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 | $30.20 | $295 | No Gap Coverage | Yes | S5617 -083 | $2.50 | $33.00 | $80.00 | 25% | 15,276 members | |||||
Plan changed to S5617-224 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Aetna Medicare Rx - Costco Plus Plan | $59.30 | $0 | Some Generics | No | S5810 -153 | $0.00 | $5.00 | $35.00 | $90.00 | 1,270 members | |||||
Plan changed to S5810-221 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Humana PDP Standard S5884-075 | $39.00 | $295 | No Gap Coverage | No | S5884 -075 | 15% | 25% | 43% | 28,162 members | ||||||
Plan changed to S5884-107 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 First Health Part D-Secure | $16.20 | $175 | No Gap Coverage | No | S5768 -099 | $4.00 | $20.00 | $49.00 | 28% | 7,326 members | |||||
2010 First Health Part D-Secure (PDP) | $21.50 | $175 | No Gap Coverage | No | $4.00 | 20% | 58% | 28% | tbd members | ||||||
2009 Prescriba Rx Bronze | $27.30 | $295 | No Gap Coverage | Yes | S5597 -251 | 25% | 25% | 25% | 4,453 members | ||||||
2010 PrescribaRx Bronze (PDP) | $26.30 | $310 | No Gap Coverage | Yes | 25% | 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 Moved From Plan S5617-83 | S5617 -224 | members | |||||||||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $26.80 | $310 | No Gap Coverage | Yes | $3.00 | $32.00 | $86.00 | 25% | tbd members | ||||||
2009 Moved From Plan S5884-75 | S5884 -107 | members | |||||||||||||
2010 Humana Value S5884-107 (PDP) | $26.90 | $150 | No Gap Coverage | No | $5.00 | $35.00 | 35% | tbd members | |||||||
2009 First Health Part D-Premier | $28.50 | $0 | No Gap Coverage | Yes | S5768 -042 | $6.00 | $31.00 | $61.00 | 33% | 14,248 members | |||||
2010 First Health Part D-Premier (PDP) | $27.50 | $150 | No Gap Coverage | Yes | $7.00 | 11% | 44% | 29% | tbd members | ||||||
2009 Community CCRx Basic | $29.20 | $295 | No Gap Coverage | Yes | S5803 -086 | $0.00 | 25% | 60% | 34,076 members | ||||||
2010 Community CCRx Basic (PDP) | $28.00 | $310 | No Gap Coverage | Yes | $0.00 | 30% | 50% | tbd members | |||||||
2009 Aetna Medicare Rx Essentials | $31.30 | $190 | No Gap Coverage | No | S5810 -051 | $0.00 | $12.00 | $29.00 | $69.00 | 3,433 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $28.10 | $310 | No Gap Coverage | Yes | $2.00 | $28.00 | $29.00 | $70.00 | tbd members | ||||||
2009 Blue Medicare Rx - Value | $30.50 | $0 | No Gap Coverage | No | S5715 -001 | $9.00 | $44.00 | $73.00 | 30% | 110,971 members | |||||
2010 Blue MedicareRx - Value (PDP) | $28.30 | $0 | No Gap Coverage | Yes | $11.00 | $45.00 | $89.00 | 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 AARP MedicareRx Saver | $24.90 | $295 | No Gap Coverage | Yes | S5921 -081 | $5.00 | $22.00 | $63.05 | 25% | 48,280 members | |||||
2010 AARP MedicareRx Saver (PDP) | $29.40 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $65.00 | 25% | tbd members | ||||||
2009 BravoRx | $29.50 | $295 | No Gap Coverage | Yes | S5998 -038 | 25% | 25% | 25% | 12,320 members | ||||||
2010 BravoRx (PDP) | $29.80 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 Medco Medicare Prescription Plan - Value | $29.60 | $295 | No Gap Coverage | Yes | S5660 -119 | 23% | 23% | 53% | 25% | 10,618 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $30.60 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 HealthSpring Prescription Drug Plan-Reg 17 | $29.80 | $295 | No Gap Coverage | Yes | S5932 -016 | 25% | 25% | 27,571 members | |||||||
2010 HealthSpring Prescription Drug Plan-Reg 17 (PDP) | $31.40 | $310 | No Gap Coverage | Yes | 25% | 25% | tbd members | ||||||||
2009 SilverScript Value | $27.80 | $295 | No Gap Coverage | Yes | S5601 -034 | $8.00 | $33.50 | $98.00 | 25% | 51,034 members | |||||
2010 SilverScript Value (PDP) | $32.80 | $310 | No Gap Coverage | No | $8.00 | $20.00 | $95.00 | 25% | tbd members | ||||||
