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 SierraRx | $22.80 | $0 | No Gap Coverage | No | S5917 -005 | $10.00 | $45.00 | 25% | 1,210 members | |||
2009 UnitedHealth Rx Value | $19.00 | $0 | No Gap Coverage | No | $8.00 | $50.00 | 33% | tbd members | ||||
2008 First Health Part D-Secure | $14.20 | $175 | No Gap Coverage | No | S5768 -111 | $4.00 | $20.00 | $49.00 | 30% | 85 members | ||
2009 First Health Part D-Secure | $19.40 | $175 | No Gap Coverage | No | $4.00 | $20.00 | $50.00 | 28% | tbd members | |||
2008 First Health Part D-Premier | $17.00 | $0 | No Gap Coverage | Yes | S5768 -031 | $7.00 | $33.00 | $75.00 | 33% | 1,824 members | ||
2009 First Health Part D-Premier | $20.20 | $0 | No Gap Coverage | Yes | $6.00 | $25.00 | $67.00 | 33% | tbd members | |||
2008 MedicareRx Rewards Standard | $15.80 | $275 | No Gap Coverage | Yes | S5960 -135 | 25% | 8,710 members | |||||
2009 MedicareRx Rewards Standard | $22.00 | $295 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | |||
2008 WellCare Classic | $17.50 | $250 | No Gap Coverage | Yes | S5967 -166 | $0.00 | $35.00 | $93.00 | 26% | 5,573 members | ||
2009 WellCare Classic | $22.50 | $200 | No Gap Coverage | No | $0.00 | $30.00 | $78.00 | 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 SilverScript | $20.10 | $275 | No Gap Coverage | No | S5601 -058 | $7.00 | $26.50 | $94.00 | 25% | 207 members | ||
2009 SilverScript Value | $23.60 | $295 | No Gap Coverage | No | $8.00 | $36.75 | $98.00 | 25% | tbd members | |||
2008 HealthSpring Prescription Drug Plan-Reg 29 | $18.90 | $275 | No Gap Coverage | No | S5932 -028 | 25% | 25% | 25% | 25% | 34 members | ||
2009 HealthSpring Prescription Drug Plan-Reg 29 | $23.90 | $295 | No Gap Coverage | No | 25% | 25% | tbd members | |||||
2008 AdvantraRx Value | $20.90 | $0 | No Gap Coverage | No | S5670 -147 | $8.00 | $24.00 | $55.00 | 33% | 901 members | ||
2009 AdvantraRx Value | $25.10 | $0 | No Gap Coverage | No | $9.00 | $26.00 | $65.00 | 33% | tbd members | |||
2008 Community CCRx Basic | $30.20 | $275 | No Gap Coverage | No | S5803 -098 | $0.00 | 35% | 55% | 555 members | |||
2009 Community CCRx Basic | $25.50 | $295 | No Gap Coverage | No | $0.00 | 30% | 50% | tbd members | ||||
2008 Blue MedicareRx Value | $17.20 | $275 | No Gap Coverage | Yes | S5596 -029 | $5.00 | $30.00 | $65.00 | 25% | 3,695 members | ||
2009 Blue MedicareRx Value | $26.20 | $130 | No Gap Coverage | No | $10.00 | $43.00 | $85.00 | 29% | tbd members | |||
2008 EnvisionRxPlus Standard | $63.00 | $275 | No Gap Coverage | No | S7694 -029 | 25% | 25% | 25% | 25% | < 10 members | ||
2009 EnvisionRxPlus Silver | $27.90 | $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 | $12.10 | $275 | No Gap Coverage | Yes | S5678 -062 | $1.00 | $42.00 | 25% | 25% | 8,224 members | ||
2009 Health Net Orange Option 1 | $28.30 | $295 | No Gap Coverage | No | $2.00 | $44.00 | $90.00 | 25% | tbd members | |||
2008 Medco Medicare Prescription Plan - Value | $22.70 | $275 | No Gap Coverage | No | S5660 -131 | 23% | 23% | 58% | 25% | 15 members | ||
2009 Medco Medicare Prescription Plan - Value | $29.10 | $295 | No Gap Coverage | No | 23% | 23% | 53% | 25% | tbd members | |||
2008 Advantage Star Plan by RxAmerica | $18.70 | $275 | No Gap Coverage | No | S5644 -082 | $5.50 | 25% | 25% | 35% | 319 members | ||
