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 | $15.40 | $175 | No Gap Coverage | No | S5768 -088 | $4.00 | $20.00 | $48.00 | 30% | 2,043 members | ||
2009 First Health Part D-Secure | $13.70 | $175 | No Gap Coverage | No | $4.00 | $20.00 | $48.00 | 28% | tbd members | |||
2008 AdvantraRx Value | $22.90 | $0 | No Gap Coverage | No | S5670 -033 | $8.00 | $24.00 | $55.00 | 33% | 11,069 members | ||
2009 AdvantraRx Value | $22.20 | $0 | No Gap Coverage | No | $8.00 | $24.00 | $55.00 | 33% | tbd members | |||
2008 AARP MedicareRx Saver | $25.20 | $275 | No Gap Coverage | Yes | S5921 -091 | $5.00 | $20.00 | $50.30 | 25% | 74,200 members | ||
2009 AARP MedicareRx Saver | $22.40 | $295 | No Gap Coverage | Yes | $5.00 | $22.00 | $60.05 | 25% | tbd members | |||
2008 Community CCRx Basic | $25.50 | $275 | No Gap Coverage | Yes | S5803 -075 | $0.00 | 30% | 60% | 62,894 members | |||
2009 Community CCRx Basic | $25.40 | $295 | No Gap Coverage | Yes | $0.00 | 30% | 45% | tbd members | ||||
2008 Advantage Star Plan by RxAmerica | $20.40 | $275 | No Gap Coverage | Yes | S5644 -072 | $5.50 | 25% | 25% | 35% | 38,151 members | ||
2009 Advantage Star Plan by RxAmerica | $27.80 | $295 | No Gap Coverage | Yes | $5.50 | 25% | 25% | 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 MedicareRx Rewards Standard | $20.90 | $275 | No Gap Coverage | Yes | S5960 -112 | 25% | 2,564 members | |||||
2009 MedicareRx Rewards Standard | $28.10 | $295 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2008 Medco Medicare Prescription Plan - Value | $24.90 | $275 | No Gap Coverage | Yes | S5660 -108 | 23% | 23% | 58% | 25% | 4,413 members | ||
2009 Medco Medicare Prescription Plan - Value | $28.50 | $295 | No Gap Coverage | Yes | 23% | 23% | 52% | 25% | tbd members | |||
2008 AmeriHealth Advantage Rx Option I | $26.50 | $275 | No Gap Coverage | Yes | S2770 -001 | 25% | 25% | 36,298 members | ||||
2009 AmeriHealth Advantage Rx Option I | $28.60 | $295 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | |||
2008 First Health Part D-Premier | $28.80 | $0 | No Gap Coverage | No | S5768 -009 | $7.00 | $33.00 | $58.00 | 33% | 3,996 members | ||
2009 First Health Part D-Premier | $28.70 | $0 | No Gap Coverage | Yes | $7.00 | $27.00 | $52.00 | 33% | tbd members | |||
2008 SilverScript | $21.60 | $275 | No Gap Coverage | Yes | S5601 -012 | $7.00 | $23.75 | $94.00 | 25% | 44,634 members | ||
2009 SilverScript Value | $28.70 | $295 | No Gap Coverage | Yes | $8.00 | $31.00 | $98.00 | 25% | tbd members | |||
-- This plan not offered in 2008 -- | S5597 -240 | |||||||||||
2009 Prescriba Rx Bronze | $28.80 | $295 | No Gap Coverage | Yes | 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 HealthSpring Prescription Drug Plan -Reg 6 | $20.50 | $275 | No Gap Coverage | Yes | S5932 -006 | 25% | 25% | 25% | 25% | 7,323 members | ||
2009 HealthSpring Prescription Drug Plan -Reg 6 | $29.90 | $295 | No Gap Coverage | No | 25% | 25% | tbd members | |||||
2008 CIGNA Medicare Rx Plan One | $27.00 | $275 | No Gap Coverage | Yes | S5617 -028 | $2.00 | $25.00 | $70.00 | 25% | 7,695 members | ||
