2009 / 2010 Medicare Part D Plan Information Click here to jump to the Chart Legend | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 |
|||||||||
2009 CIGNA Medicare Rx Plan One | $31.60 | $295 | No Gap Coverage | No | S5617 -023 | $2.50 | $30.00 | $83.00 | 25% | 2,670 members | |||||
Plan changed to S5617-214 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Moved From Plan S5617-23 | S5617 -214 | members | |||||||||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $31.60 | $310 | No Gap Coverage | Yes | $3.00 | $31.00 | $88.00 | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Two | $40.70 | $0 | No Gap Coverage | No | S5617 -025 | $0.00 | $6.00 | $38.00 | $80.00 | 1,112 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $37.30 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $40.00 | $78.00 | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $71.30 | $0 | Some Generics | No | S5617 -175 | $6.00 | $35.00 | $60.00 | 33% | 266 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $66.70 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
|