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 Plus | $65.10 | $0 | Some Generics | No | S5810 -138 | $0.00 | $10.00 | $36.00 | $76.00 | 575 members | |||||
Plan changed to S5810-206 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Humana PDP Standard S5884-061 | $41.40 | $295 | No Gap Coverage | No | S5884 -061 | 15% | 25% | 47% | 34,439 members | ||||||
Plan changed to S5884-102 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 First Health Part D-Secure | $19.40 | $175 | No Gap Coverage | No | S5768 -085 | $4.00 | $20.00 | $50.00 | 28% | 5,882 members | |||||
2010 First Health Part D-Secure (PDP) | $10.80 | $175 | No Gap Coverage | No | $3.00 | 20% | 40% | 28% | tbd members | ||||||
2009 AARP MedicareRx Saver | $26.30 | $295 | No Gap Coverage | Yes | S5921 -181 | $5.00 | $22.00 | $63.55 | 25% | 35,975 members | |||||
2010 AARP MedicareRx Saver (PDP) | $29.00 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $80.25 | 25% | tbd members | ||||||
2009 Aetna Medicare Rx Essentials | $31.80 | $195 | No Gap Coverage | No | S5810 -036 | $0.00 | $12.00 | $27.00 | $67.00 | 2,118 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $29.20 | $310 | No Gap Coverage | Yes | $4.00 | $29.00 | $30.00 | $72.00 | 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 First Health Part D-Premier | $28.40 | $0 | No Gap Coverage | Yes | S5768 -038 | $7.00 | $27.00 | $53.00 | 33% | 17,921 members | |||||
2010 First Health Part D-Premier (PDP) | $30.20 | $150 | No Gap Coverage | Yes | $8.00 | 10% | 43% | 29% | tbd members | ||||||
2009 Moved From Plan S5884-61 | S5884 -102 | members | |||||||||||||
2010 Humana Value S5884-102 (PDP) | $30.70 | $150 | No Gap Coverage | No | $5.00 | $35.00 | 35% | tbd members | |||||||
2009 WellCare Classic | $31.90 | $295 | No Gap Coverage | No | S5967 -139 | $0.00 | $41.00 | $92.00 | 25% | 16,922 members | |||||
2010 WellCare Classic (PDP) | $30.80 | $310 | No Gap Coverage | -- | $4.00 | $39.00 | $80.00 | 25% | tbd members | ||||||
2009 Prescriba Rx Bronze | $30.40 | $295 | No Gap Coverage | Yes | S5597 -237 | 25% | 25% | 25% | 12,503 members | ||||||
2010 PrescribaRx Bronze (PDP) | $31.00 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 CIGNA Medicare Rx Plan One | $30.60 | $295 | No Gap Coverage | Yes | S5617 -008 | $3.00 | $33.00 | $86.00 | 25% | 13,704 members | |||||
2010 CIGNA Medicare Rx Plan One (PDP) | $33.10 | $310 | No Gap Coverage | Yes | $3.00 | $31.00 | $77.00 | 25% | tbd members | ||||||
2009 HealthSpring Prescription Drug Plan -Reg 2 | $29.10 | $295 | No Gap Coverage | Yes | S5932 -003 | 25% | 25% | 18,318 members | |||||||
2010 HealthSpring Prescription Drug Plan -Reg 2 (PDP) | $33.30 | $310 | No Gap Coverage | Yes | 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 Medco Medicare Prescription Plan - Value | $28.20 | $295 | No Gap Coverage | Yes | S5660 -105 | 23% | 23% | 53% | 25% | 15,443 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $33.70 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 BravoRx | $30.20 | $295 | No Gap Coverage | Yes | S5998 -015 | 25% | 25% | 25% | 8,343 members | ||||||
2010 BravoRx (PDP) | $34.10 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 Community CCRx Basic | $32.10 | $295 | No Gap Coverage | No | S5803 -071 | $0.00 | 30% | 45% | 6,902 members | ||||||
2010 Community CCRx Basic (PDP) | $34.40 | $310 | No Gap Coverage | Yes | $0.00 | 30% | 50% | tbd members | |||||||
2009 Health Net Orange Option 1 | $31.70 | $295 | No Gap Coverage | Yes | S5678 -004 | $2.00 | $44.00 | $90.00 | 25% | 46,637 members | |||||
2010 Health Net Orange Option 1 (PDP) | $34.40 | $310 | No Gap Coverage | Yes | $4.00 | $42.00 | $95.00 | 25% | tbd members | ||||||
2009 SilverScript Value | $28.30 | $295 | No Gap Coverage | Yes | S5601 -004 | $8.00 | $39.25 | $98.00 | 25% | 88,607 members | |||||
2010 SilverScript Value (PDP) | $34.40 | $310 | No Gap Coverage | Yes | $8.00 | $26.50 | $95.00 | 25% | tbd members | ||||||
