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 | ||||||||||||
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 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 | |||||||
-- 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 | ||||||
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 Saver | $26.50 | $295 | No Gap Coverage | No | S5921 -231 | $5.00 | $22.00 | $50.25 | 25% | 10,234 members | |||||
2010 AARP MedicareRx Saver (PDP) | $29.10 | $310 | No Gap Coverage | No | $6.00 | $25.00 | $75.25 | 25% | tbd members | ||||||
2009 Humana PDP Standard S5884-086 | $26.40 | $295 | No Gap Coverage | No | S5884 -086 | 15% | 25% | 48% | 10,866 members | ||||||
2010 Humana Standard S5884-086 (PDP) | $30.10 | $310 | No Gap Coverage | No | 15% | 25% | 39% | tbd members | |||||||
2009 EnvisionRxPlus Silver | $26.90 | $295 | No Gap Coverage | No | S7694 -028 | $4.00 | $31.00 | $21.00 | $75.00 | 14 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $31.00 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 AdvantraRx Value | $22.90 | $0 | No Gap Coverage | No | S5670 -141 | $8.00 | $24.00 | $55.00 | 33% | 7,198 members | |||||
2010 AdvantraRx Value (PDP) | $31.10 | $100 | No Gap Coverage | No | $7.00 | 20% | 62% | 30% | tbd members | ||||||
2009 Prescriba Rx Gold | $31.80 | $0 | No Gap Coverage | No | S5597 -060 | $6.00 | $44.00 | 33% | 1,084 members | ||||||
2010 PrescribaRx Gold (PDP) | $32.40 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
2009 First Health Part D-Secure | $13.90 | $175 | No Gap Coverage | No | S5768 -110 | $4.00 | $20.00 | $50.00 | 28% | 1,149 members | |||||
2010 First Health Part D-Secure (PDP) | $33.00 | $175 | No Gap Coverage | No | $4.00 | 20% | 49% | 28% | 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 HealthSpring Prescription Drug Plan-Reg 28 | $23.90 | $295 | No Gap Coverage | No | S5932 -027 | 25% | 25% | 185 members | |||||||
2010 HealthSpring Prescription Drug Plan-Reg 28 (PDP) | $33.40 | $310 | No Gap Coverage | No | 25% | 25% | tbd members | ||||||||
2009 First Health Part D-Premier | $24.10 | $0 | No Gap Coverage | No | S5768 -121 | $7.00 | $27.00 | $57.00 | 33% | 313 members | |||||
2010 First Health Part D-Premier (PDP) | $33.60 | $150 | No Gap Coverage | No | $7.00 | 11% | 44% | 29% | 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 | ||||||
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 Prescriba Rx Bronze | $25.00 | $295 | No Gap Coverage | No | S5597 -262 | 25% | 25% | 25% | 61 members | ||||||
2010 PrescribaRx Bronze (PDP) | $36.20 | $310 | No Gap Coverage | No | 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 CIGNA Medicare Rx Plan Two | $47.70 | $0 | No Gap Coverage | No | S5617 -140 | $0.00 | $6.00 | $38.00 | $80.00 | 411 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $36.50 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $38.00 | $82.00 | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Value | $29.90 | $295 | No Gap Coverage | No | S5660 -130 | 23% | 23% | 53% | 25% | 149 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $36.90 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $40.30 | $115 | No Gap Coverage | No | S5755 -066 | $4.00 | $40.00 | $80.00 | 25% | 106 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $36.90 | $115 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan One | $23.20 | $295 | No Gap Coverage | No | S5617 -138 | $3.00 | $33.00 | $95.00 | 25% | 887 members | |||||
2010 CIGNA Medicare Rx Plan One (PDP) | $38.10 | $310 | No Gap Coverage | No | $3.00 | $29.00 | $80.00 | 25% | tbd members | ||||||
2009 SilverScript Value | $32.90 | $295 | No Gap Coverage | No | S5601 -056 | $8.00 | $27.25 | $98.00 | 25% | 722 members | |||||
2010 SilverScript Value (PDP) | $38.20 | $310 | No Gap Coverage | No | $7.00 | $19.50 | $95.00 | 25% | tbd members | ||||||
2009 Aetna Medicare Rx Essentials | $24.80 | $200 | No Gap Coverage | No | S5810 -062 | $0.00 | $13.00 | $26.00 | $68.00 | 908 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $38.90 | $310 | No Gap Coverage | No | $2.00 | $28.00 | $29.00 | $70.00 | 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 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 Community CCRx Choice | $55.10 | $0 | No Gap Coverage | No | S5803 -165 | $5.00 | $30.00 | $60.00 | 33% | 510 members | |||||
2010 Community CCRx Choice (PDP) | $43.40 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | 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 SilverScript Plus | $52.20 | $50 | Many Generics | No | S5601 -057 | $4.00 | $9.00 | $30.00 | $35.00 | 433 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $44.80 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | 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 Sterling Rx | $41.00 | $295 | No Gap Coverage | No | S4802 -018 | $7.00 | $25.00 | $57.00 | 25% | 45 members | |||||
2010 Sterling Rx (PDP) | $48.90 | $310 | No Gap Coverage | No | $10.00 | $34.00 | 25% | tbd members | |||||||
2009 Advantage Star Plan by RxAmerica | $26.90 | $295 | No Gap Coverage | No | S5644 -081 | $4.75 | 25% | 25% | 45% | 407 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $49.10 | $310 | No Gap Coverage | No | $5.50 | 25% | 25% | 45% | tbd members | ||||||
2009 EnvisionRxPlus Gold | $54.80 | $0 | No Gap Coverage | No | S7694 -062 | $0.00 | $45.00 | $40.00 | $75.00 | 122 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $49.80 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Choice | $45.60 | $0 | No Gap Coverage | No | S5660 -028 | $6.00 | $38.00 | 75% | 33% | 1,063 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $50.00 | $100 | No Gap Coverage | No | $6.00 | $40.00 | 75% | 30% | 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 | ||||||
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 | ||||||
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 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 | ||||||
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 | ||||||
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 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 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 -- | |||||||||||||||
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 -- | |||||||||||||||
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