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 | $29.00 | $295 | No Gap Coverage | Yes | S5617 -058 | $2.50 | $30.00 | $79.00 | 25% | 24,701 members | |||||
Plan changed to S5617-220 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Aetna Medicare Rx Plus | $66.80 | $0 | Some Generics | No | S5810 -148 | $0.00 | $10.00 | $37.00 | $78.00 | 1,581 members | |||||
Plan changed to S5810-216 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Humana PDP Standard S5884-070 | $42.50 | $295 | No Gap Coverage | No | S5884 -070 | 15% | 25% | 44% | 48,300 members | ||||||
Plan changed to S5884-106 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Prescriba Rx Bronze | $25.00 | $295 | No Gap Coverage | Yes | S5597 -246 | 25% | 25% | 25% | 10,122 members | ||||||
2010 PrescribaRx Bronze (PDP) | $22.00 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 Community CCRx Basic | $26.90 | $295 | No Gap Coverage | Yes | S5803 -081 | $0.00 | 30% | 50% | 76,471 members | ||||||
2010 Community CCRx Basic (PDP) | $23.50 | $310 | No Gap Coverage | Yes | $0.00 | 30% | 65% | 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 Windsor Rx | $28.20 | $175 | No Gap Coverage | Yes | S2505 -001 | $10.00 | $25.00 | $50.00 | 25% | 15,756 members | |||||
2010 Windsor Rx (PDP) | $25.10 | $310 | No Gap Coverage | Yes | $5.00 | 20% | 25% | 45% | tbd members | ||||||
2009 Moved From Plan S5617-58 | S5617 -220 | members | |||||||||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $26.40 | $310 | No Gap Coverage | Yes | $3.00 | $30.00 | $79.00 | 25% | tbd members | ||||||
2009 AARP MedicareRx Saver | $24.70 | $295 | No Gap Coverage | Yes | S5921 -151 | $5.00 | $22.00 | $51.85 | 25% | 37,150 members | |||||
2010 AARP MedicareRx Saver (PDP) | $26.50 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $71.50 | 25% | tbd members | ||||||
2009 Moved From Plan S5884-70 | S5884 -106 | members | |||||||||||||
2010 Humana Value S5884-106 (PDP) | $27.80 | $150 | No Gap Coverage | No | $5.00 | $35.00 | 33% | tbd members | |||||||
2009 BlueRx Option I | $31.20 | $175 | No Gap Coverage | No | S1030 -006 | $4.00 | $35.00 | $60.00 | 25% | 13,770 members | |||||
2010 BlueRx Option I (PDP) | $28.50 | $220 | No Gap Coverage | Yes | $3.00 | $5.00 | $35.00 | $60.00 | tbd members | ||||||
2009 First Health Part D-Secure | $17.60 | $175 | No Gap Coverage | No | S5768 -094 | $4.00 | $20.00 | $48.00 | 28% | 6,152 members | |||||
2010 First Health Part D-Secure (PDP) | $30.00 | $175 | No Gap Coverage | No | $4.00 | 20% | 52% | 28% | 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 Medco Medicare Prescription Plan - Value | $27.70 | $295 | No Gap Coverage | Yes | S5660 -114 | 23% | 23% | 53% | 25% | 13,380 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $30.00 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 HealthSpring Prescription Drug Plan -Reg12 | $29.30 | $295 | No Gap Coverage | Yes | S5932 -001 | 25% | 25% | 40,945 members | |||||||
2010 HealthSpring Prescription Drug Plan -Reg12 (PDP) | $30.20 | $310 | No Gap Coverage | Yes | 25% | 25% | tbd members | ||||||||
2009 First Health Part D-Premier | $28.00 | $0 | No Gap Coverage | Yes | S5768 -015 | $7.00 | $28.00 | $52.00 | 33% | 50,796 members | |||||
2010 First Health Part D-Premier (PDP) | $30.70 | $150 | No Gap Coverage | Yes | $7.00 | 11% | 43% | 29% | tbd members | ||||||
2009 MedicareRx Rewards Standard | $27.60 | $295 | No Gap Coverage | Yes | S5960 -118 | 25% | 25% | 25% | 25% | 28,753 members | |||||
2010 MedicareRx Rewards Standard (PDP) | $31.20 | $310 | No Gap Coverage | No | $6.50 | 25% | 25% | 25% | tbd members | ||||||
2009 Aetna Medicare Rx Essentials | $31.20 | $205 | No Gap Coverage | No | S5810 -046 | $0.00 | $13.00 | $28.00 | $69.00 | 1,835 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $31.30 | $310 | No Gap Coverage | No | $3.00 | $27.00 | $28.00 | $70.00 | tbd members | ||||||
2009 BravoRx | $30.60 | $295 | No Gap Coverage | No | S5998 -020 | 25% | 25% | 25% | 69 members | ||||||
2010 BravoRx (PDP) | $31.50 | $310 | No Gap Coverage | No | 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 | |||||||||
