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 |
||||||
2008 First Health Part D-Secure | $12.90 | $175 | No Gap Coverage | No | S5768 -108 | $4.00 | $20.00 | $51.00 | 30% | 29 members | ||
2009 First Health Part D-Secure | $10.30 | $175 | No Gap Coverage | No | $4.00 | $20.00 | $47.00 | 28% | tbd members | |||
2008 SilverScript | $10.40 | $275 | No Gap Coverage | Yes | S5601 -052 | $7.00 | $23.25 | $94.00 | 25% | 7,652 members | ||
2009 SilverScript Value | $14.50 | $295 | No Gap Coverage | Yes | $8.00 | $30.75 | $98.00 | 25% | tbd members | |||
2008 WellCare Classic | $21.10 | $250 | No Gap Coverage | No | S5967 -163 | $0.00 | $35.00 | $86.00 | 26% | 752 members | ||
2009 WellCare Classic | $15.20 | $295 | No Gap Coverage | Yes | $0.00 | $36.00 | $88.00 | 25% | tbd members | |||
-- This plan not offered in 2008 -- | S5597 -260 | |||||||||||
2009 Prescriba Rx Bronze | $18.00 | $295 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | ||||
2008 SierraRx | $24.30 | $0 | No Gap Coverage | No | S5917 -002 | $10.00 | $45.00 | 25% | 922 members | |||
2009 UnitedHealth Rx Value | $18.10 | $0 | No Gap Coverage | No | $8.00 | $45.00 | 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 Advantage Star Plan by RxAmerica | $18.90 | $275 | No Gap Coverage | Yes | S5644 -199 | $4.50 | 25% | 25% | 35% | 2,944 members | ||
2009 Advantage Star Plan by RxAmerica | $18.70 | $295 | No Gap Coverage | Yes | $6.25 | 25% | 25% | 45% | tbd members | |||
2008 Blue Medicare Rx - Value | $17.80 | $0 | No Gap Coverage | Yes | S5715 -003 | $9.00 | $45.00 | $81.00 | 30% | 4,047 members | ||
2009 Blue Medicare Rx - Value | $18.70 | $0 | No Gap Coverage | Yes | $10.00 | $45.00 | $79.00 | 30% | tbd members | |||
2008 MedicareRx Rewards Standard | $12.80 | $275 | No Gap Coverage | Yes | S5960 -132 | 25% | 1,059 members | |||||
2009 MedicareRx Rewards Standard | $18.90 | $295 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2008 Community CCRx Basic | $19.80 | $275 | No Gap Coverage | Yes | S5803 -095 | $0.00 | 30% | 70% | 3,537 members | |||
2009 Community CCRx Basic | $19.00 | $295 | No Gap Coverage | Yes | $0.00 | 30% | 55% | tbd members | ||||
2008 AdvantraRx Value | $19.50 | $0 | No Gap Coverage | No | S5674 -038 | $8.00 | $24.00 | $55.00 | 33% | 554 members | ||
2009 AdvantraRx Value | $19.30 | $0 | No Gap Coverage | No | $8.00 | $24.00 | $60.00 | 33% | tbd members | |||
2008 First Health Part D-Premier | $21.20 | $0 | No Gap Coverage | No | S5768 -048 | $7.00 | $33.00 | $69.00 | 33% | 34 members | ||
2009 First Health Part D-Premier | $20.80 | $0 | No Gap Coverage | No | $7.00 | $29.00 | $59.00 | 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 Health Net Orange Option 1 | $12.10 | $275 | No Gap Coverage | Yes | S5678 -058 | $1.00 | $42.00 | 25% | 25% | 3,185 members | ||
2009 Health Net Orange Option 1 | $21.80 | $295 | No Gap Coverage | No | $2.00 | $43.00 | $90.00 | 25% | tbd members | |||
2008 MedicareRx Rewards Value | $17.20 | $0 | No Gap Coverage | Yes | S5960 -026 | $9.00 | $44.00 | $80.00 | 33% | 6,227 members | ||
2009 MedicareRx Rewards Value | $22.50 | $130 | No Gap Coverage | No | $9.00 | $44.50 | $85.00 | 29% | tbd members | |||
2008 EnvisionRxPlus Standard | $63.00 | $275 | No Gap Coverage | No | S7694 -026 | 25% | 25% | 25% | 25% | < 10 members | ||
2009 EnvisionRxPlus Silver | $22.90 | $295 | No Gap Coverage | No | $4.00 | $30.00 | $20.00 | $75.00 | tbd members | |||