2009 EnvisionRxPlus Silver | $30.50 | $295 | No Gap Coverage | No | S7694 -017 | $4.00 | $32.00 | $22.00 | $75.00 | 105 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $32.90 | $310 | No Gap Coverage | No | 25% | 25% | 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 Advantage Star Plan by RxAmerica | $28.90 | $295 | No Gap Coverage | Yes | S5644 -192 | $6.25 | 25% | 25% | 45% | 11,438 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $33.00 | $310 | No Gap Coverage | No | $5.75 | 25% | 25% | 45% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Two | $43.80 | $0 | No Gap Coverage | No | S5617 -085 | $0.00 | $6.00 | $38.00 | $80.00 | 1,233 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $33.00 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $41.00 | $87.00 | tbd members | ||||||
2009 Health Net Orange Option 1 | $28.60 | $295 | No Gap Coverage | Yes | S5678 -040 | $2.00 | $42.00 | $90.00 | 25% | 13,055 members | |||||
2010 Health Net Orange Option 1 (PDP) | $33.60 | $310 | No Gap Coverage | No | $4.00 | $38.00 | $95.00 | 25% | tbd members | ||||||
2009 MedicareRx Rewards Standard | $29.60 | $295 | No Gap Coverage | Yes | S5960 -123 | 25% | 25% | 25% | 25% | 14,597 members | |||||
2010 MedicareRx Rewards Standard (PDP) | $33.70 | $310 | No Gap Coverage | No | $7.00 | 25% | 25% | 25% | tbd members | ||||||
2009 Moved From Plan S5810-153 | S5810 -221 | members | |||||||||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $34.80 | $0 | No Gap Coverage | No | $2.00 | $28.00 | $34.00 | $80.00 | tbd members | ||||||
2009 WellCare Classic | $33.70 | $295 | No Gap Coverage | No | S5967 -154 | $0.00 | $33.00 | $85.00 | 25% | 11,905 members | |||||
2010 WellCare Classic (PDP) | $34.90 | $310 | No Gap Coverage | -- | $4.00 | $35.00 | $73.00 | 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 | $25.50 | $0 | No Gap Coverage | No | S5670 -087 | $8.00 | $24.00 | $55.00 | 33% | 19,082 members | |||||
2010 AdvantraRx Value (PDP) | $37.00 | $100 | No Gap Coverage | No | $7.00 | 20% | 62% | 30% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $34.50 | $0 | No Gap Coverage | No | S5820 -016 | $7.00 | $38.00 | $80.40 | 33% | 178,905 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $37.10 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $73.75 | 33% | tbd members | ||||||
2009 Prescriba Rx Gold | $36.20 | $0 | No Gap Coverage | No | S5597 -049 | $6.00 | $44.00 | 33% | 2,549 members | ||||||
2010 PrescribaRx Gold (PDP) | $37.60 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
2009 Community CCRx Choice | $49.10 | $0 | No Gap Coverage | No | S5803 -154 | $5.00 | $30.00 | $60.00 | 33% | 2,703 members | |||||
2010 Community CCRx Choice (PDP) | $39.30 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | tbd members | ||||||
2009 WellCare Signature | $35.20 | $0 | No Gap Coverage | No | S5967 -051 | $0.00 | $39.00 | $79.00 | 33% | 8,760 members | |||||
2010 WellCare Signature (PDP) | $39.40 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Choice | $33.10 | $0 | No Gap Coverage | No | S5660 -017 | $6.00 | $35.00 | 75% | 33% | 6,594 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $40.10 | $100 | No Gap Coverage | No | $6.00 | $40.00 | 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 | |||||||||
-- This plan not offered in 2009 -- | S5960 -150 | ||||||||||||||
2010 MedicareRx Rewards Plus (PDP) | $40.20 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 Humana PDP Enhanced S5884-015 | $44.30 | $0 | No Gap Coverage | No | S5884 -015 | $7.00 | $40.00 | $70.00 | 33% | 22,022 members | |||||
2010 Humana Enhanced S5884-015 (PDP) | $42.70 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $75.00 | 33% | tbd members | ||||||
2009 SilverScript Plus | $50.10 | $50 | Many Generics | No | S5601 -035 | $4.00 | $9.00 | $30.00 | $35.00 | 2,041 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $45.80 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 Blue Medicare Rx - Standard | $37.90 | $295 | No Gap Coverage | No | S5715 -007 | $2.00 | $33.00 | $63.00 | 25% | 21,297 members | |||||
2010 Blue MedicareRx - Standard (PDP) | $46.50 | $310 | No Gap Coverage | No | $3.00 | $27.00 | $78.00 | 25% | tbd members | ||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $44.30 | $125 | No Gap Coverage | No | S5755 -055 | $4.00 | $40.00 | $80.00 | 25% | 200 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $47.80 | $195 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 25% | tbd members | ||||||
2009 AdvantraRx Premier | $42.70 | $0 | No Gap Coverage | No | S5670 -088 | $7.00 | $26.00 | $75.00 | 33% | 3,301 members | |||||
