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 | $56.80 | $0 | Some Generics | No | S5810 -163 | $0.00 | $5.00 | $35.00 | $90.00 | 603 members | |||||
Plan changed to S5810-231 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Humana PDP Complete S5884-055 | $107.60 | $0 | Many Generics | No | S5884 -055 | $7.00 | $40.00 | $70.00 | 33% | 1,345 members | |||||
Plan changed to S5884-111 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 First Health Part D-Secure | $18.40 | $175 | No Gap Coverage | No | S5768 -109 | $4.00 | $22.00 | $50.00 | 28% | 2,796 members | |||||
2010 First Health Part D-Secure (PDP) | $16.90 | $175 | No Gap Coverage | No | $4.00 | 20% | 40% | 28% | tbd members | ||||||
2009 Moved From Plan S5884-55 | S5884 -111 | members | |||||||||||||
2010 Humana Value S5884-111 (PDP) | $26.40 | $150 | No Gap Coverage | No | $5.00 | $35.00 | 37% | tbd members | |||||||
2009 SierraRx | $30.00 | $0 | No Gap Coverage | Yes | S5917 -003 | $10.00 | $50.00 | 33% | 2,454 members | ||||||
2010 UnitedHealthcare MedicareRx (PDP) | $26.60 | $310 | No Gap Coverage | Yes | $6.00 | $30.00 | $70.00 | 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 Fox Value Plan | $24.90 | $295 | No Gap Coverage | Yes | S5557 -028 | $0.00 | $27.00 | $34.00 | $75.00 | 2,896 members | |||||
2010 Fox Value Plan (PDP) | $28.30 | $310 | No Gap Coverage | Yes | 0% | 50% | 40% | 60% | tbd members | ||||||
2009 Prescriba Rx Bronze | $26.10 | $295 | No Gap Coverage | Yes | S5597 -261 | 25% | 25% | 25% | 12,104 members | ||||||
2010 PrescribaRx Bronze (PDP) | $28.40 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 WellCare Classic | $28.90 | $295 | No Gap Coverage | Yes | S5967 -164 | $0.00 | $32.00 | $81.00 | 25% | 10,905 members | |||||
2010 WellCare Classic (PDP) | $29.10 | $310 | No Gap Coverage | -- | $4.00 | $35.00 | $76.00 | 25% | tbd members | ||||||
2009 HealthSpring Prescription Drug Plan-Reg 27 | $25.80 | $295 | No Gap Coverage | Yes | S5932 -026 | 25% | 25% | 5,574 members | |||||||
2010 HealthSpring Prescription Drug Plan-Reg 27 (PDP) | $29.30 | $310 | No Gap Coverage | Yes | 25% | 25% | tbd members | ||||||||
2009 AdvantraRx Value | $26.00 | $0 | No Gap Coverage | No | S5670 -135 | $9.00 | $27.00 | $65.00 | 33% | 8,993 members | |||||
2010 AdvantraRx Value (PDP) | $29.90 | $100 | No Gap Coverage | No | $6.00 | 18% | 64% | 30% | tbd members | ||||||
2009 First Health Part D-Premier | $26.80 | $0 | No Gap Coverage | Yes | S5768 -119 | $7.00 | $26.00 | $56.00 | 33% | 2,870 members | |||||
2010 First Health Part D-Premier (PDP) | $30.50 | $150 | No Gap Coverage | Yes | $8.00 | 11% | 45% | 29% | 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 Advantage Star Plan by RxAmerica | $35.10 | $295 | No Gap Coverage | No | S5644 -200 | $5.25 | 25% | 25% | 45% | 311 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $33.20 | $310 | No Gap Coverage | No | $4.25 | 25% | 25% | 45% | tbd members | ||||||
2009 SilverScript Value | $28.20 | $295 | No Gap Coverage | Yes | S5601 -054 | $8.00 | $36.75 | $98.00 | 25% | 12,048 members | |||||
2010 SilverScript Value (PDP) | $33.60 | $310 | No Gap Coverage | No | $8.00 | $24.50 | $95.00 | 25% | tbd members | ||||||
2009 Blue MedicareRx Value | $31.80 | $130 | No Gap Coverage | No | S5596 -025 | $10.00 | $45.00 | $85.00 | 29% | 2,483 members | |||||
2010 Blue MedicareRx Standard (PDP) | $34.20 | $310 | No Gap Coverage | No | $6.50 | 25% | 25% | 25% | tbd members | ||||||
2009 AARP MedicareRx Saver | $33.00 | $295 | No Gap Coverage | No | S5921 -221 | $5.00 | $22.00 | $68.10 | 25% | 3,627 members | |||||
2010 AARP MedicareRx Saver (PDP) | $35.60 | $310 | No Gap Coverage | No | $6.00 | $25.00 | $86.00 | 25% | tbd members | ||||||
2009 BravoRx | $38.70 | $295 | No Gap Coverage | No | S5998 -031 | 25% | 25% | 25% | 12 members | ||||||
2010 BravoRx (PDP) | $36.20 | $310 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | |||||||
2009 Health Net Orange Option 1 | $45.30 | $295 | No Gap Coverage | No | S5678 -060 | $2.00 | $43.00 | $90.00 | 25% | 285 members | |||||
2010 Health Net Orange Option 1 (PDP) | $36.70 | $310 | No Gap Coverage | No | $4.00 | $39.00 | $95.00 | 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 Moved From Plan S5810-163 | S5810 -231 | members | |||||||||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $37.40 | $0 | No Gap Coverage | No | $2.00 | $28.00 | $33.00 | $80.00 | tbd members | ||||||
