2009 / 2010 Medicare Part D Plan Information Click here to jump to the Chart Legend | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 |
|||||||||
2009 CIGNA Medicare Rx Plan One | $38.50 | $295 | No Gap Coverage | No | S5617 -168 | $2.50 | $25.00 | $63.00 | 25% | 359 members | |||||
Plan changed to S5617-227 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Aetna Medicare Rx - Costco Plus Plan | $64.00 | $0 | Some Generics | No | S5810 -170 | $0.00 | $5.00 | $35.00 | $90.00 | 61 members | |||||
Plan changed to S5810-238 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Humana PDP Complete S5884-100 | $106.30 | $0 | Many Generics | No | S5884 -100 | $7.00 | $40.00 | $70.00 | 33% | < 10 members | |||||
Plan changed to S5884-116 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Moved From Plan S5810-170 | S5810 -238 | members | |||||||||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $23.80 | $0 | No Gap Coverage | No | $2.00 | $28.00 | $34.00 | $80.00 | tbd members | ||||||
2009 HealthSpring Prescription Drug Plan-Reg 34 | $24.50 | $295 | No Gap Coverage | Yes | S5932 -033 | 25% | 25% | 795 members | |||||||
2010 HealthSpring Prescription Drug Plan-Reg 34 (PDP) | $25.80 | $310 | 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 | |||||||||
2009 Moved From Plan S5884-100 | S5884 -116 | members | |||||||||||||
2010 Humana Value S5884-116 (PDP) | $27.70 | $150 | No Gap Coverage | No | $5.00 | $35.00 | 35% | tbd members | |||||||
2009 AARP MedicareRx Saver | $31.30 | $295 | No Gap Coverage | Yes | S5921 -011 | $5.00 | $22.00 | $51.95 | 25% | 3,739 members | |||||
2010 AARP MedicareRx Saver (PDP) | $33.30 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $61.00 | 25% | tbd members | ||||||
2009 First Health Part D-Premier | $23.10 | $0 | No Gap Coverage | Yes | S5768 -117 | $7.00 | $27.00 | $64.00 | 33% | 902 members | |||||
2010 First Health Part D-Premier (PDP) | $33.30 | $150 | No Gap Coverage | Yes | $8.00 | 10% | 41% | 29% | tbd members | ||||||
2009 WellCare Classic | $30.20 | $295 | No Gap Coverage | Yes | S5967 -171 | $0.00 | $30.00 | $79.00 | 25% | 1,928 members | |||||
2010 WellCare Classic (PDP) | $33.30 | $310 | No Gap Coverage | -- | $3.00 | $33.00 | $60.00 | 25% | tbd members | ||||||
2009 Moved From Plan S5617-168 | S5617 -227 | members | |||||||||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $33.60 | $310 | No Gap Coverage | Yes | $3.00 | $27.00 | $71.00 | 25% | tbd members | ||||||
2009 WellCare Signature | $29.40 | $0 | No Gap Coverage | No | S5967 -068 | $0.00 | $39.00 | $79.00 | 33% | 560 members | |||||
2010 WellCare Signature (PDP) | $34.50 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 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 | |||||||||
2009 First Health Part D-Secure | $34.20 | $175 | No Gap Coverage | No | S5768 -116 | $3.00 | $20.00 | $50.00 | 28% | 17 members | |||||
2010 First Health Part D-Secure (PDP) | $36.50 | $175 | No Gap Coverage | No | $4.00 | 20% | 52% | 28% | tbd members | ||||||
2009 MedicareRx Rewards Standard | $35.40 | $295 | No Gap Coverage | Yes | S5960 -140 | 25% | 25% | 25% | 25% | 1,215 members | |||||
2010 MedicareRx Rewards Standard (PDP) | $37.30 | $310 | No Gap Coverage | Yes | $6.00 | 25% | 25% | 25% | tbd members | ||||||
-- This plan not offered in 2009 -- | S5557 -056 | ||||||||||||||
2010 Fox Value Plan (PDP) | $38.60 | $310 | No Gap Coverage | No | tbd | tbd members | |||||||||
-- This plan not offered in 2009 -- | S5960 -162 | ||||||||||||||
2010 MedicareRx Rewards Plus (PDP) | $38.80 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Essentials | $36.30 | $200 | No Gap Coverage | No | S5810 -068 | $0.00 | $12.00 | $26.00 | $67.00 | 118 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $39.10 | $310 | No Gap Coverage | No | $3.00 | $29.00 | $30.00 | $72.00 | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Two | $39.80 | $0 | No Gap Coverage | No | S5617 -170 | $0.00 | $6.00 | $38.00 | $80.00 | 110 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $40.50 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $35.00 | $80.00 | 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 | |||||||||
