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 | $55.70 | $0 | Some Generics | No | S5810 -168 | $0.00 | $5.00 | $35.00 | $90.00 | 2,850 members | |||||
Plan changed to S5810-236 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Humana PDP Standard S5884-090 | $40.90 | $295 | No Gap Coverage | No | S5884 -090 | 15% | 25% | 42% | 42,552 members | ||||||
Plan changed to S5884-114 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 WellCare Signature | $29.90 | $0 | No Gap Coverage | No | S5967 -066 | $0.00 | $39.00 | $79.00 | 33% | 16,165 members | |||||
2010 WellCare Signature (PDP) | $33.10 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $34.40 | $0 | No Gap Coverage | No | S5820 -031 | $7.00 | $38.00 | $84.65 | 33% | 181,198 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $37.60 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $76.00 | 33% | tbd members | ||||||
2009 Humana PDP Enhanced S5884-030 | $36.70 | $0 | No Gap Coverage | No | S5884 -030 | $7.00 | $40.00 | $70.00 | 33% | 48,449 members | |||||
2010 Humana Enhanced S5884-030 (PDP) | $40.40 | $0 | No Gap Coverage | No | $7.00 | $44.00 | $75.00 | 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 Blue Cross MedicareRx Plus | $36.50 | $0 | No Gap Coverage | No | S5596 -034 | $9.00 | $35.00 | $75.00 | 33% | 42,929 members | |||||
2010 Blue Cross MedicareRx Plus (PDP) | $42.10 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 Moved From Plan S5810-168 | S5810 -236 | members | |||||||||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $43.20 | $0 | No Gap Coverage | No | $2.00 | $27.00 | $32.00 | $80.00 | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $42.80 | $0 | No Gap Coverage | No | S5755 -035 | $9.00 | $35.00 | $70.00 | 33% | 8,109 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $45.90 | $0 | No Gap Coverage | No | $10.00 | $39.00 | $78.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier | $44.20 | $0 | No Gap Coverage | No | S5674 -057 | $7.00 | $26.00 | $67.00 | 33% | 2,428 members | |||||
2010 AdvantraRx Premier (PDP) | $47.20 | $0 | No Gap Coverage | No | $12.00 | 17% | 55% | 33% | tbd members | ||||||
2009 Advantage Freedom Plan by RxAmerica | $33.70 | $0 | No Gap Coverage | No | S5644 -064 | $4.25 | 35% | 33% | 45% | 3,828 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $49.40 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 Blue Shield Medicare Rx Enhanced Plan | $49.90 | $0 | No Gap Coverage | No | S2468 -001 | $10.00 | $30.00 | $60.00 | 25% | 30,558 members | |||||
2010 Blue Shield Medicare Rx Enhanced Plan (PDP) | $51.00 | $0 | No Gap Coverage | No | $9.00 | $35.00 | $75.00 | 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 AdvantraRx Premier Plus | $60.20 | $0 | Many Generics | No | S5674 -059 | $4.00 | $30.00 | $75.00 | 33% | 3,732 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $62.80 | $0 | Many Generics | No | $5.00 | $25.00 | 19% | 75% | tbd members | ||||||
2009 Health Net Orange Option 2 | $49.30 | $0 | No Gap Coverage | No | S5678 -008 | $5.00 | $30.00 | $90.00 | 33% | 19,895 members | |||||
2010 Health Net Orange Option 2 (PDP) | $64.60 | $0 | No Gap Coverage | No | $5.00 | $35.00 | $95.00 | 33% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $79.60 | $0 | Some Generics | No | S5617 -202 | $6.00 | $35.00 | $60.00 | 33% | 435 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $73.20 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $71.50 | $0 | All Generics | No | S5660 -202 | $6.00 | $35.00 | 75% | 33% | 1,162 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $77.50 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 Blue Cross MedicareRx Gold | $65.40 | $0 | Many Generics | No | S5596 -035 | $9.00 | $35.00 | $75.00 | 33% | 63,548 members | |||||
2010 Blue Cross MedicareRx Gold (PDP) | $78.50 | $0 | Many Generics | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $81.60 | $0 | Many Generics | No | S5921 -003 | $7.00 | $39.00 | $95.00 | 33% | 8,778 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $86.20 | $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 Community CCRx Gold | $86.90 | $0 | All Generics | No | S5803 -249 | $5.00 | $30.00 | $60.00 | 33% | 1,569 members | |||||
2010 Community CCRx Gold (PDP) | $87.80 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 SilverScript Complete | $78.70 | $0 | Many Generics | No | S5601 -103 | $2.50 | $7.50 | $39.00 | $98.00 | 4,634 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $90.70 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $129.30 | $0 | Many Generics | No | S5810 -202 | $0.00 | $10.00 | $30.00 | $65.00 | 1,407 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $98.00 | $0 | Many Generics | No | $7.00 | $32.00 | $35.00 | $84.00 | tbd members | ||||||
2009 Humana PDP Complete S5884-060 | $100.80 | $0 | Many Generics | No | S5884 -060 | $7.00 | $40.00 | $70.00 | 33% | 5,807 members | |||||
2010 Humana Complete S5884-060 (PDP) | $105.50 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 UnitedHealth Rx Basic | $40.40 | $0 | No Gap Coverage | No | S5921 -002 | $7.00 | $35.00 | $98.00 | 33% | 6,982 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 SierraRx Basic | $71.00 | $295 | No Gap Coverage | No | S5917 -033 | 25% | 25% | 25% | 742 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 | $26.50 | $0 | No Gap Coverage | No | S5917 -008 | $9.75 | $50.00 | 33% | 9,610 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 Prescriba Rx Platinum | $73.00 | $0 | All Generics | No | S5597 -229 | $6.00 | $44.00 | 33% | 253 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 MedicareRx Rewards Standard | $21.70 | $295 | No Gap Coverage | Yes | S5960 -138 | 25% | 25% | 25% | 25% | 150,872 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
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