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 Moved From Plan S5884-90 | S5884 -114 | members | |||||||||||||
2010 Humana Value S5884-114 (PDP) | $24.00 | $150 | No Gap Coverage | No | $5.00 | $35.00 | 36% | tbd members | |||||||
2009 WellCare Classic | $24.00 | $295 | No Gap Coverage | Yes | S5967 -169 | $0.00 | $36.00 | $85.00 | 25% | 186,512 members | |||||
2010 WellCare Classic (PDP) | $24.30 | $310 | No Gap Coverage | -- | $4.00 | $35.00 | $76.00 | 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 | |||||||||
-- This plan not offered in 2009 -- | S5557 -054 | ||||||||||||||
2010 Fox Value Plan (PDP) | $27.10 | $310 | No Gap Coverage | Yes | tbd | tbd members | |||||||||
2009 First Health Part D-Premier | $21.10 | $0 | No Gap Coverage | Yes | S5768 -082 | $7.00 | $27.00 | $64.00 | 33% | 98,196 members | |||||
2010 First Health Part D-Premier (PDP) | $27.40 | $150 | No Gap Coverage | Yes | $7.00 | 12% | 42% | 29% | tbd members | ||||||
2009 Advantage Star Plan by RxAmerica | $19.80 | $295 | No Gap Coverage | Yes | S5644 -084 | $5.25 | 25% | 25% | 45% | 103,874 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $27.80 | $310 | No Gap Coverage | Yes | $4.00 | 25% | 25% | 45% | tbd members | ||||||
2009 Blue Cross MedicareRx Value | $28.90 | $130 | No Gap Coverage | No | S5596 -033 | $10.00 | $47.00 | $85.00 | 29% | 36,802 members | |||||
2010 Blue Cross MedicareRx Standard (PDP) | $28.40 | $310 | No Gap Coverage | Yes | $6.50 | 25% | 25% | 25% | tbd members | ||||||
2009 Health Net Orange Option 1 | $24.00 | $295 | No Gap Coverage | Yes | S5678 -002 | $2.00 | $37.00 | $90.00 | 25% | 206,680 members | |||||
2010 Health Net Orange Option 1 (PDP) | $28.40 | $310 | No Gap Coverage | Yes | $4.00 | $33.00 | $95.00 | 25% | tbd members | ||||||
2009 BravoRx | $24.10 | $295 | No Gap Coverage | Yes | S5998 -013 | 25% | 25% | 25% | 84,994 members | ||||||
2010 BravoRx (PDP) | $28.50 | $310 | No Gap Coverage | Yes | 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 EnvisionRxPlus Silver | $28.60 | $295 | No Gap Coverage | No | S7694 -032 | $4.00 | $31.00 | $21.00 | $75.00 | 255 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $30.90 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | 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 HealthSpring Prescription Drug Plan-Reg 32 | $25.80 | $295 | No Gap Coverage | No | S5932 -031 | 25% | 25% | 4,775 members | |||||||
2010 HealthSpring Prescription Drug Plan-Reg 32 (PDP) | $34.40 | $310 | No Gap Coverage | No | 25% | 25% | tbd members | ||||||||
2009 AARP MedicareRx Saver | $33.50 | $295 | No Gap Coverage | No | S5921 -001 | $5.00 | $22.00 | $51.65 | 25% | 135,030 members | |||||
2010 AARP MedicareRx Saver (PDP) | $37.30 | $310 | No Gap Coverage | No | $6.00 | $25.00 | $80.25 | 25% | 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 Sterling Rx | $39.90 | $295 | No Gap Coverage | No | S4802 -067 | $7.00 | $25.00 | $57.00 | 25% | 128 members | |||||
2010 Sterling Rx (PDP) | $37.90 | $310 | No Gap Coverage | No | $9.00 | $32.00 | 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 Prescriba Rx Gold | $41.40 | $0 | No Gap Coverage | No | S5597 -064 | $6.00 | $44.00 | 33% | 820 members | ||||||
2010 PrescribaRx Gold (PDP) | $40.30 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | 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 | ||||||
2009 AdvantraRx Value | $24.50 | $0 | No Gap Coverage | No | S5674 -056 | $9.00 | $25.00 | $55.00 | 33% | 18,153 members | |||||
2010 AdvantraRx Value (PDP) | $41.10 | $100 | No Gap Coverage | No | $7.00 | 20% | 64% | 30% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Value | $31.60 | $295 | No Gap Coverage | No | S5660 -134 | 23% | 23% | 53% | 25% | 916 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $42.00 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
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 | ||||||