2010 AdvantraRx Premier (PDP) | $49.00 | $0 | No Gap Coverage | No | $12.00 | 17% | 53% | 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 Sterling Rx | $39.60 | $295 | No Gap Coverage | No | S4802 -028 | $7.00 | $25.00 | $57.00 | 25% | 253 members | |||||
2010 Sterling Rx (PDP) | $49.60 | $310 | No Gap Coverage | No | $10.00 | $35.00 | 25% | tbd members | |||||||
2009 Advantage Freedom Plan by RxAmerica | $58.10 | $0 | No Gap Coverage | No | S5644 -178 | $5.00 | 35% | 33% | 45% | 393 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $50.70 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $50.10 | $0 | No Gap Coverage | No | S5755 -020 | $6.00 | $32.00 | $64.00 | 33% | 2,867 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $53.90 | $0 | No Gap Coverage | No | $8.00 | $37.00 | $74.00 | 33% | tbd members | ||||||
2009 EnvisionRxPlus Gold | $67.90 | $0 | No Gap Coverage | No | S7694 -051 | $0.00 | $45.00 | $40.00 | $75.00 | 282 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $59.70 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
2009 Health Net Orange Option 2 | $53.00 | $0 | No Gap Coverage | No | S5678 -039 | $5.00 | $30.00 | $90.00 | 33% | 586 members | |||||
2010 Health Net Orange Option 2 (PDP) | $62.50 | $0 | No Gap Coverage | No | $5.00 | $35.00 | $95.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier Plus | $57.30 | $0 | Many Generics | No | S5670 -090 | $4.00 | $30.00 | $75.00 | 33% | 5,678 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $64.40 | $0 | Many Generics | No | $5.00 | $25.00 | 20% | 75% | 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 | $69.10 | $0 | Some Generics | No | S5617 -187 | $6.00 | $35.00 | $60.00 | 33% | 285 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $74.20 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 SilverScript Complete | $65.10 | $0 | Many Generics | No | S5601 -088 | $2.50 | $7.50 | $39.00 | $98.00 | 906 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $75.00 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $70.70 | $0 | Many Generics | No | S5921 -083 | $7.00 | $39.00 | $95.00 | 33% | 3,933 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $75.30 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $71.20 | $0 | All Generics | No | S5660 -187 | $6.00 | $35.00 | 75% | 33% | 1,111 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $77.00 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 Blue Medicare Rx - Plus | $77.50 | $0 | All Generics | No | S5715 -002 | $5.00 | $38.00 | $60.00 | 30% | 33,363 members | |||||
2010 Blue MedicareRx - Plus (PDP) | $78.50 | $0 | Many Generics | No | $5.00 | $38.00 | $75.00 | 33% | tbd members | ||||||
2009 Community CCRx Gold | $73.00 | $0 | All Generics | No | S5803 -234 | $5.00 | $30.00 | $60.00 | 33% | 1,326 members | |||||
2010 Community CCRx Gold (PDP) | $79.20 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 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 Aetna Medicare Rx Premier | $103.30 | $0 | Many Generics | No | S5810 -187 | $0.00 | $10.00 | $30.00 | $65.00 | 1,209 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $89.20 | $0 | Many Generics | No | $6.00 | $35.00 | $36.00 | $84.00 | tbd members | ||||||
2009 Humana PDP Complete S5884-045 | $101.10 | $0 | Many Generics | No | S5884 -045 | $7.00 | $40.00 | $70.00 | 33% | 3,973 members | |||||
2010 Humana Complete S5884-045 (PDP) | $105.90 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 SierraRx Basic | $68.50 | $295 | No Gap Coverage | No | S5917 -019 | 25% | 25% | 25% | 260 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 UnitedHealth Rx Basic | $27.90 | $0 | No Gap Coverage | No | S5921 -082 | $7.00 | $35.00 | $64.00 | 33% | 78,729 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 Prescriba Rx Platinum | $71.90 | $0 | All Generics | No | S5597 -214 | $6.00 | $44.00 | 33% | 539 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 MedicareRx Rewards Value | $33.70 | $130 | No Gap Coverage | No | S5960 -017 | $8.50 | $44.50 | $85.00 | 29% | 6,573 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
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