2009 Advantage Star Plan by RxAmerica | $30.00 | $295 | No Gap Coverage | Yes | S5644 -068 | $5.50 | 25% | 25% | 45% | 17,889 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $34.50 | $310 | No Gap Coverage | Yes | $4.75 | 25% | 25% | 45% | 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 Value | $25.30 | $0 | No Gap Coverage | No | S5674 -008 | $9.00 | $25.00 | $55.00 | 33% | 15,830 members | |||||
2010 AdvantraRx Value (PDP) | $34.70 | $100 | No Gap Coverage | No | $6.00 | 20% | 64% | 30% | tbd members | ||||||
2009 MedicareRx Rewards Standard | $30.40 | $295 | No Gap Coverage | Yes | S5960 -108 | 25% | 25% | 25% | 25% | 54,333 members | |||||
2010 MedicareRx Rewards Standard (PDP) | $35.40 | $310 | No Gap Coverage | No | $7.00 | 25% | 25% | 25% | tbd members | ||||||
2009 Moved From Plan S5810-138 | S5810 -206 | members | |||||||||||||
2010 Aetna Medicare Rx Plus (PDP) | $35.70 | $0 | No Gap Coverage | No | $5.00 | $34.00 | $36.00 | $80.00 | tbd members | ||||||
2009 EnvisionRxPlus Silver | $31.00 | $295 | No Gap Coverage | Yes | S7694 -002 | $4.00 | $33.00 | $23.00 | $75.00 | 8,349 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $36.30 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Two | $42.80 | $0 | No Gap Coverage | No | S5617 -010 | $0.00 | $6.00 | $38.00 | $80.00 | 1,488 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $37.00 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $40.00 | $91.00 | tbd members | ||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $36.90 | $180 | No Gap Coverage | No | S5755 -041 | $4.00 | $40.00 | $80.00 | 25% | 365 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $38.30 | $175 | 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 Community CCRx Choice | $52.40 | $0 | No Gap Coverage | No | S5803 -139 | $5.00 | $30.00 | $60.00 | 33% | 1,428 members | |||||
2010 Community CCRx Choice (PDP) | $39.50 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | tbd members | ||||||
2009 WellCare Signature | $35.70 | $0 | No Gap Coverage | No | S5967 -036 | $0.00 | $39.00 | $79.00 | 33% | 9,674 members | |||||
2010 WellCare Signature (PDP) | $39.60 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $38.50 | $0 | No Gap Coverage | No | S5820 -002 | $7.00 | $38.00 | $94.20 | 33% | 118,217 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $40.80 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $94.00 | 33% | tbd members | ||||||
2009 Prescriba Rx Gold | $39.20 | $0 | No Gap Coverage | No | S5597 -035 | $6.00 | $44.00 | 33% | 1,209 members | ||||||
2010 PrescribaRx Gold (PDP) | $40.90 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
2009 Humana PDP Enhanced S5884-002 | $39.30 | $0 | No Gap Coverage | No | S5884 -002 | $7.00 | $40.00 | $70.00 | 33% | 31,840 members | |||||
2010 Humana Enhanced S5884-002 (PDP) | $43.00 | $0 | No Gap Coverage | No | $8.00 | $45.00 | $80.00 | 33% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $41.00 | $0 | No Gap Coverage | No | S5755 -006 | $6.00 | $32.00 | $64.00 | 33% | 3,528 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $43.70 | $0 | No Gap Coverage | No | $8.00 | $37.00 | $74.00 | 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 | $43.60 | $0 | No Gap Coverage | No | S5674 -009 | $5.00 | $27.00 | $68.00 | 33% | 3,735 members | |||||
2010 AdvantraRx Premier (PDP) | $47.30 | $0 | No Gap Coverage | No | $12.00 | 16% | 51% | 33% | tbd members | ||||||
2009 Blue MedicareRx Value | $41.70 | $295 | No Gap Coverage | No | S2893 -014 | $8.00 | $24.00 | $63.00 | 25% | 9,846 members | |||||
2010 Blue MedicareRx Value (PDP) | $47.70 | $310 | No Gap Coverage | No | $8.00 | $25.00 | $65.00 | 25% | tbd members | ||||||
2009 SilverScript Plus | $50.60 | $50 | Many Generics | No | S5601 -005 | $4.00 | $9.00 | $30.00 | $35.00 | 1,519 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $49.10 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 Advantage Freedom Plan by RxAmerica | $40.70 | $0 | No Gap Coverage | No | S5644 -047 | $5.00 | 35% | 33% | 45% | 1,174 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $50.10 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 --- | S0655 -002 | members | |||||||||||||
2010 Tufts Health Plan Medicare Preferred PDP Enhanced (PDP) | $50.60 | $0 | No Gap Coverage | No | tbd | tbd members | |||||||||
