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 | $16.40 | $175 | No Gap Coverage | No | S5768 -105 | $4.00 | $20.00 | $46.00 | 30% | 485 members | ||
2009 First Health Part D-Secure | $16.80 | $175 | No Gap Coverage | No | $4.00 | $20.00 | $46.00 | 28% | tbd members | |||
2008 AdvantraRx Value | $22.70 | $0 | No Gap Coverage | No | S5670 -123 | $8.00 | $24.00 | $55.00 | 33% | 2,295 members | ||
2009 AdvantraRx Value | $24.70 | $0 | No Gap Coverage | No | $8.00 | $24.00 | $55.00 | 33% | tbd members | |||
2008 SilverScript | $16.90 | $275 | No Gap Coverage | Yes | S5601 -046 | $7.00 | $29.00 | $94.00 | 25% | 10,534 members | ||
2009 SilverScript Value | $25.90 | $295 | No Gap Coverage | Yes | $8.00 | $37.00 | $98.00 | 25% | tbd members | |||
2008 First Health Part D-Premier | $25.80 | $0 | No Gap Coverage | Yes | S5768 -046 | $7.00 | $33.00 | $62.00 | 33% | 4,312 members | ||
2009 First Health Part D-Premier | $26.00 | $0 | No Gap Coverage | Yes | $7.00 | $30.00 | $60.00 | 33% | tbd members | |||
2008 HealthSpring Prescription Drug Plan-Reg 23 | $21.80 | $275 | No Gap Coverage | Yes | S5932 -022 | 25% | 25% | 25% | 25% | 3,600 members | ||
2009 HealthSpring Prescription Drug Plan-Reg 23 | $26.00 | $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 | ||||||
-- This plan not offered in 2008 -- | S5597 -257 | |||||||||||
2009 Prescriba Rx Bronze | $26.30 | $295 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | ||||
2008 MedicareRx Rewards Standard | $25.40 | $275 | No Gap Coverage | Yes | S5960 -129 | 25% | 7,608 members | |||||
2009 MedicareRx Rewards Standard | $26.50 | $295 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2008 Advantage Star Plan by RxAmerica | $24.90 | $275 | No Gap Coverage | Yes | S5644 -197 | $5.00 | 25% | 25% | 35% | 3,810 members | ||
2009 Advantage Star Plan by RxAmerica | $26.80 | $295 | No Gap Coverage | Yes | $5.50 | 25% | 25% | 45% | tbd members | |||
2008 Community CCRx Basic | $24.00 | $275 | No Gap Coverage | Yes | S5803 -092 | $0.00 | 30% | 65% | 26,386 members | |||
2009 Community CCRx Basic | $28.20 | $295 | No Gap Coverage | Yes | $0.00 | 30% | 50% | tbd members | ||||
2008 Medco Medicare Prescription Plan - Value | $27.80 | $275 | No Gap Coverage | Yes | S5660 -125 | 23% | 23% | 58% | 25% | 2,275 members | ||
2009 Medco Medicare Prescription Plan - Value | $29.30 | $295 | No Gap Coverage | Yes | 23% | 23% | 53% | 25% | tbd members | |||
2008 Aetna Medicare Rx Essentials | $26.20 | $275 | No Gap Coverage | Yes | S5810 -057 | $3.00 | $39.00 | $80.00 | 25% | 4,210 members | ||
2009 Aetna Medicare Rx Essentials | $29.80 | $215 | No Gap Coverage | No | $0.00 | $15.00 | $27.00 | $68.00 | 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 WellCare Classic | $29.70 | $250 | No Gap Coverage | No | S5967 -160 | $0.00 | $35.00 | $91.00 | 26% | 713 members | ||
2009 WellCare Classic | $30.10 | $295 | No Gap Coverage | No | $0.00 | $34.00 | $86.00 | 25% | tbd members | |||
2008 Health Net Orange Option 1 | $28.00 | $275 | No Gap Coverage | Yes | S5678 -052 | $1.00 | $42.00 | 25% | 25% | 3,416 members | ||
2009 Health Net Orange Option 1 | $30.70 | $295 | No Gap Coverage | No | $2.00 | $45.00 | $90.00 | 25% | tbd members | |||
