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 | $27.10 | $295 | No Gap Coverage | No | S5617 -093 | $2.50 | $30.00 | $76.00 | 25% | 3,295 members | |||||
Plan changed to S5617-225 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Aetna Medicare Rx Plus | $60.50 | $0 | Some Generics | No | S5810 -155 | $0.00 | $10.00 | $36.00 | $77.00 | 294 members | |||||
Plan changed to S5810-223 for 2010 | --- | tbd | tbd members | ||||||||||||
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 | ||||||
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 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 WellCare Classic | $24.30 | $295 | No Gap Coverage | Yes | S5967 -156 | $0.00 | $38.00 | $86.00 | 25% | 12,115 members | |||||
2010 WellCare Classic (PDP) | $23.20 | $310 | No Gap Coverage | -- | $4.00 | $32.00 | $63.00 | 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 | ||||||
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 | ||||||
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 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 | ||||||
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 Moved From Plan S5810-155 | S5810 -223 | members | |||||||||||||
2010 Aetna Medicare Rx Plus (PDP) | $27.20 | $0 | No Gap Coverage | No | $5.00 | $32.00 | $38.00 | $80.00 | 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 | ||||||
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 | $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 | ||||||
-- This plan not offered in 2009 -- | S5960 -151 | ||||||||||||||
2010 MedicareRx Rewards Plus (PDP) | $28.60 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Two | $40.20 | $0 | No Gap Coverage | No | S5617 -095 | $0.00 | $6.00 | $38.00 | $80.00 | 537 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $29.30 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $40.00 | $80.00 | tbd members | ||||||
2009 BravoRx | $29.20 | $295 | No Gap Coverage | No | S5998 -024 | 25% | 25% | 25% | < 10 members | ||||||
2010 BravoRx (PDP) | $29.70 | $310 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | |||||||
2009 Advantage Star Plan by RxAmerica | $25.20 | $295 | No Gap Coverage | Yes | S5644 -194 | $4.75 | 25% | 25% | 45% | 3,166 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $30.80 | $310 | No Gap Coverage | No | $3.25 | 25% | 25% | 45% | tbd members | ||||||
2009 SilverScript Value | $18.40 | $295 | No Gap Coverage | Yes | S5601 -038 | $8.00 | $28.25 | $98.00 | 25% | 9,294 members | |||||
2010 SilverScript Value (PDP) | $30.80 | $310 | No Gap Coverage | No | $7.00 | $18.00 | $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 EnvisionRxPlus Silver | $31.80 | $295 | No Gap Coverage | No | S7694 -019 | $4.00 | $31.00 | $21.00 | $75.00 | < 10 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $31.50 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 First Health Part D-Secure | $16.10 | $175 | No Gap Coverage | No | S5768 -101 | $4.00 | $20.00 | $46.00 | 28% | 1,004 members | |||||
2010 First Health Part D-Secure (PDP) | $36.90 | $175 | No Gap Coverage | No | $4.00 | 20% | 49% | 28% | tbd members | ||||||
2009 Prescriba Rx Gold | $34.30 | $0 | No Gap Coverage | No | S5597 -051 | $6.00 | $44.00 | 33% | 460 members | ||||||
2010 PrescribaRx Gold (PDP) | $37.40 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
2009 Health Net Value Orange Option 2 | $40.40 | $0 | No Gap Coverage | No | S5678 -043 | $0.00 | $39.00 | $75.00 | 33% | 374 members | |||||
2010 Health Net Value Orange Option 2 (PDP) | $39.30 | $0 | No Gap Coverage | No | $0.00 | $42.00 | $95.00 | 33% | tbd members | ||||||
2009 AdvantraRx Value | $22.10 | $0 | No Gap Coverage | No | S5670 -099 | $8.00 | $24.00 | $55.00 | 33% | 8,369 members | |||||
2010 AdvantraRx Value (PDP) | $39.70 | $100 | No Gap Coverage | No | $6.00 | 20% | 61% | 30% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $38.00 | $0 | No Gap Coverage | No | S5820 -018 | $7.00 | $38.00 | $75.85 | 33% | 22,918 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $40.60 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $67.00 | 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 Community CCRx Choice | $49.90 | $0 | No Gap Coverage | No | S5803 -156 | $5.00 | $30.00 | $60.00 | 33% | 6,039 members | |||||
2010 Community CCRx Choice (PDP) | $41.20 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | tbd members | ||||||
2009 Humana PDP Standard S5884-077 | $37.50 | $295 | No Gap Coverage | No | S5884 -077 | 15% | 25% | 48% | 18,331 members | ||||||
2010 Humana Standard S5884-077 (PDP) | $41.20 | $310 | No Gap Coverage | No | 15% | 25% | 43% | tbd members | |||||||
2009 WellCare Signature | $35.70 | $0 | No Gap Coverage | No | S5967 -053 | $0.00 | $39.00 | $79.00 | 33% | 3,137 members | |||||
2010 WellCare Signature (PDP) | $41.30 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 Humana PDP Enhanced S5884-017 | $38.10 | $0 | No Gap Coverage | No | S5884 -017 | $7.00 | $40.00 | $70.00 | 33% | 25,188 members | |||||
