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 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 | ||||||||||||
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 | ||||||
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 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 | ||||||
2009 WellCare Classic | $18.90 | $295 | No Gap Coverage | No | S5967 -165 | $0.00 | $30.00 | $75.00 | 25% | 2,681 members | |||||
2010 WellCare Classic (PDP) | $19.70 | $310 | No Gap Coverage | -- | $4.00 | $36.00 | $75.00 | 25% | 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 -- | |||||||||||||||
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 | $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 -- | |||||||||||||||
|