2009 Advantage Star Plan by RxAmerica | $29.40 | $295 | No Gap Coverage | No | $5.50 | 25% | 25% | 45% | tbd members | |||
-- This plan not offered in 2008 -- | S5998 -033 | |||||||||||
2009 BravoRx | $29.70 | $295 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | ||||
-- This plan not offered in 2008 -- | S5597 -263 | |||||||||||
2009 Prescriba Rx Bronze | $30.50 | $295 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | ||||
2008 Advantage Freedom Plan by RxAmerica | $25.00 | $0 | No Gap Coverage | No | S5644 -061 | $5.00 | 35% | 25% | 45% | 121 members | ||
2009 Advantage Freedom Plan by RxAmerica | $32.20 | $0 | No Gap Coverage | No | $5.00 | 35% | 33% | 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 WellCare Signature | $21.00 | $0 | No Gap Coverage | No | S5967 -063 | $0.00 | $45.00 | $107.00 | 33% | 2,609 members | ||
2009 WellCare Signature | $32.20 | $0 | No Gap Coverage | No | $0.00 | $39.00 | $79.00 | 33% | tbd members | |||
2008 SierraRx Basic | $21.70 | $275 | No Gap Coverage | No | S5917 -030 | 25% | 25% | 25% | 704 members | |||
2009 SierraRx Basic | $33.10 | $295 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | ||||
2008 AARP MedicareRx Saver | $21.40 | $275 | No Gap Coverage | No | S5921 -265 | $5.00 | $20.00 | $50.25 | 25% | 3,211 members | ||
2009 AARP MedicareRx Saver | $33.30 | $295 | No Gap Coverage | No | $5.00 | $22.00 | $56.10 | 25% | tbd members | |||
2008 CIGNA Medicare Rx Plan One | $28.00 | $275 | No Gap Coverage | No | S5617 -143 | $2.00 | $25.00 | $71.00 | 25% | 329 members | ||
2009 CIGNA Medicare Rx Plan One | $33.40 | $295 | No Gap Coverage | No | $2.50 | $28.00 | $80.00 | 25% | tbd members | |||
2008 AARP MedicareRx Preferred | $27.90 | $0 | No Gap Coverage | No | S5820 -028 | $7.00 | $30.00 | $78.95 | 33% | 14,954 members | ||
2009 AARP MedicareRx Preferred | $34.20 | $0 | No Gap Coverage | No | $7.00 | $38.00 | $86.30 | 33% | tbd members | |||
2008 Prescription Pathway Gold Plan Reg 29 | $31.90 | $0 | No Gap Coverage | No | S5597 -061 | $6.00 | $44.00 | 33% | 275 members | |||
2009 Prescriba Rx Gold | $38.80 | $0 | No Gap Coverage | 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 Sterling Rx | $29.40 | $275 | No Gap Coverage | No | S4802 -019 | $5.00 | $30.00 | 40% | 25% | 56 members | ||
2009 Sterling Rx | $39.20 | $295 | No Gap Coverage | No | $7.00 | $25.00 | $58.00 | 25% | tbd members | |||
2008 UA Medicare Part D Rx Covg - Silver Plan | $43.50 | $120 | No Gap Coverage | No | S5755 -067 | $4.00 | $40.00 | $80.00 | 25% | 47 members | ||
2009 UA Medicare Part D Rx Covg - Silver Plan | $40.70 | $180 | No Gap Coverage | No | $4.00 | $40.00 | $80.00 | 25% | tbd members | |||
2008 Aetna Medicare Rx Essentials | $26.60 | $275 | No Gap Coverage | No | S5810 -063 | $3.00 | $39.00 | $80.00 | 25% | 109 members | ||
2009 Aetna Medicare Rx Essentials | $41.40 | $195 | No Gap Coverage | No | $0.00 | $12.00 | $26.00 | $67.00 | tbd members | |||
2008 Humana PDP Standard S5884-087 | $28.90 | $275 | No Gap Coverage | No | S5884 -087 | 25% | 25% | 25% | 25% | 4,114 members | ||
2009 Humana PDP Standard S5884-087 | $41.40 | $295 | No Gap Coverage | No | 15% | 25% | 44% | tbd members | ||||