2010 Humana Enhanced S5884-017 (PDP) | $41.80 | $0 | No Gap Coverage | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Choice | $37.90 | $0 | No Gap Coverage | No | S5660 -019 | $6.00 | $35.00 | 75% | 33% | 1,337 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $44.10 | $100 | No Gap Coverage | No | $6.00 | $38.00 | 75% | 30% | tbd members | ||||||
2009 AdvantraRx Premier | $38.50 | $0 | No Gap Coverage | No | S5670 -100 | $6.00 | $30.00 | $74.00 | 33% | 2,289 members | |||||
2010 AdvantraRx Premier (PDP) | $44.20 | $0 | No Gap Coverage | No | $12.00 | 16% | 52% | 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 UA Medicare Part D Prescription Drug Cov | $42.60 | $0 | No Gap Coverage | No | S5755 -022 | $6.00 | $32.00 | $64.00 | 33% | 1,401 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $44.50 | $0 | No Gap Coverage | No | $10.00 | $39.00 | $78.00 | 33% | tbd members | ||||||
2009 EnvisionRxPlus Gold | $50.10 | $0 | No Gap Coverage | No | S7694 -053 | $0.00 | $45.00 | $40.00 | $75.00 | 41 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $45.90 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
2009 Fox Grand Plan | $36.00 | $260 | Some Generics | No | S5557 -011 | $0.00 | $19.00 | $35.00 | $75.00 | 35 members | |||||
2010 Fox Grand Plan (PDP) | $46.40 | $0 | Some Generics | No | $1.00 | $37.00 | $41.00 | $95.00 | tbd members | ||||||
2009 Advantage Freedom Plan by RxAmerica | $41.20 | $0 | No Gap Coverage | No | S5644 -180 | $4.50 | 35% | 33% | 45% | 131 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $47.00 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 SilverScript Plus | $50.40 | $50 | Many Generics | No | S5601 -039 | $4.00 | $9.00 | $30.00 | $35.00 | 245 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $52.20 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 AR Blue Cross - Medi-Pak Rx Classic | $39.60 | $0 | No Gap Coverage | No | S5795 -006 | $5.00 | $30.00 | $68.00 | 25% | 13,081 members | |||||
2010 AR Blue Cross - Medi-Pak Rx Classic (PDP) | $57.20 | $0 | No Gap Coverage | No | $6.00 | $36.00 | $76.00 | 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 CIGNA Medicare Rx Plan Three | $67.50 | $0 | Some Generics | No | S5617 -189 | $6.00 | $35.00 | $60.00 | 33% | 151 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $60.80 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier Plus | $55.20 | $0 | Many Generics | No | S5670 -102 | $4.00 | $30.00 | $75.00 | 33% | 1,486 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $63.10 | $0 | Many Generics | No | $5.00 | $25.00 | 20% | 75% | tbd members | ||||||
2009 Sterling Rx | $37.80 | $295 | No Gap Coverage | No | S4802 -011 | $7.00 | $25.00 | $58.00 | 25% | 174 members | |||||
2010 Sterling Rx (PDP) | $64.60 | $310 | No Gap Coverage | No | $9.00 | $29.00 | 25% | tbd members | |||||||
2009 Community CCRx Gold | $65.30 | $0 | All Generics | No | S5803 -236 | $5.00 | $30.00 | $60.00 | 33% | 2,869 members | |||||
2010 Community CCRx Gold (PDP) | $70.00 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 SilverScript Complete | $69.00 | $0 | Many Generics | No | S5601 -090 | $2.50 | $7.50 | $39.00 | $98.00 | 320 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $72.00 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $69.20 | $0 | All Generics | No | S5660 -189 | $6.00 | $35.00 | 75% | 33% | 276 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $76.90 | $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 AARP MedicareRx Enhanced | $77.50 | $0 | Many Generics | No | S5921 -313 | $7.00 | $39.00 | $95.00 | 33% | 758 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $82.10 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 AR Blue Cross - Medi-Pak Rx Premier | $64.90 | $0 | Many Generics | No | S5795 -002 | $5.00 | $30.00 | $68.00 | 25% | 6,891 members | |||||
2010 AR Blue Cross - Medi-Pak Rx Premier (PDP) | $86.50 | $0 | Many Generics | No | $5.00 | $36.00 | $76.00 | 25% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $108.00 | $0 | Many Generics | No | S5810 -189 | $0.00 | $10.00 | $30.00 | $65.00 | 305 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $89.00 | $0 | Many Generics | No | $7.00 | $35.00 | $36.00 | $88.00 | tbd members | ||||||
2009 Humana PDP Complete S5884-047 | $96.10 | $0 | Many Generics | No | S5884 -047 | $7.00 | $40.00 | $70.00 | 33% | 2,559 members | |||||
2010 Humana Complete S5884-047 (PDP) | $100.80 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 Prescriba Rx Platinum | $72.10 | $0 | All Generics | No | S5597 -216 | $6.00 | $44.00 | 33% | 98 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 SierraRx Basic | $66.80 | $295 | No Gap Coverage | No | S5917 -021 | 25% | 25% | 25% | 131 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 UnitedHealth Rx Basic | $45.60 | $0 | No Gap Coverage | No | S5921 -312 | $7.00 | $35.00 | $98.00 | 33% | 567 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 MedicareRx Rewards Value | $29.70 | $130 | No Gap Coverage | No | S5960 -019 | $8.00 | $39.50 | $85.00 | 29% | 1,014 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
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