 Sterling Rx | $38.70 | $295 | No Gap Coverage | No | $7.00 | $25.00 | $58.00 | 25% | tbd members | |||
2008 Humana PDP Standard S5884-062 | $34.50 | $275 | No Gap Coverage | No | S5884 -062 | 25% | 25% | 25% | 25% | 15,077 members | ||
2009 Humana PDP Standard S5884-062 | $38.90 | $295 | No Gap Coverage | No | 15% | 25% | 40% | tbd members | ||||
2008 BravoRx | $20.20 | $275 | No Gap Coverage | Yes | S5998 -003 | 25% | 25% | 25% | 3,127 members | |||
2009 BravoRx | $39.20 | $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 AmeriHealth NJ Rx Option II | $35.30 | $0 | All Generics | No | S4496 -003 | $10.00 | $35.00 | $50.00 | 202 members | |||
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2009 AmeriHealth NJ Rx Option II | $40.20 | $0 | No Gap Coverage | No | $7.00 | $37.00 | $70.00 | 33% | tbd members | |||
2008 AdvantraRx Premier | $35.10 | $0 | No Gap Coverage | No | S5674 -015 | $5.00 | $23.00 | $71.00 | 33% | 2,155 members | ||
2009 AdvantraRx Premier | $40.80 | $0 | No Gap Coverage | No | $7.00 | $26.00 | $69.00 | 33% | tbd members | |||
2008 UnitedHealth Rx Basic | $41.80 | $0 | No Gap Coverage | No | S5921 -288 | $7.00 | $28.00 | $62.90 | 33% | 3,392 members | ||
2009 UnitedHealth Rx Basic | $41.40 | $0 | No Gap Coverage | No | $7.00 | $35.00 | $98.00 | 33% | tbd members | |||
2008 MedicareRx Rewards Value | $27.90 | $0 | No Gap Coverage | Yes | S5960 -004 | $10.00 | $43.80 | $80.00 | 33% | 15,975 members | ||
2009 MedicareRx Rewards Value | $41.50 | $130 | No Gap Coverage | No | $10.00 | $46.50 | $85.00 | 29% | tbd members | |||
2008 UA Medicare Part D Rx Covg - Silver Plan | $37.40 | $120 | No Gap Coverage | No | S5755 -042 | $4.00 | $40.00 | $80.00 | 25% | 72 members | ||
2009 UA Medicare Part D Rx Covg - Silver Plan | $41.50 | $160 | No Gap Coverage | No | $4.00 | $40.00 | $80.00 | 25% | tbd members | |||
2008 Fox Grand Plan | $30.00 | $275 | All Preferred Generics | No | S5557 -013 | $0.00 | $28.00 | $65.00 | 25% | 25 members | ||
2009 Fox Grand Plan | $41.60 | $285 | 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 Medco Medicare Prescription Plan - Choice | $38.50 | $0 | No Gap Coverage | No | S5660 -035 | $6.00 | $35.00 | 75% | 33% | 1,384 members | ||
2009 Medco Medicare Prescription Plan - Choice | $41.60 | $0 | No Gap Coverage | No | $6.00 | $38.00 | 75% | 33% | tbd members | |||
2008 Horizon Medicare Blue Rx Standard | $41.20 | $275 | No Gap Coverage | No | S5993 -001 | $5.00 | $37.00 | $65.00 | 25% | 9,531 members | ||
2009 Horizon Medicare Blue Rx Standard | $42.30 | $295 | No Gap Coverage | No | $7.00 | $37.00 | $74.00 | 25% | tbd members | |||
2008 Prescription Pathway Gold Plan Reg 4 | $28.20 | $0 | No Gap Coverage | No | S5597 -036 | $6.00 | $44.00 | 33% | 824 members | |||
2009 Prescriba Rx Gold | $42.70 | $0 | No Gap Coverage | No | $6.00 | $44.00 | 33% | tbd members | ||||
2008 CIGNA Medicare Rx Plan Two | $35.60 | $0 | No Gap Coverage | No | S5617 -020 | $6.00 | $33.00 | $74.00 | 33% | 770 members | ||
2009 CIGNA Medicare Rx Plan Two | $43.80 | $0 | No Gap Coverage | No | $0.00 | $6.00 | $36.00 | $80.00 | tbd members | |||
2008 Community CCRx Basic | $24.20 | $275 | No Gap Coverage | Yes | S5803 -073 | $0.00 | 30% | 65% | 9,649 members | |||
2009 Community CCRx Basic | $43.90 | $295 | No Gap Coverage | No | $0.00 | 25% | 60% | tbd members | ||||
-- This plan not offered in 2008 -- | S5597 -238 | |||||||||||
2009 Prescriba Rx Bronze | $44.70 | $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 Prescription Drug Cov | $44.30 | $0 | No Gap Coverage | No | S5755 -007 | $9.00 | $35.00 | $70.00 | 33% | 2,308 members | ||
2009 UA Medicare Part D Prescription Drug Cov | $45.90 | $0 | No Gap Coverage | No | $7.00 | $33.00 | $66.00 | 33% | tbd members | |||
2008 SilverScript Plus | $32.30 | $0 | All Generics | No | S5601 -009 | $9.00 | $26.00 | $85.00 | 33% | 1,815 members | ||
2009 SilverScript Plus | $50.10 | $50 | Many Generics | No | $4.00 | $9.00 | $30.00 | $35.00 | tbd members | |||
2008 Health Net Orange Option 2 | $38.00 | $0 | No Gap Coverage | No | S5678 -011 | $5.00 | $30.00 | $75.00 | 33% | 1,281 members | ||
2009 Health Net Orange Option 2 | $52.10 | $0 | No Gap Coverage | No | $5.00 | $30.00 | $90.00 | 33% | tbd members | |||
2008 Community CCRx Choice | $50.20 | $0 | No Gap Coverage | No | S5803 -141 | $0.00 | $20.00 | $45.00 | 419 members | |||