2009 Community CCRx Basic | $33.10 | $295 | No Gap Coverage | No | S5803 -096 | $0.00 | 25% | 55% | 7,275 members | ||||||
2010 Community CCRx Basic (PDP) | $37.50 | $310 | No Gap Coverage | No | $0.00 | 30% | 50% | tbd members | |||||||
2009 RMHP Essential Rx | $40.10 | $123 | No Gap Coverage | No | S5860 -003 | $9.00 | $40.00 | $60.00 | 30% | 567 members | |||||
-- | |||||||||||||||
2010 Essential Rx Plan (PDP) | $39.10 | $123 | No Gap Coverage | No | $9.75 | $39.50 | $59.50 | 29% | tbd members | ||||||
2009 Prescriba Rx Gold | $36.10 | $0 | No Gap Coverage | No | S5597 -059 | $6.00 | $44.00 | 33% | 539 members | ||||||
2010 PrescribaRx Gold (PDP) | $39.20 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
2009 Medco Medicare Prescription Plan - Value | $33.50 | $295 | No Gap Coverage | No | S5660 -129 | 23% | 23% | 52% | 25% | 116 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $40.80 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 WellCare Signature | $37.20 | $0 | No Gap Coverage | No | S5967 -061 | $0.00 | $39.00 | $79.00 | 33% | 1,865 members | |||||
2010 WellCare Signature (PDP) | $40.90 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $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 Preferred | $38.50 | $0 | No Gap Coverage | No | S5820 -026 | $7.00 | $38.00 | $88.80 | 33% | 31,092 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $41.30 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $81.00 | 33% | tbd members | ||||||
2009 EnvisionRxPlus Silver | $31.90 | $295 | No Gap Coverage | No | S7694 -027 | $4.00 | $30.00 | $20.00 | $75.00 | 52 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $41.90 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 EnvisionRxPlus Gold | $59.80 | $0 | No Gap Coverage | No | S7694 -061 | $0.00 | $45.00 | $40.00 | $75.00 | 81 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $43.80 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
2009 Humana PDP Standard S5884-085 | $40.90 | $295 | No Gap Coverage | No | S5884 -085 | 15% | 25% | 46% | 8,962 members | ||||||
2010 Humana Standard S5884-085 (PDP) | $44.60 | $310 | No Gap Coverage | No | 15% | 25% | 41% | tbd members | |||||||
2009 CIGNA Medicare Rx Plan Two | $48.90 | $0 | No Gap Coverage | No | S5617 -135 | $0.00 | $6.00 | $44.00 | $85.00 | 339 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $44.80 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $39.00 | $82.00 | tbd members | ||||||
2009 Advantage Freedom Plan by RxAmerica | $39.50 | $0 | No Gap Coverage | No | S5644 -186 | $4.75 | 35% | 33% | 45% | 445 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $45.80 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 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 Choice | $56.50 | $0 | No Gap Coverage | No | S5803 -164 | $5.00 | $30.00 | $60.00 | 33% | 478 members | |||||
2010 Community CCRx Choice (PDP) | $46.40 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $43.60 | $0 | No Gap Coverage | No | S5755 -030 | $6.00 | $32.00 | $64.00 | 33% | 1,476 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $46.50 | $0 | No Gap Coverage | No | $9.00 | $38.00 | $76.00 | 33% | tbd members | ||||||
2009 Humana PDP Enhanced S5884-025 | $43.30 | $0 | No Gap Coverage | No | S5884 -025 | $7.00 | $40.00 | $70.00 | 33% | 12,465 members | |||||
2010 Humana Enhanced S5884-025 (PDP) | $47.00 | $0 | No Gap Coverage | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 Sterling Rx | $41.60 | $295 | No Gap Coverage | No | S4802 -017 | $7.00 | $25.00 | $57.00 | 25% | 46 members | |||||
2010 Sterling Rx (PDP) | $49.70 | $310 | No Gap Coverage | No | $10.00 | $33.00 | 25% | tbd members | |||||||
2009 Aetna Medicare Rx Essentials | $30.80 | $200 | No Gap Coverage | No | S5810 -061 | $0.00 | $13.00 | $26.00 | $67.00 | 1,932 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $49.80 | $310 | No Gap Coverage | No | $3.00 | $27.00 | $28.00 | $70.00 | tbd members | ||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $42.00 | $140 | No Gap Coverage | No | S5755 -065 | $4.00 | $40.00 | $80.00 | 25% | 77 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $51.00 | $130 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 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 AdvantraRx Premier | $48.30 | $0 | No Gap Coverage | No | S5670 -136 | $7.00 | $30.00 | $63.00 | 33% | 1,764 members | |||||
