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 | $17.10 | $175 | No Gap Coverage | No | S5768 -113 | $4.00 | $20.00 | $45.00 | 30% | 739 members | ||
2009 First Health Part D-Secure | $18.50 | $175 | No Gap Coverage | No | $4.00 | $20.00 | $45.00 | 28% | tbd members | |||
2008 AdvantraRx Value | $23.20 | $0 | No Gap Coverage | No | S5674 -050 | $8.00 | $24.00 | $55.00 | 33% | 2,730 members | ||
2009 AdvantraRx Value | $27.20 | $0 | No Gap Coverage | No | $8.00 | $24.00 | $55.00 | 33% | tbd members | |||
2008 HealthSpring Prescription Drug Plan-Reg 31 | $20.90 | $275 | No Gap Coverage | Yes | S5932 -030 | 25% | 25% | 25% | 25% | 1,584 members | ||
2009 HealthSpring Prescription Drug Plan-Reg 31 | $30.70 | $295 | No Gap Coverage | Yes | 25% | 25% | tbd members | |||||
2008 Medco Medicare Prescription Plan - Value | $28.90 | $275 | No Gap Coverage | Yes | S5660 -133 | 23% | 23% | 58% | 25% | 989 members | ||
2009 Medco Medicare Prescription Plan - Value | $31.90 | $295 | No Gap Coverage | Yes | 23% | 23% | 53% | 25% | tbd members | |||
2008 SilverScript | $25.50 | $275 | No Gap Coverage | Yes | S5601 -062 | $7.00 | $25.00 | $94.00 | 25% | 4,541 members | ||
2009 SilverScript Value | $32.20 | $295 | No Gap Coverage | Yes | $8.00 | $36.00 | $98.00 | 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 | ||||||
-- This plan not offered in 2008 -- | S5768 -118 | |||||||||||
2009 First Health Part D-Premier | $32.60 | $0 | No Gap Coverage | Yes | $7.00 | $25.00 | $53.00 | 33% | tbd members | |||
-- This plan not offered in 2008 -- | S5597 -265 | |||||||||||
2009 Prescriba Rx Bronze | $32.80 | $295 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | ||||
2008 Aetna Medicare Rx Essentials | $25.90 | $275 | No Gap Coverage | Yes | S5810 -065 | $3.00 | $39.00 | $80.00 | 25% | 1,760 members | ||
2009 Aetna Medicare Rx Essentials | $33.20 | $195 | No Gap Coverage | Yes | $0.00 | $12.00 | $26.00 | $67.00 | tbd members | |||
2008 MedicareRx Rewards Standard | $27.00 | $275 | No Gap Coverage | Yes | S5960 -137 | 25% | 491 members | |||||
2009 MedicareRx Rewards Standard | $33.60 | $295 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | |||
-- This plan not offered in 2008 -- | S5998 -034 | |||||||||||
2009 BravoRx | $36.50 | $295 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | ||||
2008 SierraRx | $39.00 | $0 | No Gap Coverage | No | S5917 -007 | $10.00 | $45.00 | 25% | 890 members | |||
2009 SierraRx | $36.80 | $0 | No Gap Coverage | Yes | $9.75 | $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 | $23.90 | $275 | No Gap Coverage | Yes | S5644 -087 | $5.50 | 25% | 25% | 35% | 5,306 members | ||
2009 Advantage Star Plan by RxAmerica | $37.70 | $295 | No Gap Coverage | No | $5.25 | 25% | 25% | 45% | tbd members | |||
2008 MedicareRx Rewards Value | $31.50 | $0 | No Gap Coverage | Yes | S5960 -031 | $9.50 | $43.10 | $80.00 | 33% | 4,545 members | ||
2009 MedicareRx Rewards Value | $37.70 | $130 | No Gap Coverage | No | $9.50 | $45.50 | $85.00 | 29% | tbd members | |||
2008 EnvisionRxPlus Standard | $72.00 | $275 | No Gap Coverage | No | S7694 -031 | 25% | 25% | 25% | 25% | < 10 members | ||
2009 EnvisionRxPlus Silver | $38.30 | $295 | No Gap Coverage | No | $4.00 | $31.00 | $21.00 | $75.00 | tbd members | |||
2008 CIGNA Medicare Rx Plan One | $29.70 | $275 | No Gap Coverage | Yes | S5617 -153 | $2.00 | $30.00 | $80.00 | 25% | 5,144 members | ||