2009 Medco Medicare Prescription Plan - Choice | $46.40 | $0 | No Gap Coverage | No | S5660 -003 | $6.00 | $38.00 | 75% | 33% | 3,091 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $50.80 | $100 | No Gap Coverage | No | $6.00 | $39.00 | 75% | 30% | 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 MedicareRx Value Plus | $43.30 | $0 | No Gap Coverage | No | S2893 -001 | $8.00 | $30.00 | $65.00 | 33% | 57,595 members | |||||
2010 Blue MedicareRx Value Plus (PDP) | $53.10 | $0 | No Gap Coverage | No | $8.00 | $35.00 | $75.00 | 33% | tbd members | ||||||
2009 SilverScript Complete | $70.10 | $0 | Many Generics | No | S5601 -073 | $2.50 | $7.50 | $39.00 | $98.00 | 307 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $59.30 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 AdvantraRx Premier Plus | $59.20 | $0 | Many Generics | No | S5674 -011 | $4.00 | $30.00 | $70.00 | 33% | 5,807 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $61.00 | $0 | Many Generics | No | $5.00 | $25.00 | 18% | 75% | tbd members | ||||||
2009 EnvisionRxPlus Gold | $68.80 | $0 | No Gap Coverage | No | S7694 -036 | $0.00 | $45.00 | $40.00 | $75.00 | 336 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $63.40 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
-- This plan not offered in 2009 -- | S0655 -001 | ||||||||||||||
2010 Tufts Health Plan Medicare Preferred PDP Standard (PDP) | $63.80 | $310 | No Gap Coverage | No | tbd | tbd members | |||||||||
2009 Health Net Orange Option 2 | $46.20 | $0 | No Gap Coverage | No | S5678 -010 | $5.00 | $30.00 | $90.00 | 33% | 6,253 members | |||||
2010 Health Net Orange Option 2 (PDP) | $64.50 | $0 | No Gap Coverage | No | $5.00 | $35.00 | $95.00 | 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 Three | $79.60 | $0 | Some Generics | No | S5617 -172 | $6.00 | $35.00 | $60.00 | 33% | 308 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $66.40 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $69.00 | $0 | All Generics | No | S5660 -173 | $6.00 | $35.00 | 75% | 33% | 447 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $74.80 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 Sterling Rx | $37.00 | $295 | No Gap Coverage | No | S4802 -023 | $7.00 | $25.00 | $57.00 | 25% | 300 members | |||||
2010 Sterling Rx (PDP) | $77.70 | $310 | No Gap Coverage | No | $9.00 | $30.00 | 25% | tbd members | |||||||
2009 Community CCRx Gold | $79.60 | $0 | All Generics | No | S5803 -219 | $5.00 | $30.00 | $60.00 | 33% | 634 members | |||||
2010 Community CCRx Gold (PDP) | $82.80 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $81.90 | $0 | Many Generics | No | S5921 -183 | $7.00 | $39.00 | $95.00 | 33% | 4,117 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $86.50 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
-- This plan not offered in 2009 -- | S0655 -003 | ||||||||||||||
2010 Tufts Health Plan Medicare Preferred PDP Premier (PDP) | $89.60 | $0 | Many Generics | No | tbd | 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 | $111.30 | $0 | Many Generics | No | S5810 -172 | $0.00 | $10.00 | $30.00 | $65.00 | 568 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $91.90 | $0 | Many Generics | No | $7.00 | $37.00 | $38.00 | $87.00 | tbd members | ||||||
2009 Blue MedicareRx Premier | $80.90 | $0 | Many Generics | No | S2893 -003 | $8.00 | $24.00 | $60.00 | 33% | 23,483 members | |||||
2010 Blue MedicareRx Premier (PDP) | $92.70 | $0 | Many Generics | No | $8.00 | $30.00 | $70.00 | 33% | tbd members | ||||||
2009 Humana PDP Complete S5884-031 | $96.10 | $0 | Many Generics | No | S5884 -031 | $7.00 | $40.00 | $70.00 | 33% | 4,310 members | |||||
2010 Humana Complete S5884-031 (PDP) | $100.80 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 UnitedHealth Rx Basic | $39.90 | $0 | No Gap Coverage | No | S5921 -182 | $7.00 | $35.00 | $98.00 | 33% | 6,878 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 Prescriba Rx Platinum | $73.30 | $0 | All Generics | No | S5597 -200 | $6.00 | $44.00 | 33% | 211 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
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