2009 CIGNA Medicare Rx Plan One | $30.00 | $295 | No Gap Coverage | No | $2.50 | $30.00 | $94.00 | 25% | tbd members | |||
2008 WellCare Classic | $27.40 | $250 | No Gap Coverage | Yes | S5967 -143 | $0.00 | $35.00 | $88.00 | 26% | 16,887 members | ||
2009 WellCare Classic | $31.40 | $295 | No Gap Coverage | No | $0.00 | $31.00 | $78.00 | 25% | tbd members | |||
2008 BravoRx | $24.70 | $275 | No Gap Coverage | Yes | S5998 -005 | 25% | 25% | 25% | 6,573 members | |||
2009 BravoRx | $31.60 | $295 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | ||||
2008 EnvisionRxPlus Standard | $63.00 | $275 | No Gap Coverage | No | S7694 -006 | 25% | 25% | 25% | 25% | 27 members | ||
2009 EnvisionRxPlus Silver | $32.00 | $295 | No Gap Coverage | No | $4.00 | $32.00 | $22.00 | $75.00 | tbd members | |||
2008 Prescription Pathway Gold Plan Reg 6 | $28.10 | $0 | No Gap Coverage | No | S5597 -038 | $6.00 | $44.00 | 33% | 2,896 members | |||
2009 Prescriba Rx Gold | $32.10 | $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 Medco Medicare Prescription Plan - Choice | $29.70 | $0 | No Gap Coverage | No | S5660 -005 | $6.00 | $35.00 | 75% | 33% | 3,940 members | ||
2009 Medco Medicare Prescription Plan - Choice | $32.60 | $0 | No Gap Coverage | No | $6.00 | $35.00 | 75% | 33% | tbd members | |||
2008 MedicareRx Rewards Value | $26.40 | $0 | No Gap Coverage | Yes | S5960 -006 | $10.00 | $39.50 | $80.00 | 33% | 21,044 members | ||
2009 MedicareRx Rewards Value | $32.90 | $130 | No Gap Coverage | No | $10.00 | $40.50 | $85.00 | 29% | tbd members | |||
2008 BlueRx Value | $25.60 | $275 | No Gap Coverage | Yes | S5593 -004 | $0.00 | $30.00 | $60.00 | 25% | 22,680 members | ||
2009 BlueRx Value | $33.10 | $295 | No Gap Coverage | No | $4.00 | $32.00 | $62.00 | 25% | tbd members | |||
2008 Aetna Medicare Rx Essentials | $27.70 | $275 | No Gap Coverage | No | S5810 -040 | $3.50 | $32.00 | $80.00 | 25% | 3,643 members | ||
2009 Aetna Medicare Rx Essentials | $33.40 | $195 | No Gap Coverage | No | $0.00 | $11.00 | $29.00 | $69.00 | tbd members | |||
2008 WellCare Signature | $30.50 | $0 | No Gap Coverage | No | S5967 -040 | $0.00 | $45.00 | $101.00 | 33% | 10,941 members | ||
2009 WellCare Signature | $33.90 | $0 | No Gap Coverage | No | $0.00 | $39.00 | $79.00 | 33% | tbd members | |||
2008 AARP MedicareRx Preferred | $29.70 | $0 | No Gap Coverage | No | S5820 -005 | $7.00 | $30.00 | $75.40 | 33% | 114,725 members | ||
2009 AARP MedicareRx Preferred | $34.80 | $0 | No Gap Coverage | No | $7.00 | $38.00 | $91.50 | 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 | $26.80 | $275 | No Gap Coverage | Yes | S5678 -018 | $1.00 | $41.00 | 25% | 25% | 2,802 members | ||
2009 Health Net Orange Option 1 | $35.30 | $295 | No Gap Coverage | No | $2.00 | $43.00 | $90.00 | 25% | tbd members | |||
2008 AdvantraRx Premier | $36.00 | $0 | No Gap Coverage | No | S5670 -034 | $5.00 | $25.00 | $66.00 | 33% | 9,315 members | ||
2009 AdvantraRx Premier | $36.90 | $0 | No Gap Coverage | No | $5.00 | $31.00 | $76.00 | 33% | tbd members | |||