2009 CIGNA Medicare Rx Plan One | $38.50 | $295 | No Gap Coverage | No | $3.00 | $33.00 | $91.00 | 25% | tbd members | |||
2008 Humana PDP Standard S5884-089 | $28.70 | $275 | No Gap Coverage | Yes | S5884 -089 | 25% | 25% | 25% | 25% | 25,824 members | ||
2009 Humana PDP Standard S5884-089 | $38.90 | $295 | No Gap Coverage | No | 15% | 25% | 43% | tbd members | ||||
2008 Community CCRx Basic | $27.30 | $275 | No Gap Coverage | Yes | S5803 -100 | $0.00 | 30% | 55% | 8,409 members | |||
2009 Community CCRx Basic | $39.40 | $295 | No Gap Coverage | No | $0.00 | 25% | 55% | 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 Gold Plan Reg 31 | $33.80 | $0 | No Gap Coverage | No | S5597 -063 | $6.00 | $44.00 | 33% | 286 members | |||
2009 Prescriba Rx Gold | $39.50 | $0 | No Gap Coverage | No | $6.00 | $44.00 | 33% | tbd members | ||||
2008 AARP MedicareRx Saver | $34.90 | $275 | No Gap Coverage | No | S5921 -031 | $5.00 | $20.00 | $49.55 | 25% | 1,352 members | ||
2009 AARP MedicareRx Saver | $40.00 | $295 | No Gap Coverage | No | $5.00 | $22.00 | $66.30 | 25% | tbd members | |||
2008 Humana PDP Enhanced S5884-029 | $24.80 | $0 | No Gap Coverage | No | S5884 -029 | $4.00 | $25.00 | $54.00 | 25% | 30,200 members | ||
2009 Humana PDP Enhanced S5884-029 | $40.00 | $0 | No Gap Coverage | No | $7.00 | $40.00 | $70.00 | 33% | tbd members | |||
2008 Health Net Orange Option 1 | $28.00 | $275 | No Gap Coverage | Yes | S5678 -064 | $1.00 | $42.00 | 25% | 25% | 1,517 members | ||
2009 Health Net Orange Option 1 | $40.20 | $295 | No Gap Coverage | No | $2.00 | $44.00 | $90.00 | 25% | tbd members | |||
2008 WellCare Classic | $32.20 | $250 | No Gap Coverage | Yes | S5967 -168 | $0.00 | $35.00 | $96.00 | 26% | 4,585 members | ||
2009 WellCare Classic | $41.60 | $295 | No Gap Coverage | No | $0.00 | $30.00 | $67.00 | 25% | tbd members | |||
2008 AARP MedicareRx Preferred | $38.30 | $0 | No Gap Coverage | No | S5820 -030 | $7.00 | $30.00 | $74.85 | 33% | 19,631 members | ||
2009 AARP MedicareRx Preferred | $42.90 | $0 | No Gap Coverage | No | $7.00 | $38.00 | $76.85 | 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 AdvantraRx Premier | $38.20 | $0 | No Gap Coverage | No | S5674 -051 | $5.00 | $25.00 | $63.00 | 33% | 1,622 members | ||
2009 AdvantraRx Premier | $43.20 | $0 | No Gap Coverage | No | $6.00 | $31.00 | $75.00 | 33% | tbd members | |||
2008 Advantage Freedom Plan by RxAmerica | $29.30 | $0 | No Gap Coverage | No | S5644 -063 | $5.00 | 35% | 25% | 45% | 427 members | ||
2009 Advantage Freedom Plan by RxAmerica | $44.00 | $0 | No Gap Coverage | No | $5.00 | 35% | 33% | 45% | tbd members | |||
2008 Sterling Rx | $32.10 | $275 | No Gap Coverage | Yes | S4802 -021 | $5.00 | $30.00 | 40% | 25% | 1,591 members | ||
2009 Sterling Rx | $44.00 | $295 | No Gap Coverage | No | $7.00 | $25.00 | $57.00 | 25% | tbd members | |||
2008 CIGNA Medicare Rx Plan Two | $41.40 | $0 | No Gap Coverage | No | S5617 -155 | $6.00 | $35.00 | $67.00 | 33% | 266 members | ||
2009 CIGNA Medicare Rx Plan Two | $44.10 | $0 | No Gap Coverage | No | $0.00 | $6.00 | $38.00 | $80.00 | tbd members | |||
2008 Educators Rx Basic | $44.30 | $275 | No Gap Coverage | No | S5877 -004 | $2.50 | $30.00 | $50.00 | $50.00 | 436 members | ||
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2009 Educators Rx Basic | $47.10 | $295 | No Gap Coverage | No | $2.50 | $30.00 | $50.00 | $50.00 | tbd members | |||
2008 WellCare Signature | $35.20 | $0 | No Gap Coverage | No | S5967 -065 | $0.00 | $45.00 | $107.00 | 33% | 1,858 members | ||
