2009 / 2010 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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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 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 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 | ||||||
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 | ||||||
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