2008 Advantage Freedom Plan by RxAmerica | $26.50 | $0 | No Gap Coverage | No | S5644 -051 | $5.00 | 35% | 25% | 45% | 1,034 members | ||
2009 Advantage Freedom Plan by RxAmerica | $38.30 | $0 | No Gap Coverage | No | $5.00 | 35% | 33% | 45% | tbd members | |||
2008 UA Medicare Part D Rx Covg - Silver Plan | $38.30 | $140 | No Gap Coverage | No | S5755 -044 | $4.00 | $40.00 | $80.00 | 25% | 171 members | ||
2009 UA Medicare Part D Rx Covg - Silver Plan | $39.00 | $150 | No Gap Coverage | No | $4.00 | $40.00 | $80.00 | 25% | tbd members | |||
2008 CIGNA Medicare Rx Plan Two | $31.40 | $0 | No Gap Coverage | No | S5617 -030 | $6.00 | $37.00 | $83.00 | 33% | 1,293 members | ||
2009 CIGNA Medicare Rx Plan Two | $39.50 | $0 | No Gap Coverage | No | $0.00 | $6.00 | $40.00 | $83.00 | tbd members | |||
2008 Humana PDP Standard S5884-064 | $26.20 | $275 | No Gap Coverage | Yes | S5884 -064 | 25% | 25% | 25% | 25% | 63,465 members | ||
2009 Humana PDP Standard S5884-064 | $39.50 | $295 | No Gap Coverage | No | 15% | 25% | 46% | 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 | $31.20 | $275 | No Gap Coverage | No | S4802 -003 | $5.00 | $30.00 | 40% | 25% | 281 members | ||
2009 Sterling Rx | $42.10 | $295 | No Gap Coverage | No | $7.00 | $25.00 | $57.00 | 25% | tbd members | |||
2008 UA Medicare Part D Prescription Drug Cov | $43.20 | $0 | No Gap Coverage | No | S5755 -009 | $9.00 | $35.00 | $70.00 | 33% | 4,321 members | ||
2009 UA Medicare Part D Prescription Drug Cov | $42.40 | $0 | No Gap Coverage | No | $5.00 | $31.00 | $62.00 | 33% | tbd members | |||
2008 Community CCRx Choice | $42.10 | $0 | No Gap Coverage | No | S5803 -143 | $0.00 | $20.00 | $45.00 | 2,011 members | |||
2009 Community CCRx Choice | $42.60 | $0 | No Gap Coverage | No | $5.00 | $30.00 | $60.00 | 33% | tbd members | |||
2008 Secure Rx - Option 4 | $23.80 | $275 | No Gap Coverage | Yes | S8067 -004 | 25% | 25% | 25% | 6,038 members | |||
2009 SecureRx - Option 4 | $43.00 | $295 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | ||||
2008 UnitedHealth Rx Basic | $43.50 | $0 | No Gap Coverage | No | S5921 -092 | $7.00 | $28.00 | $64.80 | 33% | 5,602 members | ||
2009 UnitedHealth Rx Basic | $43.10 | $0 | No Gap Coverage | No | $7.00 | $35.00 | $98.00 | 33% | tbd members | |||
2008 UPMC for Life Prescription Drug Plan | $27.50 | $0 | No Gap Coverage | Yes | S3389 -005 | $5.00 | $32.00 | $64.00 | 33% | 3,159 members | ||
-- | -- | |||||||||||
2009 UPMC for Life Prescription Drug Plan | $44.10 | $0 | No Gap Coverage | No | $5.00 | $32.00 | $80.00 | 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 Geisinger Gold Rx 1 | $31.20 | $275 | No Gap Coverage | No | S4248 -001 | 25% | 25% | 91 members | ||||
2009 Geisinger Gold Rx 1 | $44.50 | $295 | No Gap Coverage | No | 25% | 25% | tbd members | |||||
2008 SecureRx - Option 3 | $28.50 | $0 | No Gap Coverage | No | S8067 -001 | $6.00 | $45.00 | 30% | 5,743 members | |||
2009 SecureRx - Option 3 | $44.60 | $0 | No Gap Coverage | No | $9.00 | $50.00 | 30% | tbd members | ||||