2009 WellCare Signature | $47.20 | $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 UA Medicare Part D Rx Covg - Silver Plan | $44.60 | $110 | No Gap Coverage | No | S5755 -069 | $4.00 | $40.00 | $80.00 | 25% | 36 members | ||
2009 UA Medicare Part D Rx Covg - Silver Plan | $47.70 | $110 | No Gap Coverage | No | $4.00 | $40.00 | $80.00 | 25% | tbd members | |||
2008 UA Medicare Part D Prescription Drug Cov | $47.50 | $0 | No Gap Coverage | No | S5755 -034 | $9.00 | $37.00 | $74.00 | 33% | 943 members | ||
2009 UA Medicare Part D Prescription Drug Cov | $47.90 | $0 | No Gap Coverage | No | $7.00 | $33.00 | $66.00 | 33% | tbd members | |||
2008 UnitedHealth Rx Basic | $49.30 | $0 | No Gap Coverage | No | S5921 -032 | $7.00 | $28.00 | $66.65 | 33% | 1,856 members | ||
2009 UnitedHealth Rx Basic | $48.70 | $0 | No Gap Coverage | No | $7.00 | $35.00 | $94.00 | 33% | tbd members | |||
2008 Health Net Value Orange Option 2 | $30.70 | $0 | No Gap Coverage | No | S5678 -063 | $0.00 | $39.00 | 33% | 33% | 634 members | ||
2009 Health Net Value Orange Option 2 | $48.90 | $0 | No Gap Coverage | No | $0.00 | $39.00 | $75.00 | 33% | tbd members | |||
2008 Medco Medicare Prescription Plan - Choice | $41.60 | $0 | No Gap Coverage | No | S5660 -031 | $6.00 | $35.00 | 75% | 33% | 460 members | ||
2009 Medco Medicare Prescription Plan - Choice | $49.80 | $0 | No Gap Coverage | No | $6.00 | $38.00 | 75% | 33% | tbd members | |||
2008 Educators Rx Advantage | $58.20 | $50 | No Gap Coverage | No | S5877 -007 | 20% | 25% | 50% | 30% | 825 members | ||
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2009 Educators Rx Advantage | $60.70 | $50 | No Gap Coverage | No | 20% | 25% | 50% | 30% | 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 | $50.50 | $0 | All Preferred Generics | No | S5674 -053 | $2.00 | $22.00 | $70.00 | 33% | 2,256 members | ||
2009 AdvantraRx Premier Plus | $61.30 | $0 | Many Generics | No | $4.00 | $30.00 | $75.00 | 33% | tbd members | |||
2008 EnvisionRxPlus Gold | $99.50 | $0 | All Preferred Generics | No | S7694 -065 | $0.00 | $40.00 | $30.00 | $45.00 | 115 members | ||
2009 EnvisionRxPlus Gold | $61.80 | $0 | No Gap Coverage | No | $0.00 | $45.00 | $40.00 | $75.00 | tbd members | |||
2008 Aetna Medicare Rx Plus | $42.50 | $0 | No Gap Coverage | No | S5810 -167 | $4.00 | $35.00 | $65.00 | 33% | 223 members | ||
2009 Aetna Medicare Rx - Costco Plus Plan | $64.70 | $0 | Some Generics | No | $0.00 | $5.00 | $35.00 | $90.00 | tbd members | |||
2008 Community CCRx Choice | $48.90 | $0 | No Gap Coverage | No | S5803 -168 | $0.00 | $20.00 | $45.00 | 863 members | |||
2009 Community CCRx Choice | $64.70 | $0 | No Gap Coverage | No | $5.00 | $30.00 | $60.00 | 33% | tbd members | |||
2008 SilverScript Plus | $39.80 | $0 | All Generics | No | S5601 -063 | $9.00 | $26.00 | $85.00 | 33% | 201 members | ||
2009 SilverScript Plus | $65.70 | $50 | Many Generics | No | $4.00 | $9.00 | $30.00 | $35.00 | tbd members | |||
2008 Regence Medicare Script | $63.50 | $275 | No Gap Coverage | No | S5916 -001 | $5.00 | $15.00 | $32.00 | 25% | 8,525 members | ||
2009 Regence Medicare Script | $66.50 | $295 | No Gap Coverage | No | $4.00 | $20.00 | $40.00 | 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 AARP MedicareRx Enhanced | $66.90 | $0 | All Preferred Generics | No | S5921 -033 | $7.00 | $30.00 | $74.85 | 33% | 1,065 members | ||
