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 CIGNA Medicare Rx Plan One | $31.30 | $295 | No Gap Coverage | No | S5617 -048 | $2.50 | $30.00 | $73.00 | 25% | 3,781 members | |||||
Plan changed to S5617-219 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Aetna Medicare Rx Plus | $63.60 | $0 | Some Generics | No | S5810 -146 | $0.00 | $10.00 | $36.00 | $76.00 | 1,091 members | |||||
Plan changed to S5810-214 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Humana PDP Standard S5884-068 | $40.80 | $295 | No Gap Coverage | No | S5884 -068 | 15% | 25% | 46% | 27,744 members | ||||||
Plan changed to S5884-119 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Prescriba Rx Bronze | $22.50 | $295 | No Gap Coverage | Yes | S5597 -244 | 25% | 25% | 25% | 13,650 members | ||||||
2010 PrescribaRx Bronze (PDP) | $21.60 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 First Health Part D-Premier | $27.00 | $0 | No Gap Coverage | Yes | S5768 -040 | $7.00 | $30.00 | $64.00 | 33% | 9,118 members | |||||
2010 First Health Part D-Premier (PDP) | $22.80 | $150 | No Gap Coverage | Yes | $7.00 | 10% | 47% | 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 Community CCRx Basic | $29.20 | $295 | No Gap Coverage | Yes | S5803 -079 | $0.00 | 30% | 45% | 94,017 members | ||||||
2010 Community CCRx Basic (PDP) | $25.00 | $310 | No Gap Coverage | Yes | $0.00 | 30% | 55% | tbd members | |||||||
2009 Aetna Medicare Rx Essentials | $27.60 | $200 | No Gap Coverage | Yes | S5810 -044 | $0.00 | $14.00 | $26.00 | $66.00 | 21,133 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $25.20 | $310 | No Gap Coverage | Yes | $2.00 | $26.00 | $28.00 | $70.00 | tbd members | ||||||
2009 Moved From Plan S5617-48 | S5617 -219 | members | |||||||||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $26.70 | $310 | No Gap Coverage | Yes | $3.00 | $30.00 | $80.00 | 25% | tbd members | ||||||
2009 Blue MedicareRx Value | $31.40 | $130 | No Gap Coverage | No | S5596 -009 | $10.00 | $38.00 | $85.00 | 29% | 6,763 members | |||||
2010 Blue MedicareRx Standard (PDP) | $26.90 | $310 | No Gap Coverage | Yes | $5.50 | 25% | 25% | 25% | tbd members | ||||||
2009 WellCare Classic | $28.30 | $295 | No Gap Coverage | Yes | S5967 -147 | $0.00 | $33.00 | $85.00 | 25% | 22,897 members | |||||
2010 WellCare Classic (PDP) | $27.40 | $310 | No Gap Coverage | -- | $4.00 | $33.00 | $70.00 | 25% | tbd members | ||||||
2009 First Health Part D-Secure | $16.10 | $175 | No Gap Coverage | No | S5768 -092 | $4.00 | $20.00 | $46.00 | 28% | 4,648 members | |||||
2010 First Health Part D-Secure (PDP) | $27.80 | $175 | No Gap Coverage | No | $4.00 | 20% | 52% | 28% | 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 S5810-146 | S5810 -214 | members | |||||||||||||
2010 Aetna Medicare Rx Plus (PDP) | $28.40 | $0 | No Gap Coverage | No | $5.00 | $32.00 | $38.00 | $80.00 | tbd members | ||||||
2009 AARP MedicareRx Saver | $23.60 | $295 | No Gap Coverage | Yes | S5921 -131 | $5.00 | $22.00 | $58.45 | 25% | 36,729 members | |||||
2010 AARP MedicareRx Saver (PDP) | $29.20 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $76.50 | 25% | tbd members | ||||||
2009 Health Net Orange Option 1 | $30.60 | $295 | No Gap Coverage | No | S5678 -026 | $2.00 | $41.00 | $90.00 | 25% | 692 members | |||||
2010 Health Net Orange Option 1 (PDP) | $29.80 | $310 | No Gap Coverage | No | $4.00 | $37.00 | $95.00 | 25% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Value | $22.60 | $295 | No Gap Coverage | Yes | S5660 -112 | 23% | 23% | 53% | 25% | 14,230 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $30.80 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 EnvisionRxPlus Silver | $31.70 | $295 | No Gap Coverage | No | S7694 -010 | $4.00 | $32.00 | $22.00 | $75.00 | 40 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $31.40 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 HealthSpring Prescription Drug Plan-Reg 10 | $29.90 | $295 | No Gap Coverage | No | S5932 -010 | 25% | 25% | 757 members | |||||||
2010 HealthSpring Prescription Drug Plan-Reg 10 (PDP) | $31.40 | $310 | No Gap Coverage | No | 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 BravoRx | $26.90 | $295 | No Gap Coverage | Yes | S5998 -019 | 25% | 25% | 25% | 5,017 members | ||||||
