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 | $62.70 | $0 | Some Generics | No | S5810 -169 | $0.00 | $5.00 | $35.00 | $90.00 | 43 members | |||||
Plan changed to S5810-237 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Humana PDP Enhanced S5884-096 | $36.30 | $0 | No Gap Coverage | No | S5884 -096 | $7.00 | $40.00 | $70.00 | 33% | 270 members | |||||
Plan changed to S5884-115 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Moved From Plan S5884-96 | S5884 -115 | members | |||||||||||||
2010 Humana Value S5884-115 (PDP) | $11.20 | $150 | No Gap Coverage | No | $5.00 | $35.00 | 32% | tbd members | |||||||
2009 First Health Part D-Secure | $10.70 | $175 | No Gap Coverage | No | S5768 -115 | $4.00 | $20.00 | $48.00 | 28% | 169 members | |||||
2010 First Health Part D-Secure (PDP) | $17.80 | $175 | No Gap Coverage | No | $4.00 | 20% | 52% | 28% | tbd members | ||||||
2009 AARP MedicareRx Saver | $19.90 | $295 | No Gap Coverage | Yes | S5921 -041 | $5.00 | $22.00 | $64.85 | 25% | 9,671 members | |||||
2010 AARP MedicareRx Saver (PDP) | $20.50 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $86.00 | 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 AdvantraRx Value | $19.00 | $0 | No Gap Coverage | No | S5674 -062 | $8.00 | $24.00 | $55.00 | 33% | 601 members | |||||
2010 AdvantraRx Value (PDP) | $22.60 | $100 | No Gap Coverage | No | $7.00 | 20% | 61% | 30% | tbd members | ||||||
2009 Aetna Medicare Rx Essentials | $38.10 | $200 | No Gap Coverage | No | S5810 -067 | $0.00 | $12.00 | $26.00 | $67.00 | 20 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $23.60 | $310 | No Gap Coverage | Yes | $2.00 | $28.00 | $29.00 | $70.00 | tbd members | ||||||
2009 HealthSpring Prescription Drug Plan-Reg 33 | $24.80 | $295 | No Gap Coverage | Yes | S5932 -032 | 25% | 25% | 3,495 members | |||||||
2010 HealthSpring Prescription Drug Plan-Reg 33 (PDP) | $24.00 | $310 | No Gap Coverage | Yes | 25% | 25% | tbd members | ||||||||
2009 Advantage Star Plan by RxAmerica | $25.50 | $295 | No Gap Coverage | No | S5644 -085 | $4.50 | 25% | 25% | 45% | 414 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $25.20 | $310 | No Gap Coverage | Yes | $3.25 | 25% | 25% | 45% | tbd members | ||||||
2009 SilverScript Value | $28.10 | $295 | No Gap Coverage | No | S5601 -066 | $8.00 | $35.00 | $98.00 | 25% | 193 members | |||||
2010 SilverScript Value (PDP) | $25.40 | $310 | No Gap Coverage | Yes | $7.00 | $19.00 | $95.00 | 25% | tbd members | ||||||
2009 AdvantraRx Premier | $33.10 | $0 | No Gap Coverage | No | S5674 -063 | $7.00 | $28.00 | $74.00 | 33% | 67 members | |||||
2010 AdvantraRx Premier (PDP) | $25.50 | $0 | No Gap Coverage | Yes | $12.00 | 18% | 60% | 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 Fox Value Plan | $24.10 | $295 | No Gap Coverage | Yes | S5557 -031 | $0.00 | $30.00 | $35.00 | $75.00 | 2,655 members | |||||
2010 Fox Value Plan (PDP) | $25.60 | $310 | No Gap Coverage | Yes | 0% | 50% | 39% | 60% | tbd members | ||||||
2009 EnvisionRxPlus Gold | $54.00 | $0 | No Gap Coverage | No | S7694 -067 | $0.00 | $45.00 | $40.00 | $75.00 | 16 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $26.00 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
2009 Moved From Plan S5810-169 | S5810 -237 | members | |||||||||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $26.20 | $0 | No Gap Coverage | No | $2.00 | $28.00 | $34.00 | $80.00 | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Value | $25.80 | $295 | No Gap Coverage | No | S5660 -135 | 23% | 23% | 53% | 25% | 73 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $27.30 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 WellCare Signature | $27.60 | $0 | No Gap Coverage | No | S5967 -067 | $0.00 | $39.00 | $79.00 | 33% | 319 members | |||||