2009 AARP MedicareRx Enhanced | $72.90 | $0 | Many Generics | No | $7.00 | $39.00 | $95.00 | 33% | tbd members | |||
2008 CIGNA Medicare Rx Plan Three | $88.50 | $0 | Some Generics | No | S5617 -201 | $6.00 | $35.00 | $60.00 | 33% | 100 members | ||
2009 CIGNA Medicare Rx Plan Three | $73.20 | $0 | Some Generics | No | $6.00 | $35.00 | $60.00 | 33% | tbd members | |||
2008 Prescription Pathway Platinum Plan Reg 31 | $64.50 | $0 | All Generics | No | S5597 -228 | $6.00 | $44.00 | 33% | 73 members | |||
2009 Prescriba Rx Platinum | $74.00 | $0 | All Generics | No | $6.00 | $44.00 | 33% | tbd members | ||||
2008 SierraRx Basic | $37.10 | $275 | No Gap Coverage | No | S5917 -032 | 25% | 25% | 25% | 429 members | |||
2009 SierraRx Basic | $78.00 | $295 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | ||||
2008 Medco Medicare Prescription Plan - Access | $80.10 | $0 | All Generics | No | S5660 -201 | $6.00 | $35.00 | 75% | 33% | 87 members | ||
2009 Medco Medicare Prescription Plan - Access | $79.60 | $0 | All Generics | No | $6.00 | $35.00 | 75% | 33% | tbd members | |||
2008 Regence Medicare Script Enhanced | $79.00 | $0 | All Generics | No | S5916 -002 | $5.00 | $25.00 | $50.00 | 25% | 1,316 members | ||
2009 Regence Medicare Script Enhanced | $83.50 | $0 | Many Generics | No | $4.00 | $25.00 | $50.00 | 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 Complete | $48.60 | $0 | All Generics | No | S5601 -102 | $7.00 | $30.00 | $90.00 | 33% | 159 members | ||
2009 SilverScript Complete | $84.60 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | |||
2008 Community CCRx Gold | $60.20 | $0 | All Generics | No | S5803 -248 | $5.00 | $25.00 | $60.00 | 679 members | |||
2009 Community CCRx Gold | $85.20 | $0 | All Generics | No | $5.00 | $30.00 | $60.00 | 33% | tbd members | |||
2008 Humana PDP Complete S5884-059 | $96.50 | $0 | All Preferred Generics | No | S5884 -059 | $4.00 | $25.00 | $54.00 | 25% | 2,570 members | ||
2009 Humana PDP Complete S5884-059 | $98.30 | $0 | Many Generics | No | $7.00 | $40.00 | $70.00 | 33% | tbd members | |||
2008 Aetna Medicare Rx Premier | $81.60 | $0 | All Generics | No | S5810 -201 | $4.00 | $40.00 | $70.00 | 33% | 385 members | ||
2009 Aetna Medicare Rx Premier | $113.70 | $0 | Many Generics | No | $0.00 | $10.00 | $30.00 | $65.00 | tbd members | |||
2008 Prescription Pathway Bronze Plan Reg 31 | $28.00 | $275 | No Gap Coverage | Yes | S5597 -096 | 25% | 25% | 25% | 3,630 members | |||
-- Members will be assigned to SilverScript -- | ||||||||||||
2008 Advantage Allegiance Plan by RxAmerica | $47.30 | $0 | All Preferred Generics | No | S5644 -316 | $5.00 | 35% | 25% | 45% | 65 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 First Health Part D-Select | $46.70 | $0 | All Preferred Generics | No | S5768 -078 | $5.00 | $21.00 | $54.00 | 33% | 46 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 Educators Rx Complete | $70.90 | $0 | No Gap Coverage | No | S5877 -008 | 15% | 25% | 50% | 30% | 115 members | ||
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-- This plan not offered in 2009 -- | ||||||||||||
2008 UnitedHealth Rx Value | $23.80 | $275 | No Gap Coverage | No | S5820 -134 | $6.00 | $27.75 | 25% | 25% | 720 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
2008 Sterling Rx Plus | $81.60 | $100 | All Generics | No | S4802 -064 | $0.00 | $25.00 | 25% | 25% | 270 members | ||
-- This plan not offered in 2009 -- | ||||||||||||
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