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 First Health Part D-Secure | $18.30 | $175 | No Gap Coverage | No | S5768 -114 | $4.00 | $22.00 | $50.00 | 28% | 5,950 members | |||||
2010 First Health Part D-Secure (PDP) | $17.60 | $175 | No Gap Coverage | No | $4.00 | 20% | 58% | 28% | tbd members | ||||||
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 SierraRx | $26.50 | $0 | No Gap Coverage | No | S5917 -008 | $9.75 | $50.00 | 33% | 9,610 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 Basic | $71.00 | $295 | No Gap Coverage | No | S5917 -033 | 25% | 25% | 25% | 742 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
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 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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