2010 WellCare Signature (PDP) | $30.00 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Two | $45.30 | $0 | No Gap Coverage | No | S5617 -165 | $0.00 | $6.00 | $47.00 | $88.00 | 63 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $30.90 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $42.00 | $97.00 | 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 Community CCRx Basic | $30.90 | $295 | No Gap Coverage | No | S5803 -102 | $0.00 | 25% | 55% | 862 members | ||||||
2010 Community CCRx Basic (PDP) | $31.00 | $310 | No Gap Coverage | No | $0.00 | 25% | 70% | tbd members | |||||||
2009 First Health Part D-Premier | $23.70 | $0 | No Gap Coverage | Yes | S5768 -124 | $7.00 | $27.00 | $62.00 | 33% | 2,490 members | |||||
2010 First Health Part D-Premier (PDP) | $31.00 | $150 | No Gap Coverage | No | $7.00 | 11% | 44% | 29% | tbd members | ||||||
2009 EnvisionRxPlus Silver | $31.70 | $295 | No Gap Coverage | No | S7694 -033 | $4.00 | $38.00 | $28.00 | $75.00 | < 10 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $31.60 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 Health Net Orange Option 1 | $26.60 | $295 | No Gap Coverage | No | S5678 -066 | $2.00 | $43.00 | $90.00 | 25% | 81 members | |||||
2010 Health Net Orange Option 1 (PDP) | $31.60 | $310 | No Gap Coverage | No | $4.00 | $42.00 | $95.00 | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan One | $27.60 | $295 | No Gap Coverage | No | S5617 -163 | $2.50 | $33.00 | $83.00 | 25% | 97 members | |||||
2010 CIGNA Medicare Rx Plan One (PDP) | $33.50 | $310 | No Gap Coverage | No | $3.00 | $33.00 | $85.00 | 25% | tbd members | ||||||
2009 Humana PDP Standard S5884-093 | $30.70 | $295 | No Gap Coverage | No | S5884 -093 | 15% | 25% | 47% | 179 members | ||||||
2010 Humana Standard S5884-093 (PDP) | $34.40 | $310 | No Gap Coverage | No | 15% | 25% | 42% | 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 MedicareRx Rewards Standard | $23.90 | $295 | No Gap Coverage | Yes | S5960 -139 | 25% | 25% | 25% | 25% | 2,668 members | |||||
2010 MedicareRx Rewards Standard (PDP) | $35.10 | $310 | No Gap Coverage | No | $6.50 | 25% | 25% | 25% | tbd members | ||||||
2009 SilverScript Plus | $49.10 | $50 | Many Generics | No | S5601 -067 | $4.00 | $9.00 | $30.00 | $35.00 | 243 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $35.50 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 AARP MedicareRx Preferred | $34.60 | $0 | No Gap Coverage | No | S5820 -032 | $7.00 | $38.00 | $98.00 | 33% | 4,545 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $36.90 | $0 | No Gap Coverage | No | $7.00 | $45.00 | $95.00 | 33% | tbd members | ||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $33.20 | $190 | No Gap Coverage | No | S5755 -071 | $4.00 | $40.00 | $80.00 | 25% | 13 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $37.40 | $215 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 25% | tbd members | ||||||
2009 Advantage Freedom Plan by RxAmerica | $43.00 | $0 | No Gap Coverage | No | S5644 -065 | $5.00 | 35% | 33% | 45% | 118 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $37.90 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 Health Net Orange Option 2 | $36.90 | $0 | No Gap Coverage | No | S5678 -065 | $5.00 | $30.00 | $90.00 | 33% | 103 members | |||||
2010 Health Net Orange Option 2 (PDP) | $38.00 | $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 | |||||||||
-- This plan not offered in 2009 -- | S5960 -161 | ||||||||||||||
2010 MedicareRx Rewards Plus (PDP) | $38.30 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 WellCare Classic | $27.90 | $295 | No Gap Coverage | No | S5967 -170 | $0.00 | $35.00 | $81.00 | 25% | 306 members | |||||
2010 WellCare Classic (PDP) | $38.70 | $310 | No Gap Coverage | -- | $5.00 | $35.00 | $82.00 | 25% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $35.30 | $0 | No Gap Coverage | No | S5755 -038 | $5.00 | $31.00 | $62.00 | 33% | 76 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $39.10 | $0 | No Gap Coverage | No | $9.00 | $38.00 | $76.00 | 33% | tbd members | ||||||