2009 Community CCRx Choice | $56.40 | $0 | No Gap Coverage | No | $5.00 | $30.00 | $60.00 | 33% | tbd members | |||
2008 AdvantraRx Premier Plus | $47.80 | $0 | All Preferred Generics | No | S5674 -017 | $2.00 | $22.00 | $70.00 | 33% | 2,693 members | ||
2009 AdvantraRx Premier Plus | $56.80 | $0 | Many Generics | No | $4.00 | $30.00 | $71.00 | 33% | tbd members | |||
2008 Aetna Medicare Rx Plus | $42.90 | $0 | No Gap Coverage | No | S5810 -140 | $4.00 | $35.00 | $65.00 | 33% | 851 members | ||
2009 Aetna Medicare Rx Plus | $66.00 | $0 | Some Generics | No | $0.00 | $10.00 | $36.00 | $76.00 | 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 | $98.50 | $0 | All Preferred Generics | No | S7694 -038 | $0.00 | $40.00 | $30.00 | $45.00 | 311 members | ||
2009 EnvisionRxPlus Gold | $69.00 | $0 | No Gap Coverage | No | $0.00 | $45.00 | $40.00 | $75.00 | tbd members | |||
2008 Medco Medicare Prescription Plan - Access | $72.50 | $0 | All Generics | No | S5660 -174 | $6.00 | $35.00 | 75% | 33% | 270 members | ||
2009 Medco Medicare Prescription Plan - Access | $71.40 | $0 | All Generics | No | $6.00 | $35.00 | 75% | 33% | tbd members | |||
2008 SierraRx Basic | $37.90 | $275 | No Gap Coverage | No | S5917 -009 | 25% | 25% | 25% | 141 members | |||
2009 SierraRx Basic | $72.70 | $295 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | ||||
2008 Horizon Medicare Blue Rx Plus | $80.20 | $0 | All Generics | No | S5993 -003 | $0.00 | $37.00 | $65.00 | 33% | 934 members | ||
2009 Horizon Medicare Blue Rx Plus | $72.90 | $0 | Many Generics | No | $0.00 | $37.00 | $74.00 | 33% | tbd members | |||
2008 AARP MedicareRx Enhanced | $64.00 | $0 | All Preferred Generics | No | S5921 -293 | $7.00 | $30.00 | $76.45 | 33% | 5,303 members | ||
2009 AARP MedicareRx Enhanced | $73.30 | $0 | Many Generics | No | $7.00 | $39.00 | $95.00 | 33% | tbd members | |||
2008 SilverScript Complete | $43.40 | $0 | All Generics | No | S5601 -075 | $7.00 | $30.00 | $90.00 | 33% | 373 members | ||
2009 SilverScript Complete | $74.30 | $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 Prescription Pathway Platinum Plan Reg 4 | $64.10 | $0 | All Generics | No | S5597 -201 | $6.00 | $44.00 | 33% | 195 members | |||
2009 Prescriba Rx Platinum | $74.90 | $0 | All Generics | No | $6.00 | $44.00 | 33% | tbd members | ||||
2008 Community CCRx Gold | $66.80 | $0 | All Generics | No | S5803 -221 | $5.00 | $25.00 | $60.00 | 349 members | |||
2009 Community CCRx Gold | $76.50 | $0 | All Generics | No | $5.00 | $30.00 | $60.00 | 33% | tbd members | |||
2008 CIGNA Medicare Rx Plan Three | $87.50 | $0 | Some Generics | No | S5617 -174 | $6.00 | $35.00 | $60.00 | 33% | 187 members | ||
2009 CIGNA Medicare Rx Plan Three | $88.50 | $0 | Some Generics | No | $6.00 | $35.00 | $60.00 | 33% | tbd members | |||
2008 Humana PDP Complete S5884-032 | $97.30 | $0 | All Preferred Generics | No | S5884 -032 | $4.00 | $25.00 | $54.00 | 25% | 2,972 members | ||
2009 Humana PDP Complete S5884-032 | $98.80 | $0 | Many Generics | No | $7.00 | $40.00 | $70.00 | 33% | tbd members | |||
2008 Aetna Medicare Rx Premier | $97.70 | $0 | All Generics | No | S5810 -174 | $4.00 | $40.00 | $70.00 | 33% | 1,004 members | ||
2009 Aetna Medicare Rx Premier | $130.20 | $0 | Many Generics | No | $0.00 | $10.00 | $30.00 | $65.00 | tbd members | |||
2008 Prescription Pathway Bronze Plan Reg 4 | $22.40 | $275 | No Gap Coverage | Yes | S5597 -069 | 25% | 25% | 25% | 19,366 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 Sterling Rx Plus | $74.00 | $100 | All Generics | No | S4802 -037 | $0.00 | $25.00 | 25% | 25% | 88 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 Horizon Medicare Blue Rx Enhanced | $71.60 | $0 | All Generics | No | S5993 -002 | $5.00 | $37.00 | $65.00 | 33% | 23,712 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 First Health Part D-Select | $43.20 | $0 | All Preferred Generics | No | S5768 -051 | $5.00 | $21.00 | $55.00 | 33% | 154 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 UnitedHealth Rx Value | $23.10 | $275 | No Gap Coverage | No | S5820 -107 | $6.00 | $27.75 | 25% | 25% | 1,306 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 Advantage Allegiance Plan by RxAmerica | $44.40 | $0 | All Preferred Generics | No | S5644 -289 | $5.00 | 35% | 25% | 45% | 79 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
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