2008 MedicareRx Rewards Value | $29.90 | $0 | No Gap Coverage | No | S5960 -023 | $10.00 | $45.00 | $80.00 | 33% | 1,337 members | ||
2009 MedicareRx Rewards Value | $30.70 | $130 | No Gap Coverage | No | $10.00 | $41.00 | $85.00 | 29% | tbd members | |||
2008 AARP MedicareRx Saver | $31.50 | $275 | No Gap Coverage | No | S5921 -201 | $5.00 | $20.00 | $49.70 | 25% | 1,836 members | ||
2009 AARP MedicareRx Saver | $30.90 | $295 | No Gap Coverage | No | $5.00 | $22.00 | $58.60 | 25% | tbd members | |||
-- This plan not offered in 2008 -- | S5998 -027 | |||||||||||
2009 BravoRx | $34.30 | $295 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | ||||
2008 EnvisionRxPlus Standard | $63.00 | $275 | No Gap Coverage | No | S7694 -023 | 25% | 25% | 25% | 25% | < 10 members | ||
2009 EnvisionRxPlus Silver | $34.50 | $295 | No Gap Coverage | No | $4.00 | $31.00 | $21.00 | $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 Medicare Blue Rx Basic Plus | $26.60 | $0 | No Gap Coverage | Yes | S5566 -002 | $6.00 | $38.00 | $68.00 | 30% | 25,902 members | ||
2009 Medicare Blue Rx Basic Plus | $34.70 | $0 | No Gap Coverage | No | $8.00 | $43.00 | $73.00 | 30% | tbd members | |||
2008 CIGNA Medicare Rx Plan One | $34.40 | $275 | No Gap Coverage | No | S5617 -113 | $2.00 | $25.00 | $67.00 | 25% | 979 members | ||
2009 CIGNA Medicare Rx Plan One | $35.20 | $295 | No Gap Coverage | No | $2.50 | $30.00 | $80.00 | 25% | tbd members | |||
2008 Medco Medicare Prescription Plan - Choice | $38.60 | $0 | No Gap Coverage | No | S5660 -023 | $6.00 | $35.00 | 75% | 33% | 1,866 members | ||
2009 Medco Medicare Prescription Plan - Choice | $36.50 | $0 | No Gap Coverage | No | $6.00 | $35.00 | 75% | 33% | tbd members | |||
2008 Sterling Rx | $32.90 | $275 | No Gap Coverage | No | S4802 -014 | $5.00 | $30.00 | 40% | 25% | 397 members | ||
2009 Sterling Rx | $37.60 | $295 | No Gap Coverage | No | $7.00 | $25.00 | $58.00 | 25% | tbd members | |||
2008 Medicare Blue Rx Basic | $27.90 | $275 | No Gap Coverage | Yes | S5566 -001 | $6.00 | $24.00 | $54.00 | 25% | 10,644 members | ||
2009 Medicare Blue Rx Basic | $38.10 | $295 | No Gap Coverage | No | $6.00 | $27.00 | $57.00 | 25% | tbd members | |||
2008 WellCare Signature | $32.60 | $0 | No Gap Coverage | No | S5967 -057 | $0.00 | $45.00 | $107.00 | 33% | 3,734 members | ||
2009 WellCare Signature | $38.20 | $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 Humana PDP Standard S5884-081 | $23.40 | $275 | No Gap Coverage | Yes | S5884 -081 | 25% | 25% | 25% | 25% | 24,967 members | ||
2009 Humana PDP Standard S5884-081 | $38.50 | $295 | No Gap Coverage | No | 15% | 25% | 48% | tbd members | ||||
2008 AARP MedicareRx Preferred | $35.00 | $0 | No Gap Coverage | No | S5820 -022 | $7.00 | $30.00 | $72.60 | 33% | 28,538 members | ||
2009 AARP MedicareRx Preferred | $40.50 | $0 | No Gap Coverage | No | $7.00 | $38.00 | $74.55 | 33% | tbd members | |||
2008 AdvantraRx Premier | $37.30 | $0 | No Gap Coverage | No | S5670 -124 | $7.00 | $25.00 | $56.00 | 33% | 2,513 members | ||
2009 AdvantraRx Premier | $40.50 | $0 | No Gap Coverage | No | $7.00 | $26.00 | $72.00 | 33% | tbd members | |||
2008 Humana PDP Enhanced S5884-021 | $24.10 | $0 | No Gap Coverage | No | S5884 -021 | $4.00 | $25.00 | $54.00 | 25% | 20,553 members | ||