2009 Community CCRx Basic | $49.30 | $295 | No Gap Coverage | No | S5803 -103 | $0.00 | 30% | 60% | 1,243 members | ||||||
2010 Community CCRx Basic (PDP) | $40.50 | $310 | No Gap Coverage | No | $0.00 | 25% | 65% | tbd members | |||||||
2009 AdvantraRx Value | $37.00 | $0 | No Gap Coverage | No | S5674 -068 | $9.00 | $25.00 | $53.00 | 33% | 125 members | |||||
2010 AdvantraRx Value (PDP) | $40.80 | $100 | No Gap Coverage | No | $6.00 | 20% | 66% | 30% | tbd members | ||||||
2009 SilverScript Value | $25.90 | $295 | No Gap Coverage | Yes | S5601 -068 | $8.00 | $21.00 | $98.00 | 25% | 3,742 members | |||||
2010 SilverScript Value (PDP) | $41.70 | $310 | No Gap Coverage | No | $7.00 | $16.25 | $95.00 | 25% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Value | $35.30 | $295 | No Gap Coverage | Yes | S5660 -136 | 23% | 23% | 53% | 25% | 658 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $42.70 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 Health Net Orange Option 1 | $40.90 | $295 | No Gap Coverage | No | S5678 -068 | $2.00 | $44.00 | $90.00 | 25% | 31 members | |||||
2010 Health Net Orange Option 1 (PDP) | $45.00 | $310 | No Gap Coverage | No | $4.00 | $38.00 | $95.00 | 25% | tbd members | ||||||
2009 Community CCRx Choice | $71.90 | $0 | No Gap Coverage | No | S5803 -171 | $5.00 | $30.00 | $60.00 | 33% | 64 members | |||||
2010 Community CCRx Choice (PDP) | $46.40 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | 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 | |||||||||
2009 AARP MedicareRx Preferred | $44.60 | $0 | No Gap Coverage | No | S5820 -033 | $7.00 | $38.00 | $74.00 | 33% | 5,539 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $47.00 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $95.00 | 33% | tbd members | ||||||
2009 Humana PDP Standard S5884-094 | $46.00 | $295 | No Gap Coverage | No | S5884 -094 | 15% | 25% | 47% | 193 members | ||||||
2010 Humana Standard S5884-094 (PDP) | $49.70 | $310 | No Gap Coverage | No | 15% | 25% | 45% | tbd members | |||||||
2009 Advantage Star Plan by RxAmerica | $39.10 | $295 | No Gap Coverage | No | S5644 -201 | $5.25 | 25% | 25% | 45% | 156 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $49.80 | $310 | No Gap Coverage | No | $2.25 | 25% | 25% | 45% | tbd members | ||||||
2009 Sterling Rx | $45.00 | $295 | No Gap Coverage | No | S4802 -032 | $7.00 | $25.00 | $57.00 | 25% | 16 members | |||||
2010 Sterling Rx (PDP) | $50.10 | $310 | No Gap Coverage | No | $10.00 | $32.00 | 25% | tbd members | |||||||
2009 EnvisionRxPlus Silver | $61.70 | $295 | No Gap Coverage | No | S7694 -034 | $4.00 | $47.00 | $37.00 | $75.00 | < 10 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $51.70 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 Humana PDP Enhanced S5884-097 | $49.20 | $0 | No Gap Coverage | No | S5884 -097 | $7.00 | $40.00 | $70.00 | 33% | 389 members | |||||
2010 Humana Enhanced S5884-097 (PDP) | $52.90 | $0 | No Gap Coverage | No | $7.00 | $45.00 | $75.00 | 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 | |||||||||
2009 EnvisionRxPlus Gold | $94.10 | $0 | No Gap Coverage | No | S7694 -068 | $0.00 | $45.00 | $40.00 | $75.00 | 16 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $55.30 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $50.30 | $0 | No Gap Coverage | No | S5755 -039 | $5.00 | $31.00 | $62.00 | 33% | 26 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $55.60 | $0 | No Gap Coverage | No | $10.00 | $39.00 | $78.00 | 33% | tbd members | ||||||
2009 Advantage Freedom Plan by RxAmerica | $43.60 | $0 | No Gap Coverage | No | S5644 -187 | $4.75 | 35% | 33% | 45% | 33 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $57.80 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 Health Net Value Orange Option 2 | $45.60 | $0 | No Gap Coverage | No | S5678 -067 | $0.00 | $39.00 | $75.00 | 33% | 42 members | |||||
