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 Aetna Medicare Rx - Costco Plus Plan | $54.90 | $0 | Some Generics | No | S5810 -164 | $0.00 | $5.00 | $35.00 | $90.00 | 831 members | |||||
Plan changed to S5810-232 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Humana PDP Complete S5884-056 | $102.20 | $0 | Many Generics | No | S5884 -056 | $7.00 | $40.00 | $70.00 | 33% | 1,402 members | |||||
Plan changed to S5884-124 for 2010 | --- | tbd | tbd members | ||||||||||||
-- This plan not offered in 2009 -- | S5960 -158 | ||||||||||||||
2010 MedicareRx Rewards Plus (PDP) | $25.20 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 Moved From Plan S5810-164 | S5810 -232 | members | |||||||||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $34.20 | $0 | No Gap Coverage | No | $2.00 | $28.00 | $34.00 | $80.00 | tbd members | ||||||
2009 WellCare Signature | $27.10 | $0 | No Gap Coverage | No | S5967 -062 | $0.00 | $39.00 | $79.00 | 33% | 2,177 members | |||||
2010 WellCare Signature (PDP) | $35.00 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 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 AARP MedicareRx Preferred | $32.60 | $0 | No Gap Coverage | No | S5820 -027 | $7.00 | $38.00 | $84.70 | 33% | 60,740 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $35.20 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $79.00 | 33% | tbd members | ||||||
2009 Fox Grand Plan | $38.90 | $295 | Some Generics | No | S5557 -009 | $0.00 | $19.00 | $35.00 | $75.00 | 21 members | |||||
2010 Fox Grand Plan (PDP) | $40.40 | $0 | Some Generics | No | $1.00 | $41.00 | $45.00 | $95.00 | tbd members | ||||||
2009 Advantage Freedom Plan by RxAmerica | $39.00 | $0 | No Gap Coverage | No | S5644 -060 | $4.25 | 35% | 33% | 45% | 275 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $43.40 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 AdvantraRx Premier | $38.80 | $0 | No Gap Coverage | No | S5670 -142 | $6.00 | $26.00 | $71.00 | 33% | 1,736 members | |||||
2010 AdvantraRx Premier (PDP) | $44.20 | $0 | No Gap Coverage | No | $14.00 | 14% | 60% | 33% | tbd members | ||||||
2009 Humana PDP Enhanced S5884-026 | $41.00 | $0 | No Gap Coverage | No | S5884 -026 | $7.00 | $40.00 | $70.00 | 33% | 13,546 members | |||||
2010 Humana Enhanced S5884-026 (PDP) | $44.70 | $0 | No Gap Coverage | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $47.30 | $0 | No Gap Coverage | No | S5755 -031 | $7.00 | $33.00 | $66.00 | 33% | 1,725 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $50.10 | $0 | No Gap Coverage | No | $9.00 | $38.00 | $76.00 | 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 CIGNA Medicare Rx Plan Three | $86.50 | $0 | Some Generics | No | S5617 -198 | $6.00 | $35.00 | $60.00 | 33% | 110 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $57.30 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 Health Net Orange Option 2 | $36.50 | $0 | No Gap Coverage | No | S5678 -007 | $5.00 | $30.00 | $90.00 | 33% | 4,235 members | |||||
2010 Health Net Orange Option 2 (PDP) | $57.30 | $0 | No Gap Coverage | No | $5.00 | $35.00 | $95.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier Plus | $54.30 | $0 | Many Generics | No | S5670 -144 | $4.00 | $30.00 | $75.00 | 33% | 1,747 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $63.40 | $0 | Many Generics | No | $5.00 | $25.00 | 20% | 75% | tbd members | ||||||
2009 SilverScript Complete | $73.90 | $0 | Many Generics | No | S5601 -099 | $2.50 | $7.50 | $39.00 | $98.00 | 261 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $73.20 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 Community CCRx Gold | $75.30 | $0 | All Generics | No | S5803 -245 | $5.00 | $30.00 | $60.00 | 33% | 755 members | |||||
2010 Community CCRx Gold (PDP) | $76.30 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $71.00 | $0 | All Generics | No | S5660 -198 | $6.00 | $35.00 | 75% | 33% | 339 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $79.70 | $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 | $77.40 | $0 | Many Generics | No | S5921 -233 | $7.00 | $39.00 | $95.00 | 33% | 3,013 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $82.10 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $101.00 | $0 | Many Generics | No | S5810 -198 | $0.00 | $10.00 | $30.00 | $65.00 | 631 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $82.20 | $0 | Many Generics | No | $6.00 | $35.00 | $38.00 | $82.00 | tbd members | ||||||
2009 Prescriba Rx Platinum | $63.80 | $0 | All Generics | No | S5597 -225 | $6.00 | $44.00 | 33% | 260 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 UnitedHealth Rx Value | $15.30 | $0 | No Gap Coverage | No | S5917 -004 | $8.00 | $45.00 | 33% | 3,098 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 MedicareRx Rewards Value | $24.60 | $130 | No Gap Coverage | No | S5960 -028 | $9.50 | $40.50 | $85.00 | 29% | 3,692 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 UnitedHealth Rx Basic | $35.90 | $0 | No Gap Coverage | No | S5921 -232 | $7.00 | $35.00 | $98.00 | 33% | 3,018 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
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