2010 BravoRx (PDP) | $31.50 | $310 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | |||||||
2009 CIGNA Medicare Rx Plan Two | $45.40 | $0 | No Gap Coverage | No | S5617 -050 | $0.00 | $6.00 | $38.00 | $80.00 | 1,519 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $32.20 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $38.00 | $87.00 | tbd members | ||||||
-- This plan not offered in 2009 -- | S5557 -040 | ||||||||||||||
2010 Fox Value Plan (PDP) | $32.60 | $310 | No Gap Coverage | No | tbd | tbd members | |||||||||
2009 Advantage Star Plan by RxAmerica | $28.20 | $295 | No Gap Coverage | Yes | S5644 -076 | $5.00 | 25% | 25% | 45% | 16,278 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $33.20 | $310 | No Gap Coverage | No | $4.00 | 25% | 25% | 45% | tbd members | ||||||
2009 SilverScript Value | $28.70 | $295 | No Gap Coverage | Yes | S5601 -020 | $8.00 | $35.25 | $98.00 | 25% | 8,745 members | |||||
2010 SilverScript Value (PDP) | $33.30 | $310 | No Gap Coverage | No | $8.00 | $20.50 | $95.00 | 25% | tbd members | ||||||
2009 Moved From Plan S5884-68 | S5884 -119 | members | |||||||||||||
2010 Humana Basic S5884-119 (PDP) | $33.70 | $310 | No Gap Coverage | No | $4.00 | 29% | 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 Prescriba Rx Gold | $35.10 | $0 | No Gap Coverage | No | S5597 -042 | $6.00 | $44.00 | 33% | 1,183 members | ||||||
2010 PrescribaRx Gold (PDP) | $34.20 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
2009 AdvantraRx Value | $23.50 | $0 | No Gap Coverage | No | S5670 -057 | $8.00 | $24.00 | $55.00 | 33% | 20,130 members | |||||
2010 AdvantraRx Value (PDP) | $35.30 | $100 | No Gap Coverage | No | $6.00 | 20% | 63% | 30% | tbd members | ||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $39.30 | $120 | No Gap Coverage | No | S5755 -048 | $4.00 | $40.00 | $80.00 | 25% | 412 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $35.60 | $160 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 25% | tbd members | ||||||
2009 WellCare Signature | $34.90 | $0 | No Gap Coverage | No | S5967 -044 | $0.00 | $39.00 | $79.00 | 33% | 6,292 members | |||||
2010 WellCare Signature (PDP) | $39.30 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Choice | $33.30 | $0 | No Gap Coverage | No | S5660 -009 | $6.00 | $38.00 | 75% | 33% | 5,890 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $40.00 | $100 | No Gap Coverage | No | $6.00 | $39.00 | 75% | 30% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $38.10 | $0 | No Gap Coverage | No | S5820 -009 | $7.00 | $38.00 | $74.05 | 33% | 106,301 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $40.70 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $63.75 | 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 Community CCRx Choice | $50.40 | $0 | No Gap Coverage | No | S5803 -147 | $5.00 | $30.00 | $60.00 | 33% | 12,435 members | |||||
2010 Community CCRx Choice (PDP) | $42.40 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | tbd members | ||||||
2009 Humana PDP Enhanced S5884-009 | $44.30 | $0 | No Gap Coverage | No | S5884 -009 | $7.00 | $40.00 | $70.00 | 33% | 21,671 members | |||||
2010 Humana Enhanced S5884-009 (PDP) | $44.50 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $75.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier | $39.10 | $0 | No Gap Coverage | No | S5670 -058 | $5.00 | $30.00 | $73.00 | 33% | 9,675 members | |||||
2010 AdvantraRx Premier (PDP) | $44.80 | $0 | No Gap Coverage | No | $12.00 | 16% | 52% | 33% | tbd members | ||||||
2009 Blue MedicareRx Plus | $42.60 | $0 | No Gap Coverage | No | S5596 -010 | $9.00 | $35.00 | $75.00 | 33% | 8,875 members | |||||
2010 Blue MedicareRx Plus (PDP) | $45.30 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $44.10 | $0 | No Gap Coverage | No | S5755 -013 | $5.00 | $31.00 | $62.00 | 33% | 6,902 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $47.30 | $0 | No Gap Coverage | No | $8.00 | $37.00 | $74.00 | 33% | tbd members | ||||||
