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 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 -- | |||||||||||||||
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 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 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 -- | |||||||||||||||
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