2008 Humana PDP Enhanced S5884-005 | $25.20 | $0 | No Gap Coverage | No | S5884 -005 | $4.00 | $25.00 | $54.00 | 25% | 51,742 members | ||
2009 Humana PDP Enhanced S5884-005 | $44.90 | $0 | No Gap Coverage | No | $7.00 | $40.00 | $70.00 | 33% | tbd members | |||
2008 Health Net Value Orange Option 2 | $28.40 | $0 | No Gap Coverage | No | S5678 -017 | $0.00 | $39.00 | 33% | 33% | 1,460 members | ||
2009 Health Net Value Orange Option 2 | $46.60 | $0 | No Gap Coverage | No | $0.00 | $39.00 | $75.00 | 33% | tbd members | |||
2008 BlueRx Plus | $27.70 | $0 | No Gap Coverage | No | S5593 -002 | $5.00 | $36.00 | $66.00 | 25% | 50,091 members | ||
2009 BlueRx Plus | $49.10 | $0 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 33% | tbd members | |||
2008 SilverScript Plus | $36.90 | $0 | All Generics | No | S5601 -013 | $9.00 | $26.00 | $85.00 | 33% | 895 members | ||
2009 SilverScript Plus | $51.50 | $50 | Many Generics | No | $4.00 | $9.00 | $30.00 | $35.00 | 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 AdvantraRx Premier Plus | $48.80 | $0 | All Preferred Generics | No | S5670 -036 | $2.00 | $22.00 | $70.00 | 33% | 7,968 members | ||
2009 AdvantraRx Premier Plus | $52.80 | $0 | Many Generics | No | $4.00 | $29.00 | $74.00 | 33% | tbd members | |||
2008 AmeriHealth Rx Option I | $39.80 | $275 | No Gap Coverage | No | S2321 -001 | 25% | 25% | 25% | 2,497 members | |||
2009 AmeriHealth Rx Option I | $54.30 | $295 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | |||
2008 AmeriHealth Rx Option II | $51.50 | $0 | No Gap Coverage | No | S2321 -002 | $10.00 | $30.00 | $50.00 | 882 members | |||
2009 AmeriHealth Rx Option II | $58.90 | $0 | No Gap Coverage | No | $7.00 | $30.00 | $70.00 | 33% | tbd members | |||
2008 Aetna Medicare Rx Plus | $42.30 | $0 | No Gap Coverage | No | S5810 -142 | $4.00 | $35.00 | $65.00 | 33% | 1,141 members | ||
2009 Aetna Medicare Rx Plus | $63.90 | $0 | Some Generics | No | $0.00 | $10.00 | $40.00 | $86.00 | tbd members | |||
2008 SierraRx Basic | $39.20 | $275 | No Gap Coverage | No | S5917 -011 | 25% | 25% | 25% | 508 members | |||
2009 SierraRx Basic | $64.90 | $295 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | ||||
2008 Prescription Pathway Platinum Plan Reg 6 | $59.50 | $0 | All Generics | No | S5597 -203 | $6.00 | $44.00 | 33% | 944 members | |||
2009 Prescriba Rx Platinum | $65.00 | $0 | All Generics | 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 EnvisionRxPlus Gold | $99.00 | $0 | All Preferred Generics | No | S7694 -040 | $0.00 | $40.00 | $30.00 | $45.00 | 371 members | ||
2009 EnvisionRxPlus Gold | $66.60 | $0 | No Gap Coverage | No | $0.00 | $45.00 | $40.00 | $75.00 | tbd members | |||
2008 Medco Medicare Prescription Plan - Access | $63.50 | $0 | All Generics | No | S5660 -176 | $6.00 | $35.00 | 75% | 33% | 1,207 members | ||
2009 Medco Medicare Prescription Plan - Access | $68.30 | $0 | All Generics | No | $6.00 | $35.00 | 75% | 33% | tbd members | |||
2008 SilverScript Complete | $45.40 | $0 | All Generics | No | S5601 -077 | $7.00 | $30.00 | $90.00 | 33% | 475 members | ||
