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 Windsor Rx | $28.20 | $175 | No Gap Coverage | No | S2505 -003 | $10.00 | $25.00 | $50.00 | 25% | 383 members | ||
2010 Windsor Rx (PDP) | $14.20 | $310 | No Gap Coverage | Yes | $5.00 | 20% | 25% | 45% | tbd members | |||
2009 Fox Value Plan | $13.00 | $295 | No Gap Coverage | Yes | S5557 -006 | 25% | 25% | 25% | 25% | 3,665 members | ||
2010 Fox Value Plan (PDP) | $19.30 | $310 | No Gap Coverage | Yes | 0% | 50% | 35% | 60% | tbd members | |||
2009 First Health Part D-Premier | $26.00 | $0 | No Gap Coverage | Yes | S5768 -043 | $7.00 | $31.00 | $65.00 | 33% | 3,894 members | ||
2010 First Health Part D-Premier (PDP) | $20.10 | $150 | No Gap Coverage | Yes | $8.00 | 10% | 40% | 29% | tbd members | |||
2009 Prescriba Rx Bronze | $23.50 | $295 | No Gap Coverage | Yes | S5597 -253 | 25% | 25% | 25% | 5,248 members | |||
2010 PrescribaRx Bronze (PDP) | $22.40 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | ||||
2009 Moved From Plan S5617-93 | S5617 -225 | members | ||||||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $24.50 | $310 | No Gap Coverage | Yes | $3.00 | $31.00 | $82.00 | 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 HealthSpring Prescription Drug Plan-Reg 19 | $28.20 | $295 | No Gap Coverage | No | S5932 -018 | 25% | 25% | 323 members | ||||
2010 HealthSpring Prescription Drug Plan-Reg 19 (PDP) | $24.50 | $310 | No Gap Coverage | Yes | 25% | 25% | tbd members | |||||
2009 Aetna Medicare Rx Essentials | $23.40 | $205 | No Gap Coverage | Yes | S5810 -053 | $0.00 | $13.00 | $26.00 | $67.00 | 4,994 members | ||
2010 Aetna Medicare Rx Essentials (PDP) | $24.80 | $310 | No Gap Coverage | Yes | $3.00 | $28.00 | $29.00 | $70.00 | tbd members | |||
2009 MedicareRx Rewards Standard | $25.20 | $295 | No Gap Coverage | Yes | S5960 -125 | 25% | 25% | 25% | 25% | 4,693 members | ||
2010 MedicareRx Rewards Standard (PDP) | $24.80 | $310 | No Gap Coverage | Yes | $5.50 | 25% | 25% | 25% | tbd members | |||
2009 Community CCRx Basic | $26.50 | $295 | No Gap Coverage | Yes | S5803 -088 | $0.00 | 30% | 45% | 36,939 members | |||
2010 Community CCRx Basic (PDP) | $25.60 | $310 | No Gap Coverage | Yes | $0.00 | 30% | 65% | tbd members | ||||
2009 AR Blue Cross - Medi-Pak Rx Basic | $21.60 | $185 | No Gap Coverage | Yes | S5795 -003 | $5.00 | $30.00 | $68.00 | 25% | 23,824 members | ||
2010 AR Blue Cross - Medi-Pak Rx Basic (PDP) | $25.90 | $200 | No Gap Coverage | Yes | $6.00 | $36.00 | $76.00 | 25% | tbd members | |||
2009 Health Net Orange Option 1 | $33.70 | $295 | No Gap Coverage | No | S5678 -044 | $2.00 | $43.00 | $90.00 | 25% | 177 members | ||
2010 Health Net Orange Option 1 (PDP) | $26.40 | $310 | No Gap Coverage | Yes | $4.00 | $38.00 | $95.00 | 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 Saver | $30.40 | $295 | No Gap Coverage | No | S5921 -311 | $5.00 | $22.00 | $56.30 | 25% | 4,570 members | ||
2010 AARP MedicareRx Saver (PDP) | $27.10 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $85.00 | 25% | tbd members | |||
2009 UA Medicare Part D Rx Covg - Silver Plan | $25.40 | $180 | No Gap Coverage | Yes | S5755 -057 | $4.00 | $40.00 | $80.00 | 25% | 6,739 members | ||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $27.80 | $250 | No Gap Coverage | Yes | $4.00 | $45.00 | $90.00 | 25% | tbd members | |||
2009 Medco Medicare Prescription Plan - Value | $19.50 | $295 | No Gap Coverage | Yes | S5660 -121 | 23% | 23% | 50% | 25% | 6,431 members | ||
2010 Medco Medicare Prescription Plan - Value (PDP) | $28.40 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | |||
|