2008 UnitedHealth Rx Basic | $42.60 | $0 | No Gap Coverage | No | S5921 -266 | $7.00 | $28.00 | $70.60 | 33% | 1,056 members | ||
2009 UnitedHealth Rx Basic | $42.10 | $0 | No Gap Coverage | No | $7.00 | $35.00 | $98.00 | 33% | tbd members | |||
2008 Humana PDP Enhanced S5884-027 | $18.90 | $0 | No Gap Coverage | No | S5884 -027 | $4.00 | $25.00 | $54.00 | 25% | 7,998 members | ||
2009 Humana PDP Enhanced S5884-027 | $44.00 | $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 Medco Medicare Prescription Plan - Choice | $37.40 | $0 | No Gap Coverage | No | S5660 -029 | $6.00 | $35.00 | 75% | 33% | 334 members | ||
2009 Medco Medicare Prescription Plan - Choice | $44.40 | $0 | No Gap Coverage | No | $6.00 | $38.00 | 75% | 33% | tbd members | |||
2008 CIGNA Medicare Rx Plan Two | $36.40 | $0 | No Gap Coverage | No | S5617 -145 | $6.00 | $35.00 | $82.00 | 33% | 245 members | ||
2009 CIGNA Medicare Rx Plan Two | $44.50 | $0 | No Gap Coverage | No | $0.00 | $6.00 | $38.00 | $82.00 | tbd members | |||
2008 AdvantraRx Premier | $34.30 | $0 | No Gap Coverage | No | S5670 -148 | $5.00 | $25.00 | $67.00 | 33% | 891 members | ||
2009 AdvantraRx Premier | $46.20 | $0 | No Gap Coverage | No | $6.00 | $30.00 | $74.00 | 33% | tbd members | |||
2008 Blue MedicareRx Plus | $35.80 | $0 | No Gap Coverage | No | S5596 -030 | $8.00 | $30.00 | $60.00 | 33% | 1,026 members | ||
2009 Blue MedicareRx Plus | $46.80 | $0 | No Gap Coverage | No | $9.00 | $35.00 | $75.00 | 33% | tbd members | |||
2008 UA Medicare Part D Prescription Drug Cov | $45.90 | $0 | No Gap Coverage | No | S5755 -032 | $9.00 | $39.00 | $78.00 | 33% | 2,024 members | ||
2009 UA Medicare Part D Prescription Drug Cov | $47.40 | $0 | No Gap Coverage | No | $6.00 | $32.00 | $64.00 | 33% | tbd members | |||
2008 Health Net Orange Option 2 | $24.10 | $0 | No Gap Coverage | No | S5678 -061 | $5.00 | $31.00 | $75.00 | 33% | 225 members | ||
2009 Health Net Orange Option 2 | $49.10 | $0 | No Gap Coverage | No | $5.00 | $30.00 | $90.00 | 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 Community CCRx Choice | $32.30 | $0 | No Gap Coverage | No | S5803 -166 | $0.00 | $20.00 | $45.00 | 387 members | |||
2009 Community CCRx Choice | $53.90 | $0 | No Gap Coverage | No | $5.00 | $30.00 | $60.00 | 33% | tbd members | |||
2008 EnvisionRxPlus Gold | $99.50 | $0 | All Preferred Generics | No | S7694 -063 | $0.00 | $40.00 | $30.00 | $45.00 | 70 members | ||
2009 EnvisionRxPlus Gold | $56.80 | $0 | No Gap Coverage | No | $0.00 | $45.00 | $40.00 | $75.00 | tbd members | |||
2008 SilverScript Plus | $35.50 | $0 | All Generics | No | S5601 -059 | $9.00 | $26.00 | $85.00 | 33% | 153 members | ||
2009 SilverScript Plus | $57.10 | $50 | Many Generics | No | $4.00 | $9.00 | $30.00 | $35.00 | tbd members | |||
2008 AdvantraRx Premier Plus | $46.80 | $0 | All Preferred Generics | No | S5670 -150 | $2.00 | $22.00 | $70.00 | 33% | 985 members | ||
2009 AdvantraRx Premier Plus | $62.70 | $0 | Many Generics | No | $4.00 | $30.00 | $75.00 | 33% | tbd members | |||
2008 Aetna Medicare Rx Plus | $43.00 | $0 | No Gap Coverage | No | S5810 -165 | $4.00 | $35.00 | $65.00 | 33% | 143 members | ||
2009 Aetna Medicare Rx - Costco Plus Plan | $66.40 | $0 | Some Generics | No | $0.00 | $5.00 | $35.00 | $90.00 | tbd members | |||
