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 Prescriba Rx Platinum | $72.10 | $0 | All Generics | No | S5597 -216 | $6.00 | $44.00 | 33% | 98 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 SierraRx Basic | $66.80 | $295 | No Gap Coverage | No | S5917 -021 | 25% | 25% | 25% | 131 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 -- | |||||||||||||||
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 -- | |||||||||||||||
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