2009 Community CCRx Choice | $56.60 | $0 | No Gap Coverage | No | S5803 -170 | $5.00 | $30.00 | $60.00 | 33% | 52 members | |||||
2010 Community CCRx Choice (PDP) | $40.40 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Choice | $42.90 | $0 | No Gap Coverage | No | S5660 -033 | $6.00 | $35.00 | 75% | 33% | 444 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $47.30 | $100 | No Gap Coverage | No | $6.00 | $40.00 | 75% | 30% | tbd members | ||||||
2009 Fox Grand Plan | $40.40 | $295 | Some Generics | No | S5557 -021 | $0.00 | $19.00 | $35.00 | $75.00 | < 10 members | |||||
2010 Fox Grand Plan (PDP) | $47.50 | $0 | Some Generics | No | $1.00 | $37.00 | $41.00 | $95.00 | 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 AdvantraRx Premier Plus | $49.10 | $0 | Many Generics | No | S5674 -065 | $4.00 | $29.00 | $70.00 | 33% | 89 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $60.80 | $0 | Many Generics | No | $5.00 | $25.00 | 20% | 75% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $88.70 | $0 | Some Generics | No | S5617 -203 | $6.00 | $35.00 | $60.00 | 33% | 12 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $73.20 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $73.00 | $0 | Many Generics | No | S5921 -043 | $7.00 | $39.00 | $95.00 | 33% | 191 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $77.60 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 SilverScript Complete | $63.40 | $0 | Many Generics | No | S5601 -104 | $2.50 | $7.50 | $39.00 | $98.00 | 21 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $77.80 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 Community CCRx Gold | $72.90 | $0 | All Generics | No | S5803 -250 | $5.00 | $30.00 | $60.00 | 33% | 67 members | |||||
2010 Community CCRx Gold (PDP) | $77.90 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $70.70 | $0 | All Generics | No | S5660 -203 | $6.00 | $35.00 | 75% | 33% | 38 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $80.60 | $0 | Many Generics | No | $6.00 | $40.00 | 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 Aetna Medicare Rx Premier | $111.10 | $0 | Many Generics | No | S5810 -203 | $0.00 | $10.00 | $30.00 | $65.00 | 27 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $85.20 | $0 | Many Generics | No | $7.00 | $36.00 | $37.00 | $85.00 | tbd members | ||||||
2009 Humana PDP Complete S5884-099 | $94.70 | $0 | Many Generics | No | S5884 -099 | $7.00 | $40.00 | $70.00 | 33% | 18 members | |||||
2010 Humana Complete S5884-099 (PDP) | $99.40 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 Prescriba Rx Platinum | $68.70 | $0 | All Generics | No | S5597 -232 | $6.00 | $44.00 | 33% | < 10 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 Prescriba Rx Gold | $36.00 | $0 | No Gap Coverage | No | S5597 -230 | $6.00 | $44.00 | 33% | < 10 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 BravoRx | $26.00 | $295 | No Gap Coverage | No | S5998 -035 | 25% | 25% | 25% | < 10 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 Prescriba Rx Bronze | $31.20 | $295 | No Gap Coverage | No | S5597 -267 | 25% | 25% | 25% | < 10 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 Sterling Rx | $41.40 | $295 | No Gap Coverage | No | S4802 -031 | $7.00 | $25.00 | $57.00 | 25% | < 10 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 MedicareRx Rewards Value | $34.60 | $130 | No Gap Coverage | No | S5960 -033 | $9.50 | $44.00 | $85.00 | 29% | 586 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 UnitedHealth Rx Basic | $44.60 | $0 | No Gap Coverage | No | S5921 -042 | $7.00 | $35.00 | $98.00 | 33% | 320 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
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