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 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 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 -- | |||||||||||||||
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 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 BravoRx | $38.40 | $295 | No Gap Coverage | No | S5998 -036 | 25% | 25% | 25% | < 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 -- | |||||||||||||||
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