2009 SilverScript Complete | $69.10 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | |||
2008 CIGNA Medicare Rx Plan Three | $63.10 | $0 | Some Generics | No | S5617 -176 | $6.00 | $35.00 | $60.00 | 33% | 376 members | ||
2009 CIGNA Medicare Rx Plan Three | $72.60 | $0 | Some Generics | No | $6.00 | $35.00 | $60.00 | 33% | tbd members | |||
2008 Community CCRx Gold | $48.10 | $0 | All Generics | No | S5803 -223 | $5.00 | $25.00 | $60.00 | 1,461 members | |||
2009 Community CCRx Gold | $75.10 | $0 | All Generics | No | $5.00 | $30.00 | $60.00 | 33% | tbd members | |||
2008 AARP MedicareRx Enhanced | $63.30 | $0 | All Preferred Generics | No | S5921 -093 | $7.00 | $30.00 | $75.40 | 33% | 5,051 members | ||
2009 AARP MedicareRx Enhanced | $76.40 | $0 | Many Generics | No | $7.00 | $39.00 | $95.00 | 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 SecureRx - Option 1 | $55.80 | $0 | All Generics | No | S8067 -003 | $6.00 | $30.00 | $75.00 | 3,077 members | |||
2009 SecureRx - Option 1 | $86.90 | $0 | Many Generics | No | $7.00 | $35.00 | $85.00 | 30% | tbd members | |||
2008 Humana PDP Complete S5884-034 | $91.00 | $0 | All Preferred Generics | No | S5884 -034 | $4.00 | $25.00 | $54.00 | 25% | 7,075 members | ||
2009 Humana PDP Complete S5884-034 | $95.40 | $0 | Many Generics | No | $7.00 | $40.00 | $70.00 | 33% | tbd members | |||
2008 Aetna Medicare Rx Premier | $77.20 | $0 | All Generics | No | S5810 -176 | $4.00 | $40.00 | $70.00 | 33% | 2,374 members | ||
2009 Aetna Medicare Rx Premier | $99.90 | $0 | Many Generics | No | $0.00 | $10.00 | $30.00 | $65.00 | tbd members | |||
2008 BlueRx Complete | $59.00 | $0 | All Generics | No | S5593 -003 | $4.00 | $25.00 | $55.00 | 25% | 27,075 members | ||
2009 BlueRx Complete | $108.00 | $0 | Many Generics | No | $5.00 | $25.00 | $55.00 | 33% | tbd members | |||
2008 Prescription Pathway Bronze Plan Reg 6 | $24.50 | $275 | No Gap Coverage | Yes | S5597 -071 | 25% | 25% | 25% | 17,640 members | |||
-- Members will be assigned to the PrescribaRx Bronze -- | ||||||||||||
2008 UPMC for Life PDP Enhanced | $45.50 | $0 | All Generics | No | S3389 -006 | $5.00 | $25.00 | $50.00 | 33% | 586 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 | $47.30 | $0 | All Preferred Generics | No | S5644 -291 | $5.00 | 35% | 25% | 45% | 82 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 Sterling Rx Plus | $78.70 | $100 | All Generics | No | S4802 -039 | $0.00 | $25.00 | 25% | 25% | 170 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 UnitedHealth Rx Value | $22.60 | $275 | No Gap Coverage | No | S5820 -109 | $6.00 | $27.75 | 25% | 25% | 2,031 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 Geisinger Gold Rx 2 | $28.60 | $175 | No Gap Coverage | No | S4248 -002 | $3.00 | $40.00 | $94.00 | 281 members | |||
-- This plan not offered in 2009 -- | ||||||||||||
2008 First Health Part D-Select | $44.10 | $0 | All Preferred Generics | No | S5768 -053 | $5.00 | $21.00 | $55.00 | 33% | 224 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
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