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 Plus | $61.60 | $0 | Some Generics | No | S5810 -160 | $0.00 | $10.00 | $36.00 | $77.00 | 481 members | |||||
Plan changed to S5810-228 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Humana PDP Standard S5884-082 | $41.90 | $295 | No Gap Coverage | No | S5884 -082 | 15% | 25% | 44% | 14,506 members | ||||||
Plan changed to S5884-109 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 First Health Part D-Secure | $17.40 | $175 | No Gap Coverage | No | S5768 -106 | $4.00 | $20.00 | $50.00 | 28% | 5,711 members | |||||
2010 First Health Part D-Secure (PDP) | $19.00 | $175 | No Gap Coverage | No | $4.00 | 20% | 54% | 28% | tbd members | ||||||
2009 Moved From Plan S5884-82 | S5884 -109 | members | |||||||||||||
2010 Humana Value S5884-109 (PDP) | $27.80 | $150 | No Gap Coverage | No | $5.00 | $35.00 | 32% | tbd members | |||||||
2009 First Health Part D-Premier | $30.30 | $0 | No Gap Coverage | Yes | S5768 -047 | $7.00 | $29.00 | $59.00 | 33% | 3,072 members | |||||
2010 First Health Part D-Premier (PDP) | $31.20 | $150 | No Gap Coverage | Yes | $7.00 | 10% | 42% | 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 AARP MedicareRx Saver | $26.70 | $295 | No Gap Coverage | Yes | S5921 -281 | $5.00 | $22.00 | $60.65 | 25% | 11,739 members | |||||
2010 AARP MedicareRx Saver (PDP) | $32.30 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $81.75 | 25% | tbd members | ||||||
2009 Moved From Plan S5810-160 | S5810 -228 | members | |||||||||||||
2010 Aetna Medicare Rx Plus (PDP) | $32.40 | $0 | No Gap Coverage | No | $5.00 | $32.00 | $38.00 | $80.00 | tbd members | ||||||
2009 Community CCRx Basic | $30.50 | $295 | No Gap Coverage | Yes | S5803 -093 | $0.00 | 30% | 50% | 23,359 members | ||||||
2010 Community CCRx Basic (PDP) | $32.90 | $310 | No Gap Coverage | Yes | $0.00 | 30% | 65% | tbd members | |||||||
2009 Aetna Medicare Rx Essentials | $31.40 | $200 | No Gap Coverage | Yes | S5810 -058 | $0.00 | $13.00 | $26.00 | $67.00 | 4,042 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $33.30 | $310 | No Gap Coverage | Yes | $3.00 | $28.00 | $29.00 | $70.00 | tbd members | ||||||
2009 Blue MedicareRx Value | $35.90 | $130 | No Gap Coverage | No | S5726 -013 | $7.00 | $44.00 | $85.00 | 29% | 6,737 members | |||||
2010 Blue MedicareRx Value (PDP) | $33.70 | $150 | No Gap Coverage | Yes | $6.00 | $42.00 | 29% | 29% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Value | $30.40 | $295 | No Gap Coverage | Yes | S5660 -126 | 23% | 23% | 53% | 25% | 2,575 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $34.50 | $310 | No Gap Coverage | Yes | 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 Prescriba Rx Bronze | $30.50 | $295 | No Gap Coverage | Yes | S5597 -258 | 25% | 25% | 25% | 1,053 members | ||||||
2010 PrescribaRx Bronze (PDP) | $34.80 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 MedicareRx Rewards Standard | $31.40 | $295 | No Gap Coverage | Yes | S5960 -130 | 25% | 25% | 25% | 25% | 4,278 members | |||||
2010 MedicareRx Rewards Standard (PDP) | $35.70 | $310 | No Gap Coverage | Yes | $6.00 | 25% | 25% | 25% | tbd members | ||||||
2009 HealthSpring Prescription Drug Plan-Reg 24 | $30.80 | $295 | No Gap Coverage | Yes | S5932 -023 | 25% | 25% | 3,184 members | |||||||
2010 HealthSpring Prescription Drug Plan-Reg 24 (PDP) | $35.80 | $310 | No Gap Coverage | Yes | 25% | 25% | tbd members | ||||||||
-- This plan not offered in 2009 -- | S5557 -050 | ||||||||||||||
2010 Fox Value Plan (PDP) | $36.00 | $310 | No Gap Coverage | No | tbd | tbd members | |||||||||