2008 AARP MedicareRx Saver | $21.00 | $275 | No Gap Coverage | No | S5921 -261 | $5.00 | $20.00 | $50.95 | 25% | 7,059 members | ||
2009 AARP MedicareRx Saver | $24.80 | $295 | No Gap Coverage | No | $5.00 | $22.00 | $49.00 | 25% | tbd members | |||
2008 HealthSpring Prescription Drug Plan-Reg 26 | $18.00 | $275 | No Gap Coverage | Yes | S5932 -025 | 25% | 25% | 25% | 25% | 2,014 members | ||
2009 HealthSpring Prescription Drug Plan-Reg 26 | $26.20 | $295 | No Gap Coverage | No | 25% | 25% | tbd members | |||||
2008 WellCare Signature | $24.00 | $0 | No Gap Coverage | No | S5967 -060 | $0.00 | $45.00 | $107.00 | 33% | 2,773 members | ||
2009 WellCare Signature | $26.80 | $0 | No Gap Coverage | No | $0.00 | $39.00 | $79.00 | 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 Advantage Freedom Plan by RxAmerica | $23.80 | $0 | No Gap Coverage | No | S5644 -185 | $5.00 | 35% | 25% | 45% | 41 members | ||
2009 Advantage Freedom Plan by RxAmerica | $27.10 | $0 | No Gap Coverage | No | $5.00 | 35% | 33% | 45% | tbd members | |||
2008 Aetna Medicare Rx Essentials | $24.80 | $275 | No Gap Coverage | No | S5810 -060 | $3.00 | $39.00 | $80.00 | 25% | 61 members | ||
2009 Aetna Medicare Rx Essentials | $27.20 | $200 | No Gap Coverage | No | $0.00 | $13.00 | $26.00 | $67.00 | tbd members | |||
-- This plan not offered in 2008 -- | S5998 -030 | |||||||||||
2009 BravoRx | $27.90 | $295 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | ||||
2008 Blue Medicare Rx - Standard | $24.20 | $275 | No Gap Coverage | No | S5715 -008 | $0.00 | $32.00 | $62.00 | 25% | 459 members | ||
2009 Blue Medicare Rx - Standard | $29.60 | $295 | No Gap Coverage | No | $2.00 | $32.00 | $62.00 | 25% | tbd members | |||
2008 CIGNA Medicare Rx Plan One | $19.40 | $275 | No Gap Coverage | Yes | S5617 -128 | $2.00 | $25.00 | $56.00 | 25% | 469 members | ||
2009 CIGNA Medicare Rx Plan One | $29.70 | $295 | No Gap Coverage | No | $2.50 | $28.00 | $60.00 | 25% | tbd members | |||
2008 Humana PDP Standard S5884-084 | $18.40 | $275 | No Gap Coverage | Yes | S5884 -084 | 25% | 25% | 25% | 25% | 14,248 members | ||
2009 Humana PDP Standard S5884-084 | $30.40 | $295 | No Gap Coverage | No | 15% | 25% | 50% | 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 | $22.20 | $275 | No Gap Coverage | No | S5660 -128 | 23% | 23% | 58% | 25% | < 10 members | ||
2009 Medco Medicare Prescription Plan - Value | $30.40 | $295 | No Gap Coverage | No | 23% | 23% | 53% | 25% | tbd members | |||
2008 AARP MedicareRx Preferred | $26.60 | $0 | No Gap Coverage | No | S5820 -025 | $7.00 | $30.00 | $79.65 | 33% | 15,539 members | ||
2009 AARP MedicareRx Preferred | $31.10 | $0 | No Gap Coverage | No | $7.00 | $38.00 | $84.30 | 33% | tbd members | |||
2008 UnitedHealth Rx Basic | $33.40 | $0 | No Gap Coverage | No | S5921 -262 | $7.00 | $28.00 | $69.95 | 33% | 504 members | ||
2009 UnitedHealth Rx Basic | $32.90 | $0 | No Gap Coverage | No | $7.00 | $35.00 | $98.00 | 33% | tbd members | |||
2008 AdvantraRx Premier | $32.50 | $0 | No Gap Coverage | No | S5674 -039 | $7.00 | $25.00 | $57.00 | 33% | 503 members | ||
2009 AdvantraRx Premier | $33.60 | $0 | No Gap Coverage | No | $8.00 | $30.00 | $73.00 | 33% | tbd members | |||
2008 Prescription Pathway Gold Plan Reg 26 | $30.90 | $0 | No Gap Coverage | No | S5597 -058 | $6.00 | $44.00 | 33% | 139 members | |||
