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 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 RMHP Basic Rx | $112.70 | $0 | No Gap Coverage | No | S5860 -001 | $8.75 | $39.00 | $59.00 | 33% | 159 members | |||||
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-- 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 | $62.20 | $295 | No Gap Coverage | No | S5917 -028 | 25% | 25% | 25% | 191 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 -- | |||||||||||||||
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 -- | |||||||||||||||
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