2009 Humana PDP Enhanced S5884-021 | $40.70 | $0 | No Gap Coverage | No | $7.00 | $40.00 | $70.00 | 33% | tbd members | |||
2008 Health Net Value Orange Option 2 | $30.70 | $0 | No Gap Coverage | No | S5678 -051 | $0.00 | $39.00 | 33% | 33% | 323 members | ||
2009 Health Net Value Orange Option 2 | $43.20 | $0 | No Gap Coverage | No | $0.00 | $39.00 | $75.00 | 33% | tbd members | |||
2008 UA Medicare Part D Rx Covg - Silver Plan | $41.70 | $160 | No Gap Coverage | No | S5755 -061 | $4.00 | $40.00 | $80.00 | 25% | 66 members | ||
2009 UA Medicare Part D Rx Covg - Silver Plan | $43.40 | $130 | No Gap Coverage | No | $4.00 | $40.00 | $80.00 | 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 UnitedHealth Rx Basic | $45.00 | $0 | No Gap Coverage | No | S5921 -202 | $7.00 | $28.00 | $64.40 | 33% | 1,734 members | ||
2009 UnitedHealth Rx Basic | $44.40 | $0 | No Gap Coverage | No | $7.00 | $35.00 | $91.00 | 33% | tbd members | |||
2008 CIGNA Medicare Rx Plan Two | $36.70 | $0 | No Gap Coverage | No | S5617 -115 | $6.00 | $35.00 | $85.00 | 33% | 382 members | ||
2009 CIGNA Medicare Rx Plan Two | $44.60 | $0 | No Gap Coverage | No | $0.00 | $6.00 | $38.00 | $85.00 | tbd members | |||
2008 Prescription Pathway Gold Plan Reg 23 | $36.40 | $0 | No Gap Coverage | No | S5597 -055 | $6.00 | $44.00 | 33% | 695 members | |||
2009 Prescriba Rx Gold | $45.80 | $0 | No Gap Coverage | No | $6.00 | $44.00 | 33% | tbd members | ||||
2008 UA Medicare Part D Prescription Drug Cov | $45.00 | $0 | No Gap Coverage | No | S5755 -026 | $9.00 | $39.00 | $78.00 | 33% | 1,392 members | ||
2009 UA Medicare Part D Prescription Drug Cov | $47.30 | $0 | No Gap Coverage | No | $6.00 | $32.00 | $64.00 | 33% | tbd members | |||
2008 EnvisionRxPlus Gold | $98.50 | $0 | All Preferred Generics | No | S7694 -057 | $0.00 | $40.00 | $30.00 | $45.00 | 36 members | ||
2009 EnvisionRxPlus Gold | $50.70 | $0 | No Gap Coverage | No | $0.00 | $45.00 | $40.00 | $75.00 | tbd members | |||
2008 Advantage Freedom Plan by RxAmerica | $30.20 | $0 | No Gap Coverage | No | S5644 -183 | $5.00 | 35% | 25% | 45% | 165 members | ||
2009 Advantage Freedom Plan by RxAmerica | $53.00 | $0 | No Gap Coverage | No | $4.25 | 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 AdvantraRx Premier Plus | $50.00 | $0 | All Preferred Generics | No | S5670 -126 | $2.00 | $22.00 | $70.00 | 33% | 1,188 members | ||
2009 AdvantraRx Premier Plus | $56.60 | $0 | Many Generics | No | $5.00 | $33.00 | $75.00 | 33% | tbd members | |||
2008 Community CCRx Choice | $43.50 | $0 | No Gap Coverage | No | S5803 -160 | $0.00 | $20.00 | $45.00 | 4,054 members | |||
2009 Community CCRx Choice | $58.70 | $0 | No Gap Coverage | No | $5.00 | $30.00 | $60.00 | 33% | tbd members | |||
2008 Aetna Medicare Rx Plus | $42.90 | $0 | No Gap Coverage | No | S5810 -159 | $4.00 | $35.00 | $65.00 | 33% | 640 members | ||
2009 Aetna Medicare Rx Plus | $59.50 | $0 | Some Generics | No | $0.00 | $10.00 | $36.00 | $77.00 | tbd members | |||
2008 SilverScript Plus | $37.70 | $0 | All Generics | No | S5601 -047 | $9.00 | $26.00 | $85.00 | 33% | 358 members | ||
2009 SilverScript Plus | $62.70 | $50 | Many Generics | No | $4.00 | $9.00 | $30.00 | $35.00 | tbd members | |||