2009 Prescriba Rx Gold | $33.70 | $0 | No Gap Coverage | No | $6.00 | $44.00 | 33% | tbd members | ||||
2008 Humana PDP Enhanced S5884-024 | $17.20 | $0 | No Gap Coverage | No | S5884 -024 | $4.00 | $25.00 | $54.00 | 25% | 4,547 members | ||
2009 Humana PDP Enhanced S5884-024 | $34.50 | $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 UA Medicare Part D Rx Covg - Silver Plan | $31.40 | $150 | No Gap Coverage | No | S5755 -064 | $4.00 | $40.00 | $80.00 | 25% | 200 members | ||
2009 UA Medicare Part D Rx Covg - Silver Plan | $35.30 | $150 | No Gap Coverage | No | $4.00 | $40.00 | $80.00 | 25% | tbd members | |||
2008 UA Medicare Part D Prescription Drug Cov | $36.10 | $0 | No Gap Coverage | No | S5755 -029 | $9.00 | $37.00 | $74.00 | 33% | 2,391 members | ||
2009 UA Medicare Part D Prescription Drug Cov | $36.90 | $0 | No Gap Coverage | No | $6.00 | $32.00 | $64.00 | 33% | tbd members | |||
2008 Sterling Rx | $28.30 | $275 | No Gap Coverage | No | S4802 -016 | $5.00 | $30.00 | 40% | 25% | 17 members | ||
2009 Sterling Rx | $37.80 | $295 | No Gap Coverage | No | $7.00 | $25.00 | $58.00 | 25% | tbd members | |||
2008 CIGNA Medicare Rx Plan Two | $32.00 | $0 | No Gap Coverage | No | S5617 -130 | $6.00 | $30.00 | $75.00 | 33% | 197 members | ||
2009 CIGNA Medicare Rx Plan Two | $38.60 | $0 | No Gap Coverage | No | $0.00 | $6.00 | $33.00 | $80.00 | tbd members | |||
2008 Health Net Orange Option 2 | $24.10 | $0 | No Gap Coverage | No | S5678 -057 | $5.00 | $31.00 | $75.00 | 33% | 207 members | ||
2009 Health Net Orange Option 2 | $41.20 | $0 | No Gap Coverage | No | $5.00 | $30.00 | $90.00 | 33% | tbd members | |||
2008 Medco Medicare Prescription Plan - Choice | $36.50 | $0 | No Gap Coverage | No | S5660 -026 | $6.00 | $35.00 | 75% | 33% | 211 members | ||
2009 Medco Medicare Prescription Plan - Choice | $42.50 | $0 | No Gap Coverage | No | $6.00 | $38.00 | 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 EnvisionRxPlus Gold | $97.50 | $0 | All Preferred Generics | No | S7694 -060 | $0.00 | $40.00 | $30.00 | $45.00 | 26 members | ||
2009 EnvisionRxPlus Gold | $43.80 | $0 | No Gap Coverage | No | $0.00 | $45.00 | $40.00 | $75.00 | tbd members | |||
2008 SilverScript Plus | $33.80 | $0 | All Generics | No | S5601 -053 | $9.00 | $26.00 | $85.00 | 33% | 92 members | ||
2009 SilverScript Plus | $44.60 | $50 | Many Generics | No | $4.00 | $9.00 | $30.00 | $35.00 | tbd members | |||
2008 Community CCRx Choice | $34.70 | $0 | No Gap Coverage | No | S5803 -163 | $0.00 | $20.00 | $45.00 | 1,080 members | |||
2009 Community CCRx Choice | $48.30 | $0 | No Gap Coverage | No | $5.00 | $30.00 | $60.00 | 33% | tbd members | |||
2008 AdvantraRx Premier Plus | $44.90 | $0 | All Preferred Generics | No | S5674 -041 | $2.00 | $22.00 | $70.00 | 33% | 587 members | ||
2009 AdvantraRx Premier Plus | $49.20 | $0 | Many Generics | No | $4.00 | $30.00 | $75.00 | 33% | tbd members | |||
2008 Aetna Medicare Rx Plus | $41.50 | $0 | No Gap Coverage | No | S5810 -162 | $4.00 | $35.00 | $65.00 | 33% | 63 members | ||
2009 Aetna Medicare Rx - Costco Plus Plan | $57.80 | $0 | Some Generics | No | $0.00 | $5.00 | $35.00 | $90.00 | tbd members | |||
2008 SilverScript Complete | $40.00 | $0 | All Generics | No | S5601 -097 | $7.00 | $30.00 | $90.00 | 33% | 81 members | ||
2009 SilverScript Complete | $62.80 | $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 Community CCRx Gold | $44.70 | $0 | All Generics | No | S5803 -243 | $5.00 | $25.00 | $60.00 | 452 members | |||