2009 CIGNA Medicare Rx Plan Two | $41.40 | $0 | No Gap Coverage | No | S5617 -060 | $0.00 | $6.00 | $38.00 | $80.00 | 2,990 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $32.30 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $37.00 | $84.00 | tbd members | ||||||
2009 Advantage Star Plan by RxAmerica | $29.20 | $295 | No Gap Coverage | Yes | S5644 -012 | $4.75 | 25% | 25% | 45% | 16,624 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $32.40 | $310 | No Gap Coverage | No | $3.50 | 25% | 25% | 45% | tbd members | ||||||
2009 Health Net Orange Option 1 | $25.10 | $295 | No Gap Coverage | Yes | S5678 -030 | $2.00 | $44.00 | $90.00 | 25% | 16,207 members | |||||
2010 Health Net Orange Option 1 (PDP) | $32.80 | $310 | No Gap Coverage | No | $4.00 | $38.00 | $95.00 | 25% | tbd members | ||||||
2009 SilverScript Value | $27.80 | $295 | No Gap Coverage | Yes | S5601 -024 | $8.00 | $41.50 | $98.00 | 25% | 17,984 members | |||||
2010 SilverScript Value (PDP) | $33.00 | $310 | No Gap Coverage | No | $7.00 | $19.75 | $95.00 | 25% | tbd members | ||||||
2009 Moved From Plan S5810-148 | S5810 -216 | members | |||||||||||||
2010 Aetna Medicare Rx Plus (PDP) | $33.50 | $0 | No Gap Coverage | No | $5.00 | $32.00 | $38.00 | $80.00 | tbd members | ||||||
2009 EnvisionRxPlus Silver | $33.10 | $295 | No Gap Coverage | No | S7694 -012 | $4.00 | $31.00 | $21.00 | $75.00 | 65 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $33.60 | $310 | No Gap Coverage | No | 25% | 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 | |||||||||
2009 WellCare Classic | $31.40 | $295 | No Gap Coverage | No | S5967 -149 | $0.00 | $33.00 | $82.00 | 25% | 17,212 members | |||||
2010 WellCare Classic (PDP) | $33.70 | $310 | No Gap Coverage | -- | $4.00 | $33.00 | $65.00 | 25% | tbd members | ||||||
2009 Prescriba Rx Gold | $36.40 | $0 | No Gap Coverage | No | S5597 -044 | $6.00 | $44.00 | 33% | 1,343 members | ||||||
2010 PrescribaRx Gold (PDP) | $35.80 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
-- This plan not offered in 2009 -- | S5960 -148 | ||||||||||||||
2010 MedicareRx Rewards Plus (PDP) | $37.90 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 Community CCRx Choice | $47.70 | $0 | No Gap Coverage | No | S5803 -149 | $5.00 | $30.00 | $60.00 | 33% | 6,424 members | |||||
2010 Community CCRx Choice (PDP) | $38.60 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | tbd members | ||||||
2009 AdvantraRx Value | $24.60 | $0 | No Gap Coverage | No | S5670 -063 | $8.00 | $24.00 | $57.00 | 33% | 20,060 members | |||||
2010 AdvantraRx Value (PDP) | $39.10 | $100 | No Gap Coverage | No | $7.00 | 20% | 62% | 30% | tbd members | ||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $39.90 | $150 | No Gap Coverage | No | S5755 -050 | $4.00 | $40.00 | $80.00 | 25% | 345 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $40.30 | $160 | 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 AARP MedicareRx Preferred | $38.30 | $0 | No Gap Coverage | No | S5820 -011 | $7.00 | $38.00 | $70.10 | 33% | 112,712 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $40.90 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $63.25 | 33% | tbd members | ||||||
2009 Humana PDP Enhanced S5884-001 | $39.90 | $0 | No Gap Coverage | No | S5884 -001 | $7.00 | $40.00 | $70.00 | 33% | 44,565 members | |||||
2010 Humana Enhanced S5884-001 (PDP) | $43.60 | $0 | No Gap Coverage | No | $8.00 | $40.00 | $75.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Choice | $37.70 | $0 | No Gap Coverage | No | S5660 -012 | $6.00 | $38.00 | 75% | 33% | 7,735 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $43.80 | $100 | No Gap Coverage | No | $6.00 | $39.00 | 75% | 30% | tbd members | ||||||
2009 WellCare Signature | $39.30 | $0 | No Gap Coverage | No | S5967 -046 | $0.00 | $39.00 | $79.00 | 33% | 9,209 members | |||||
2010 WellCare Signature (PDP) | $44.00 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier | $41.40 | $0 | No Gap Coverage | No | S5670 -064 | $6.00 | $30.00 | $73.00 | 33% | 7,580 members | |||||