2009 AdvantraRx Value | $25.50 | $0 | No Gap Coverage | No | S5670 -129 | $8.00 | $25.00 | $55.00 | 33% | 13,647 members | |||||
2010 AdvantraRx Value (PDP) | $36.50 | $100 | No Gap Coverage | No | $6.00 | 20% | 64% | 30% | tbd members | ||||||
2009 SilverScript Value | $28.90 | $295 | No Gap Coverage | Yes | S5601 -048 | $8.00 | $34.75 | $98.00 | 25% | 10,367 members | |||||
2010 SilverScript Value (PDP) | $36.50 | $310 | No Gap Coverage | No | $8.00 | $21.50 | $95.00 | 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 Advantage Star Plan by RxAmerica | $29.80 | $295 | No Gap Coverage | Yes | S5644 -198 | $5.50 | 25% | 25% | 45% | 2,548 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $36.60 | $310 | No Gap Coverage | No | $4.00 | 25% | 25% | 45% | tbd members | ||||||
2009 Health Net Orange Option 1 | $41.10 | $295 | No Gap Coverage | No | S5678 -054 | $2.00 | $45.00 | $90.00 | 25% | 211 members | |||||
2010 Health Net Orange Option 1 (PDP) | $36.90 | $310 | No Gap Coverage | No | $4.00 | $39.00 | $95.00 | 25% | tbd members | ||||||
2009 BravoRx | $40.00 | $295 | No Gap Coverage | No | S5998 -028 | 25% | 25% | 25% | < 10 members | ||||||
2010 BravoRx (PDP) | $37.20 | $310 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | |||||||
2009 WellCare Classic | $34.80 | $295 | No Gap Coverage | No | S5967 -161 | $0.00 | $35.00 | $85.00 | 25% | 2,804 members | |||||
2010 WellCare Classic (PDP) | $37.90 | $310 | No Gap Coverage | -- | $4.00 | $35.00 | $68.00 | 25% | tbd members | ||||||
2009 Prescriba Rx Gold | $40.90 | $0 | No Gap Coverage | No | S5597 -056 | $6.00 | $44.00 | 33% | 319 members | ||||||
2010 PrescribaRx Gold (PDP) | $40.00 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
2009 WellCare Signature | $35.70 | $0 | No Gap Coverage | No | S5967 -058 | $0.00 | $39.00 | $79.00 | 33% | 4,737 members | |||||
2010 WellCare Signature (PDP) | $40.00 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 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 Advantage Freedom Plan by RxAmerica | $62.20 | $0 | No Gap Coverage | No | S5644 -184 | $5.00 | 35% | 33% | 45% | 47 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $40.20 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $37.30 | $0 | No Gap Coverage | No | S5820 -023 | $7.00 | $38.00 | $74.75 | 33% | 23,900 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $41.20 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $67.00 | 33% | tbd members | ||||||
2009 Humana PDP Enhanced S5884-022 | $38.50 | $0 | No Gap Coverage | No | S5884 -022 | $7.00 | $40.00 | $70.00 | 33% | 28,554 members | |||||
2010 Humana Enhanced S5884-022 (PDP) | $42.20 | $0 | No Gap Coverage | No | $7.00 | $44.00 | $77.00 | 33% | tbd members | ||||||
2009 EnvisionRxPlus Silver | $36.60 | $295 | No Gap Coverage | No | S7694 -024 | $4.00 | $29.00 | $19.00 | $75.00 | 112 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $42.80 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Two | $52.80 | $0 | No Gap Coverage | No | S5617 -120 | $0.00 | $6.00 | $38.00 | $75.00 | 521 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $46.20 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $34.00 | $81.00 | tbd members | ||||||
2009 Blue MedicareRx Plus | $41.40 | $0 | No Gap Coverage | No | S5726 -014 | $9.00 | $35.00 | $75.00 | 33% | 16,543 members | |||||
2010 Blue MedicareRx Plus (PDP) | $46.90 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 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 Medco Medicare Prescription Plan - Choice | $38.90 | $0 | No Gap Coverage | No | S5660 -024 | $6.00 | $35.00 | 75% | 33% | 2,033 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $47.40 | $100 | No Gap Coverage | No | $6.00 | $37.00 | 75% | 30% | tbd members | ||||||