2009 Community CCRx Gold | $63.10 | $0 | All Generics | No | $5.00 | $30.00 | $60.00 | 33% | tbd members | |||
2008 CIGNA Medicare Rx Plan Three | $51.90 | $0 | Some Generics | No | S5617 -196 | $6.00 | $35.00 | $60.00 | 33% | 69 members | ||
2009 CIGNA Medicare Rx Plan Three | $66.10 | $0 | Some Generics | No | $6.00 | $35.00 | $60.00 | 33% | tbd members | |||
2008 Medco Medicare Prescription Plan - Access | $70.20 | $0 | All Generics | No | S5660 -196 | $6.00 | $35.00 | 75% | 33% | 46 members | ||
2009 Medco Medicare Prescription Plan - Access | $69.00 | $0 | All Generics | No | $6.00 | $35.00 | 75% | 33% | tbd members | |||
2008 Blue Medicare Rx - Plus | $66.00 | $0 | All Generics | No | S5715 -004 | $5.00 | $38.00 | $60.00 | 30% | 1,012 members | ||
2009 Blue Medicare Rx - Plus | $70.90 | $0 | All Generics | No | $5.00 | $38.00 | $60.00 | 30% | tbd members | |||
2008 Prescription Pathway Platinum Plan Reg 26 | $61.60 | $0 | All Generics | No | S5597 -223 | $6.00 | $44.00 | 33% | 26 members | |||
2009 Prescriba Rx Platinum | $71.70 | $0 | All Generics | No | $6.00 | $44.00 | 33% | tbd members | ||||
2008 SierraRx Basic | $23.10 | $275 | No Gap Coverage | No | S5917 -027 | 25% | 25% | 25% | 82 members | |||
2009 SierraRx Basic | $74.60 | $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 AARP MedicareRx Enhanced | $58.90 | $0 | All Preferred Generics | No | S5921 -263 | $7.00 | $30.00 | $79.65 | 33% | 708 members | ||
2009 AARP MedicareRx Enhanced | $75.50 | $0 | Many Generics | No | $7.00 | $39.00 | $95.00 | 33% | tbd members | |||
2008 Humana PDP Complete S5884-054 | $89.00 | $0 | All Preferred Generics | No | S5884 -054 | $4.00 | $25.00 | $54.00 | 25% | 518 members | ||
2009 Humana PDP Complete S5884-054 | $95.10 | $0 | Many Generics | No | $7.00 | $40.00 | $70.00 | 33% | tbd members | |||
2008 Aetna Medicare Rx Premier | $80.30 | $0 | All Generics | No | S5810 -196 | $4.00 | $40.00 | $70.00 | 33% | 148 members | ||
2009 Aetna Medicare Rx Premier | $104.00 | $0 | Many Generics | No | $0.00 | $10.00 | $30.00 | $65.00 | tbd members | |||
2008 Prescription Pathway Bronze Plan Reg 26 | $15.10 | $275 | No Gap Coverage | Yes | S5597 -091 | 25% | 25% | 25% | 7,226 members | |||
-- Members will be assigned to the PrescribaRx Bronze -- | ||||||||||||
2008 UnitedHealth Rx Value | $16.70 | $275 | No Gap Coverage | No | S5820 -129 | $6.00 | $27.75 | 25% | 25% | 282 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 Advantage Allegiance Plan by RxAmerica | $37.90 | $0 | All Preferred Generics | No | S5644 -311 | $5.00 | 35% | 25% | 45% | 17 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 Presbyterian Prescription Drug Plan 1 | $21.40 | $0 | No Gap Coverage | No | S5902 -001 | $10.00 | $44.00 | $90.00 | 25% | 1,937 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 First Health Part D-Select | $40.50 | $0 | All Preferred Generics | No | S5768 -073 | $5.00 | $21.00 | $55.00 | 33% | 19 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 Presbyterian Prescription Drug Plan 2 | $50.50 | $0 | All Preferred Generics | No | S5902 -002 | $5.00 | $35.00 | $55.00 | 25% | 137 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 Sterling Rx Plus | $69.80 | $100 | All Generics | No | S4802 -059 | $0.00 | $25.00 | 25% | 25% | 14 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
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