2010 AdvantraRx Premier (PDP) | $51.80 | $0 | No Gap Coverage | No | $12.00 | 16% | 56% | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Choice | $45.60 | $0 | No Gap Coverage | No | S5660 -027 | $6.00 | $38.00 | 75% | 33% | 572 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $52.40 | $100 | No Gap Coverage | No | $6.00 | $39.00 | 75% | 30% | tbd members | ||||||
2009 Blue MedicareRx Plus | $47.20 | $0 | No Gap Coverage | No | S5596 -026 | $9.00 | $35.00 | $75.00 | 33% | 3,031 members | |||||
2010 Blue MedicareRx Plus (PDP) | $52.80 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 Fox Grand Plan | $39.00 | $265 | Some Generics | No | S5557 -019 | $0.00 | $19.00 | $35.00 | $75.00 | 48 members | |||||
2010 Fox Grand Plan (PDP) | $53.00 | $0 | Some Generics | No | $1.00 | $36.00 | $40.00 | $95.00 | tbd members | ||||||
2009 CIGNA Medicare Rx Plan One | $53.70 | $295 | No Gap Coverage | No | S5617 -133 | $2.50 | $33.00 | $82.00 | 25% | 423 members | |||||
2010 CIGNA Medicare Rx Plan One (PDP) | $55.20 | $310 | No Gap Coverage | No | $3.00 | $32.00 | $80.00 | 25% | tbd members | ||||||
2009 SilverScript Plus | $39.40 | $50 | Many Generics | No | S5601 -055 | $4.00 | $9.00 | $30.00 | $35.00 | 1,042 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $56.90 | $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 SilverScript Complete | $53.60 | $0 | Many Generics | No | S5601 -098 | $2.50 | $7.50 | $39.00 | $98.00 | 2,401 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $58.50 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $88.90 | $0 | Some Generics | No | S5617 -197 | $6.00 | $35.00 | $60.00 | 33% | 76 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $70.60 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 Health Net Orange Option 2 | $57.40 | $0 | No Gap Coverage | No | S5678 -059 | $5.00 | $30.00 | $90.00 | 33% | 182 members | |||||
2010 Health Net Orange Option 2 (PDP) | $71.10 | $0 | No Gap Coverage | No | $5.00 | $35.00 | $95.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier Plus | $62.70 | $0 | Many Generics | No | S5670 -138 | $4.00 | $30.00 | $75.00 | 33% | 2,208 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $73.50 | $0 | Many Generics | No | $5.00 | $25.00 | 18% | 75% | tbd members | ||||||
2009 Community CCRx Gold | $74.70 | $0 | All Generics | No | S5803 -244 | $5.00 | $30.00 | $60.00 | 33% | 476 members | |||||
2010 Community CCRx Gold (PDP) | $84.20 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $73.50 | $0 | All Generics | No | S5660 -197 | $6.00 | $35.00 | 75% | 33% | 122 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $84.20 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 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 Enhanced | $81.80 | $0 | Many Generics | No | S5921 -223 | $7.00 | $39.00 | $95.00 | 33% | 1,467 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $86.60 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $104.20 | $0 | Many Generics | No | S5810 -197 | $0.00 | $10.00 | $30.00 | $65.00 | 478 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $95.00 | $0 | Many Generics | No | $6.00 | $36.00 | $38.00 | $84.00 | tbd members | ||||||
2009 Blue MedicareRx Premier | $86.50 | $0 | Many Generics | No | S5596 -027 | $9.00 | $35.00 | $75.00 | 33% | 2,139 members | |||||
2010 Blue MedicareRx Premier (PDP) | $98.70 | $0 | Many Generics | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 RMHP Basic Rx | $112.70 | $0 | No Gap Coverage | No | S5860 -001 | $8.75 | $39.00 | $59.00 | 33% | 159 members | |||||
-- | |||||||||||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 SierraRx Basic | $62.20 | $295 | No Gap Coverage | No | S5917 -028 | 25% | 25% | 25% | 191 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 MedicareRx Rewards Standard | $28.00 | $295 | No Gap Coverage | Yes | S5960 -133 | 25% | 25% | 25% | 25% | 6,089 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 Prescriba Rx Platinum | $67.80 | $0 | All Generics | No | S5597 -224 | $6.00 | $44.00 | 33% | 135 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 UnitedHealth Rx Basic | $45.80 | $0 | No Gap Coverage | No | S5921 -222 | $7.00 | $35.00 | $97.00 | 33% | 3,039 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
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