2008 Medco Medicare Prescription Plan - Access | $70.60 | $0 | All Generics | No | S5660 -199 | $6.00 | $35.00 | 75% | 33% | 79 members | ||
2009 Medco Medicare Prescription Plan - Access | $69.60 | $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 Prescription Pathway Platinum Plan Reg 29 | $63.00 | $0 | All Generics | No | S5597 -226 | $6.00 | $44.00 | 33% | 90 members | |||
2009 Prescriba Rx Platinum | $72.50 | $0 | All Generics | No | $6.00 | $44.00 | 33% | tbd members | ||||
2008 Community CCRx Gold | $35.70 | $0 | All Generics | No | S5803 -246 | $5.00 | $25.00 | $60.00 | 226 members | |||
2009 Community CCRx Gold | $72.80 | $0 | All Generics | No | $5.00 | $30.00 | $60.00 | 33% | tbd members | |||
2008 SilverScript Complete | $41.20 | $0 | All Generics | No | S5601 -100 | $7.00 | $30.00 | $90.00 | 33% | 118 members | ||
2009 SilverScript Complete | $75.40 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | |||
2008 AARP MedicareRx Enhanced | $63.30 | $0 | All Preferred Generics | No | S5921 -273 | $7.00 | $30.00 | $78.95 | 33% | 960 members | ||
2009 AARP MedicareRx Enhanced | $77.00 | $0 | Many Generics | No | $7.00 | $39.00 | $95.00 | 33% | tbd members | |||
2008 Blue MedicareRx Premier | $65.70 | $0 | Some Generics | No | S5596 -031 | $2.00 | $30.00 | $60.00 | 33% | 1,160 members | ||
2009 Blue MedicareRx Premier | $78.80 | $0 | Many Generics | No | $9.00 | $35.00 | $75.00 | 33% | tbd members | |||
2008 CIGNA Medicare Rx Plan Three | $79.40 | $0 | Some Generics | No | S5617 -199 | $6.00 | $35.00 | $60.00 | 33% | 73 members | ||
2009 CIGNA Medicare Rx Plan Three | $80.40 | $0 | Some Generics | No | $6.00 | $35.00 | $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 Complete S5884-057 | $91.90 | $0 | All Preferred Generics | No | S5884 -057 | $4.00 | $25.00 | $54.00 | 25% | 774 members | ||
2009 Humana PDP Complete S5884-057 | $104.30 | $0 | Many Generics | No | $7.00 | $40.00 | $70.00 | 33% | tbd members | |||
2008 Aetna Medicare Rx Premier | $82.50 | $0 | All Generics | No | S5810 -199 | $4.00 | $40.00 | $70.00 | 33% | 225 members | ||
2009 Aetna Medicare Rx Premier | $116.00 | $0 | Many Generics | No | $0.00 | $10.00 | $30.00 | $65.00 | tbd members | |||
2008 Prescription Pathway Bronze Plan Reg 29 | $20.10 | $275 | No Gap Coverage | No | S5597 -094 | 25% | 25% | 25% | 116 members | |||
-- Members will be assigned to SilverScript -- | ||||||||||||
2008 MedicareRx Rewards Value | $17.70 | $0 | No Gap Coverage | No | S5960 -029 | $10.00 | $41.50 | $80.00 | 33% | 653 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 Sterling Rx Plus | $72.90 | $100 | All Generics | No | S4802 -062 | $0.00 | $25.00 | 25% | 25% | 39 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 UnitedHealth Rx Value | $19.40 | $275 | No Gap Coverage | No | S5820 -132 | $6.00 | $27.75 | 25% | 25% | 532 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 Advantage Allegiance Plan by RxAmerica | $40.40 | $0 | All Preferred Generics | No | S5644 -314 | $5.00 | 35% | 25% | 45% | 19 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 First Health Part D-Select | $42.20 | $0 | All Preferred Generics | No | S5768 -076 | $5.00 | $21.00 | $55.00 | 33% | 40 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
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