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 | $48.20 | $0 | No Gap Coverage | No | S5617 -160 | $0.00 | $6.00 | $39.00 | $80.00 | 1,474 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $43.90 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $38.00 | $80.00 | tbd members | ||||||
2009 Community CCRx Choice | $44.80 | $0 | No Gap Coverage | No | S5803 -169 | $5.00 | $30.00 | $60.00 | 33% | 3,278 members | |||||
2010 Community CCRx Choice (PDP) | $44.00 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | tbd members | ||||||
2009 Prescriba Rx Bronze | $41.10 | $295 | No Gap Coverage | No | S5597 -266 | 25% | 25% | 25% | 87 members | ||||||
2010 PrescribaRx Bronze (PDP) | $45.10 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 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 UA Medicare Part D Rx Covg - Silver Plan | $42.70 | $140 | No Gap Coverage | No | S5755 -070 | $4.00 | $40.00 | $80.00 | 25% | 528 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $46.00 | $195 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 25% | tbd members | ||||||
2009 Blue Shield Medicare Rx Plan | $43.70 | $295 | No Gap Coverage | No | S2468 -002 | 25% | 25% | 25% | 25% | 2,092 members | |||||
2010 Blue Shield Medicare Rx Plan (PDP) | $46.40 | $310 | No Gap Coverage | No | 25% | 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 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 Aetna Medicare Rx Essentials | $37.60 | $195 | No Gap Coverage | No | S5810 -066 | $0.00 | $12.00 | $26.00 | $67.00 | 2,233 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $47.80 | $310 | No Gap Coverage | No | $3.00 | $28.00 | $29.00 | $70.00 | 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 Medco Medicare Prescription Plan - Choice | $45.20 | $0 | No Gap Coverage | No | S5660 -032 | $6.00 | $38.00 | 75% | 33% | 3,503 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $50.30 | $100 | No Gap Coverage | No | $6.00 | $40.00 | 75% | 30% | tbd members | ||||||
2009 SilverScript Value | $36.90 | $295 | No Gap Coverage | No | S5601 -064 | $8.00 | $38.50 | $98.00 | 25% | 2,217 members | |||||
2010 SilverScript Value (PDP) | $50.80 | $310 | No Gap Coverage | No | $8.00 | $26.00 | $95.00 | 25% | 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 CIGNA Medicare Rx Plan One | $42.40 | $295 | No Gap Coverage | No | S5617 -158 | $2.50 | $33.00 | $78.00 | 25% | 2,443 members | |||||
2010 CIGNA Medicare Rx Plan One (PDP) | $51.70 | $310 | No Gap Coverage | No | $3.00 | $31.00 | $75.00 | 25% | tbd members | ||||||
2009 Community CCRx Basic | $52.30 | $295 | No Gap Coverage | No | S5803 -101 | $0.00 | 25% | 45% | 16,438 members | ||||||
2010 Community CCRx Basic (PDP) | $53.30 | $310 | No Gap Coverage | No | $0.00 | 25% | 75% | tbd members | |||||||
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 SilverScript Plus | $59.00 | $50 | Many Generics | No | S5601 -065 | $4.00 | $9.00 | $30.00 | $35.00 | 1,829 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $66.30 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 EnvisionRxPlus Gold | $69.70 | $0 | No Gap Coverage | No | S7694 -066 | $0.00 | $45.00 | $40.00 | $75.00 | 661 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $72.00 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 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 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 | ||||||
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 | ||||||
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 | $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 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 -- | |||||||||||||||
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 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 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 -- | |||||||||||||||
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