2009 SilverScript Plus | $54.20 | $50 | Many Generics | No | S5601 -021 | $4.00 | $9.00 | $30.00 | $35.00 | 1,124 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $52.60 | $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 Advantage Freedom Plan by RxAmerica | $45.30 | $0 | No Gap Coverage | No | S5644 -055 | $4.50 | 35% | 33% | 45% | 677 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $55.80 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 EnvisionRxPlus Gold | $69.00 | $0 | No Gap Coverage | No | S7694 -044 | $0.00 | $45.00 | $40.00 | $75.00 | 237 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $57.70 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
2009 Health Net Value Orange Option 2 | $45.20 | $0 | No Gap Coverage | No | S5678 -025 | $0.00 | $39.00 | $75.00 | 33% | 1,131 members | |||||
2010 Health Net Value Orange Option 2 (PDP) | $58.90 | $0 | No Gap Coverage | No | $0.00 | $42.00 | $95.00 | 33% | tbd members | ||||||
2009 Sterling Rx | $40.50 | $295 | No Gap Coverage | No | S4802 -007 | $7.00 | $25.00 | $57.00 | 25% | 256 members | |||||
2010 Sterling Rx (PDP) | $59.20 | $310 | No Gap Coverage | No | $9.00 | $28.00 | 25% | tbd members | |||||||
2009 AdvantraRx Premier Plus | $55.60 | $0 | Many Generics | No | S5670 -060 | $4.00 | $30.00 | $75.00 | 33% | 5,860 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $61.30 | $0 | Many Generics | No | $5.00 | $25.00 | 19% | 75% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $71.30 | $0 | Some Generics | No | S5617 -180 | $6.00 | $35.00 | $60.00 | 33% | 421 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $66.80 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 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 Community CCRx Gold | $68.40 | $0 | All Generics | No | S5803 -227 | $5.00 | $30.00 | $60.00 | 33% | 5,198 members | |||||
2010 Community CCRx Gold (PDP) | $71.80 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 SilverScript Complete | $73.50 | $0 | Many Generics | No | S5601 -081 | $2.50 | $7.50 | $39.00 | $98.00 | 632 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $74.80 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $68.30 | $0 | All Generics | No | S5660 -180 | $6.00 | $35.00 | 75% | 33% | 930 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $77.10 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $72.90 | $0 | Many Generics | No | S5921 -133 | $7.00 | $39.00 | $95.00 | 33% | 3,721 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $77.40 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 Blue MedicareRx Premier | $68.90 | $0 | Many Generics | No | S5596 -011 | $9.00 | $35.00 | $75.00 | 33% | 9,294 members | |||||
2010 Blue MedicareRx Premier (PDP) | $84.40 | $0 | Many Generics | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $99.70 | $0 | Many Generics | No | S5810 -180 | $0.00 | $10.00 | $30.00 | $65.00 | 1,198 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $91.60 | $0 | Many Generics | No | $7.00 | $32.00 | $33.00 | $80.00 | 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 Humana PDP Complete S5884-038 | $103.40 | $0 | Many Generics | No | S5884 -038 | $7.00 | $40.00 | $70.00 | 33% | 2,763 members | |||||
2010 Humana Complete S5884-038 (PDP) | $108.10 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 MedicareRx Rewards Standard | $26.90 | $295 | No Gap Coverage | Yes | S5960 -116 | 25% | 25% | 25% | 25% | 9,375 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 UnitedHealth Rx Basic | $42.20 | $0 | No Gap Coverage | No | S5921 -132 | $7.00 | $35.00 | $92.00 | 33% | 5,652 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 SierraRx Basic | $66.00 | $295 | No Gap Coverage | No | S5917 -015 | 25% | 25% | 25% | 217 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 InStil Rx | $31.00 | $295 | No Gap Coverage | No | S5946 -002 | 25% | 2,500 members | ||||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 Prescriba Rx Platinum | $71.80 | $0 | All Generics | No | S5597 -207 | $6.00 | $44.00 | 33% | 121 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 InStil Rx Plus | $57.50 | $0 | No Gap Coverage | No | S5946 -004 | $6.00 | $36.00 | $72.00 | 33% | 694 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
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