2008 AARP MedicareRx Enhanced | $64.10 | $0 | All Preferred Generics | No | S5921 -235 | $7.00 | $30.00 | $72.60 | 33% | 1,250 members | ||
2009 AARP MedicareRx Enhanced | $73.60 | $0 | Many Generics | No | $7.00 | $39.00 | $95.00 | 33% | tbd members | |||
2008 SierraRx Basic | $38.20 | $275 | No Gap Coverage | No | S5917 -024 | 25% | 25% | 25% | 183 members | |||
2009 SierraRx Basic | $73.80 | $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 Community CCRx Gold | $56.40 | $0 | All Generics | No | S5803 -240 | $5.00 | $25.00 | $60.00 | 2,105 members | |||
2009 Community CCRx Gold | $73.90 | $0 | All Generics | No | $5.00 | $30.00 | $60.00 | 33% | tbd members | |||
2008 CIGNA Medicare Rx Plan Three | $62.40 | $0 | Some Generics | No | S5617 -193 | $6.00 | $35.00 | $60.00 | 33% | 164 members | ||
2009 CIGNA Medicare Rx Plan Three | $74.70 | $0 | Some Generics | No | $6.00 | $35.00 | $60.00 | 33% | tbd members | |||
2008 Medco Medicare Prescription Plan - Access | $77.20 | $0 | All Generics | No | S5660 -193 | $6.00 | $35.00 | 75% | 33% | 134 members | ||
2009 Medco Medicare Prescription Plan - Access | $75.00 | $0 | All Generics | No | $6.00 | $35.00 | 75% | 33% | tbd members | |||
2008 Prescription Pathway Platinum Plan Reg 23 | $70.90 | $0 | All Generics | No | S5597 -220 | $6.00 | $44.00 | 33% | 129 members | |||
2009 Prescriba Rx Platinum | $76.10 | $0 | All Generics | No | $6.00 | $44.00 | 33% | tbd members | ||||
2008 Medicare Blue Rx Enhanced | $60.00 | $0 | All Generics | No | S5566 -003 | $6.00 | $34.00 | $60.00 | 30% | 9,294 members | ||
2009 Medicare Blue Rx Enhanced | $77.00 | $0 | All Generics | No | $6.00 | $34.00 | $60.00 | 30% | tbd members | |||
2008 SilverScript Complete | $48.00 | $0 | All Generics | No | S5601 -094 | $7.00 | $30.00 | $90.00 | 33% | 186 members | ||
2009 SilverScript Complete | $85.80 | $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 Humana PDP Complete S5884-051 | $91.40 | $0 | All Preferred Generics | No | S5884 -051 | $4.00 | $25.00 | $54.00 | 25% | 1,910 members | ||
2009 Humana PDP Complete S5884-051 | $100.70 | $0 | Many Generics | No | $7.00 | $40.00 | $70.00 | 33% | tbd members | |||
2008 Aetna Medicare Rx Premier | $84.50 | $0 | All Generics | No | S5810 -193 | $4.00 | $40.00 | $70.00 | 33% | 1,157 members | ||
2009 Aetna Medicare Rx Premier | $102.90 | $0 | Many Generics | No | $0.00 | $10.00 | $30.00 | $65.00 | tbd members | |||
2008 Prescription Pathway Bronze Plan Reg 23 | $26.30 | $275 | No Gap Coverage | Yes | S5597 -088 | 25% | 25% | 25% | 8,938 members | |||
-- Members will be assigned to the PrescribaRx Bronze -- | ||||||||||||
2008 Sterling Rx Plus | $84.40 | $100 | All Generics | No | S4802 -056 | $0.00 | $25.00 | 25% | 25% | 229 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 UnitedHealth Rx Value | $24.50 | $275 | No Gap Coverage | No | S5820 -126 | $6.00 | $27.75 | 25% | 25% | 839 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 First Health Part D-Select | $44.90 | $0 | All Preferred Generics | No | S5768 -070 | $5.00 | $21.00 | $55.00 | 33% | 119 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 | $47.70 | $0 | All Preferred Generics | No | S5644 -308 | $5.00 | 35% | 25% | 45% | 46 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
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