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 UA Medicare Part D Rx Covg - Silver Plan | $43.00 | $125 | No Gap Coverage | No | S5755 -049 | $4.00 | $40.00 | $80.00 | 25% | 651 members | ||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $41.70 | $145 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 25% | tbd members | |||
2009 UA Medicare Part D Prescription Drug Cov | $50.00 | $0 | No Gap Coverage | No | S5755 -014 | $6.00 | $32.00 | $64.00 | 33% | 13,242 members | ||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $52.00 | $0 | No Gap Coverage | No | $9.00 | $38.00 | $76.00 | 33% | tbd members | |||
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