2010 AdvantraRx Premier (PDP) | $46.80 | $0 | No Gap Coverage | No | $12.00 | 16% | 49% | 33% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $45.90 | $0 | No Gap Coverage | No | S5755 -015 | $6.00 | $32.00 | $64.00 | 33% | 6,222 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $48.10 | $0 | No Gap Coverage | No | $8.00 | $37.00 | $74.00 | 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 Advantage Freedom Plan by RxAmerica | $38.40 | $0 | No Gap Coverage | No | S5644 -056 | $4.50 | 35% | 33% | 45% | 1,695 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $48.60 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 SilverScript Plus | $55.10 | $50 | Many Generics | No | S5601 -025 | $4.00 | $9.00 | $30.00 | $35.00 | 993 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $51.30 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 Health Net Value Orange Option 2 | $49.10 | $0 | No Gap Coverage | No | S5678 -029 | $0.00 | $39.00 | $75.00 | 33% | 2,047 members | |||||
2010 Health Net Value Orange Option 2 (PDP) | $56.20 | $0 | No Gap Coverage | No | $9.00 | $42.00 | $95.00 | 33% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $71.70 | $0 | Some Generics | No | S5617 -182 | $6.00 | $35.00 | $60.00 | 33% | 695 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $60.50 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 BlueRx Option II | $53.70 | $0 | No Gap Coverage | No | S1030 -001 | $0.00 | $35.00 | $60.00 | 33% | 21,970 members | |||||
2010 BlueRx Option II (PDP) | $61.10 | $0 | Few Generics | No | $2.00 | $4.00 | $35.00 | $60.00 | tbd members | ||||||
2009 EnvisionRxPlus Gold | $73.90 | $0 | No Gap Coverage | No | S7694 -046 | $0.00 | $45.00 | $40.00 | $75.00 | 406 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $62.60 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 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 Sterling Rx | $43.60 | $295 | No Gap Coverage | No | S4802 -033 | $7.00 | $25.00 | $57.00 | 25% | 272 members | |||||
2010 Sterling Rx (PDP) | $63.00 | $310 | No Gap Coverage | No | $9.00 | $31.00 | 25% | tbd members | |||||||
2009 SilverScript Complete | $72.40 | $0 | Many Generics | No | S5601 -083 | $2.50 | $7.50 | $39.00 | $98.00 | 405 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $63.20 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 AdvantraRx Premier Plus | $56.40 | $0 | Many Generics | No | S5670 -066 | $4.00 | $30.00 | $75.00 | 33% | 7,201 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $64.30 | $0 | Many Generics | No | $5.00 | $25.00 | 20% | 75% | tbd members | ||||||
2009 Community CCRx Gold | $65.70 | $0 | All Generics | No | S5803 -229 | $5.00 | $30.00 | $60.00 | 33% | 6,894 members | |||||
2010 Community CCRx Gold (PDP) | $72.30 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $72.00 | $0 | Many Generics | No | S5921 -153 | $7.00 | $39.00 | $93.00 | 33% | 3,997 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $76.60 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $70.30 | $0 | All Generics | No | S5660 -182 | $6.00 | $35.00 | 75% | 33% | 1,090 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $79.20 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 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 Aetna Medicare Rx Premier | $100.70 | $0 | Many Generics | No | S5810 -182 | $0.00 | $10.00 | $30.00 | $65.00 | 1,697 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $87.20 | $0 | Many Generics | No | $6.00 | $35.00 | $36.00 | $84.00 | tbd members | ||||||
2009 Humana PDP Complete S5884-040 | $97.70 | $0 | Many Generics | No | S5884 -040 | $7.00 | $40.00 | $70.00 | 33% | 7,145 members | |||||
2010 Humana Complete S5884-040 (PDP) | $100.70 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 UnitedHealth Rx Basic | $43.40 | $0 | No Gap Coverage | No | S5921 -152 | $7.00 | $35.00 | $91.00 | 33% | 3,703 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 MedicareRx Rewards Value | $31.90 | $130 | No Gap Coverage | No | S5960 -012 | $8.00 | $42.50 | $85.00 | 29% | 5,477 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 Prescriba Rx Platinum | $72.70 | $0 | All Generics | No | S5597 -209 | $6.00 | $44.00 | 33% | 370 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 SierraRx Basic | $63.90 | $295 | No Gap Coverage | No | S5917 -016 | 25% | 25% | 25% | 199 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
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