2010 Health Net Value Orange Option 2 (PDP) | $64.40 | $0 | No Gap Coverage | No | $0.00 | $42.00 | $95.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Choice | $56.30 | $0 | No Gap Coverage | No | S5660 -034 | $6.00 | $35.00 | 75% | 33% | 225 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $64.90 | $100 | No Gap Coverage | No | $6.00 | $39.00 | 75% | 30% | tbd members | ||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $48.60 | $120 | No Gap Coverage | No | S5755 -072 | $4.00 | $40.00 | $80.00 | 25% | < 10 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $67.40 | $155 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 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 | |||||||||
2009 SilverScript Plus | $57.60 | $50 | Many Generics | No | S5601 -069 | $4.00 | $9.00 | $30.00 | $35.00 | 69 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $68.90 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 AdvantraRx Premier | $57.60 | $0 | No Gap Coverage | No | S5674 -069 | $5.00 | $25.00 | $66.00 | 33% | 30 members | |||||
2010 AdvantraRx Premier (PDP) | $73.40 | $0 | No Gap Coverage | No | $12.00 | 16% | 52% | 33% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $69.20 | $0 | Some Generics | No | S5617 -204 | $6.00 | $35.00 | $60.00 | 33% | 16 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $75.20 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 SilverScript Complete | $75.30 | $0 | Many Generics | No | S5601 -105 | $2.50 | $7.50 | $39.00 | $98.00 | 24 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $80.50 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $76.10 | $0 | Many Generics | No | S5921 -013 | $7.00 | $39.00 | $95.00 | 33% | 201 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $80.80 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 Community CCRx Gold | $91.70 | $0 | All Generics | No | S5803 -251 | $5.00 | $30.00 | $60.00 | 33% | 60 members | |||||
2010 Community CCRx Gold (PDP) | $81.00 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 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 | |||||||||
2009 AdvantraRx Premier Plus | $76.20 | $0 | Many Generics | No | S5674 -071 | $4.00 | $29.00 | $74.00 | 33% | 34 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $82.10 | $0 | Many Generics | No | $5.00 | $25.00 | 20% | 75% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $112.90 | $0 | Many Generics | No | S5810 -204 | $0.00 | $10.00 | $30.00 | $65.00 | 89 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $89.40 | $0 | Many Generics | No | $7.00 | $37.00 | $38.00 | $91.00 | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $87.80 | $0 | All Generics | No | S5660 -204 | $6.00 | $35.00 | 75% | 33% | 17 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $99.80 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 Prescriba Rx Platinum | $78.30 | $0 | All Generics | No | S5597 -235 | $6.00 | $44.00 | 33% | < 10 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 Prescriba Rx Bronze | $41.40 | $295 | No Gap Coverage | No | S5597 -268 | 25% | 25% | 25% | < 10 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 BravoRx | $38.40 | $295 | No Gap Coverage | No | S5998 -036 | 25% | 25% | 25% | < 10 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
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 | |||||||||
2009 Prescriba Rx Gold | $43.60 | $0 | No Gap Coverage | No | S5597 -233 | $6.00 | $44.00 | 33% | < 10 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 MedicareRx Rewards Value | $39.50 | $130 | No Gap Coverage | No | S5960 -034 | $10.00 | $35.50 | $85.00 | 29% | 294 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 UnitedHealth Rx Basic | $54.00 | $0 | No Gap Coverage | No | S5921 -012 | $7.00 | $35.00 | $87.00 | 33% | 325 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
|