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 UA Medicare Part D Rx Covg - Silver | $34.30 | $130 | No Gap Coverage | No | S5580 -004 | $4.00 | $40.00 | $80.00 | 25% | 286 members | ||
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2009 First UA Medicare Part D Rx Covg - Silver | $38.80 | $150 | No Gap Coverage | No | $4.00 | $40.00 | $80.00 | 25% | tbd members | |||
2008 First UA Medicare Part D Prescription Drug | $39.20 | $0 | No Gap Coverage | No | S5580 -003 | $9.00 | $37.00 | $74.00 | 33% | 6,786 members | ||
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2009 First UA Medicare Part D Prescription Drug | $40.70 | $0 | No Gap Coverage | No | $9.00 | $35.00 | $70.00 | 33% | tbd members | |||
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