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 SierraRx Basic | $11.50 | $295 | No Gap Coverage | Yes | S5917 -029 | 25% | 25% | 25% | 25,958 members | |||
2010 UnitedHealthcare MedicareRx (PDP) | $10.30 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | ||||
2009 Health Net Orange Option 1 | $14.10 | $295 | No Gap Coverage | Yes | S5678 -001 | $2.00 | $40.00 | $90.00 | 25% | 35,977 members | ||
2010 Health Net Orange Option 1 (PDP) | $17.00 | $310 | No Gap Coverage | Yes | $4.00 | $36.00 | $95.00 | 25% | tbd members | |||
2009 MedicareRx Rewards Standard | $18.60 | $295 | No Gap Coverage | No | S5960 -134 | 25% | 25% | 25% | 25% | 858 members | ||
2010 MedicareRx Rewards Standard (PDP) | $17.60 | $310 | No Gap Coverage | Yes | $7.00 | 25% | 25% | 25% | tbd members | |||
2009 Moved From Plan S5884-56 | S5884 -124 | members | ||||||||||
2010 Humana Basic S5884-124 (PDP) | $17.70 | $310 | No Gap Coverage | Yes | $4.00 | 29% | 29% | tbd members | ||||
2009 Fox Value Plan | $21.20 | $295 | No Gap Coverage | No | S5557 -004 | $0.00 | $32.00 | $36.00 | $75.00 | 66 members | ||
2010 Fox Value Plan (PDP) | $19.60 | $310 | No Gap Coverage | Yes | 0% | 50% | 40% | 60% | 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 | $21.30 | $295 | No Gap Coverage | No | S5803 -097 | $0.00 | 30% | 60% | 1,666 members | |||
2010 Community CCRx Basic (PDP) | $22.30 | $310 | No Gap Coverage | Yes | $0.00 | 30% | 70% | tbd members | ||||
2009 BravoRx | $25.20 | $295 | No Gap Coverage | No | S5998 -032 | 25% | 25% | 25% | 37 members | |||
2010 BravoRx (PDP) | $24.30 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | ||||
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