2009 AdvantraRx Premier | $43.30 | $0 | No Gap Coverage | No | S5670 -130 | $7.00 | $27.00 | $65.00 | 33% | 2,750 members | |||||
2010 AdvantraRx Premier (PDP) | $48.80 | $0 | No Gap Coverage | No | $11.00 | 17% | 52% | 33% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan One | $45.70 | $295 | No Gap Coverage | No | S5617 -118 | $2.50 | $30.00 | $88.00 | 25% | 772 members | |||||
2010 CIGNA Medicare Rx Plan One (PDP) | $49.60 | $310 | No Gap Coverage | No | $3.00 | $30.00 | $89.00 | 25% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $47.10 | $0 | No Gap Coverage | No | S5755 -027 | $6.00 | $32.00 | $64.00 | 33% | 1,243 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $49.60 | $0 | No Gap Coverage | No | $8.00 | $37.00 | $74.00 | 33% | tbd members | ||||||
2009 SilverScript Plus | $57.60 | $50 | Many Generics | No | S5601 -049 | $4.00 | $9.00 | $30.00 | $35.00 | 405 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $50.20 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 Community CCRx Choice | $56.20 | $0 | No Gap Coverage | No | S5803 -161 | $5.00 | $30.00 | $60.00 | 33% | 1,687 members | |||||
2010 Community CCRx Choice (PDP) | $50.80 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 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 EnvisionRxPlus Gold | $67.50 | $0 | No Gap Coverage | No | S7694 -058 | $0.00 | $45.00 | $40.00 | $75.00 | 85 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $50.90 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $43.20 | $130 | No Gap Coverage | No | S5755 -062 | $4.00 | $40.00 | $80.00 | 25% | 79 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $51.50 | $95 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 25% | tbd members | ||||||
2009 Health Net Value Orange Option 2 | $52.00 | $0 | No Gap Coverage | No | S5678 -053 | $0.00 | $39.00 | $75.00 | 33% | 576 members | |||||
2010 Health Net Value Orange Option 2 (PDP) | $54.10 | $0 | No Gap Coverage | No | $0.00 | $42.00 | $95.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier Plus | $58.80 | $0 | Many Generics | No | S5670 -132 | $4.00 | $30.00 | $75.00 | 33% | 2,657 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $65.30 | $0 | Many Generics | No | $5.00 | $25.00 | 19% | 75% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $77.00 | $0 | Some Generics | No | S5617 -194 | $6.00 | $35.00 | $60.00 | 33% | 104 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $71.90 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 SilverScript Complete | $71.50 | $0 | Many Generics | No | S5601 -095 | $2.50 | $7.50 | $39.00 | $98.00 | 244 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $80.00 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | 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 Sterling Rx | $39.00 | $295 | No Gap Coverage | No | S4802 -015 | $7.00 | $25.00 | $57.00 | 25% | 115 members | |||||
2010 Sterling Rx (PDP) | $80.10 | $310 | No Gap Coverage | No | $9.00 | $28.00 | 25% | tbd members | |||||||
2009 AARP MedicareRx Enhanced | $77.80 | $0 | Many Generics | No | S5921 -283 | $7.00 | $39.00 | $95.00 | 33% | 914 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $82.40 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $76.40 | $0 | All Generics | No | S5660 -194 | $6.00 | $35.00 | 75% | 33% | 275 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $82.70 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 Community CCRx Gold | $87.70 | $0 | All Generics | No | S5803 -241 | $5.00 | $30.00 | $60.00 | 33% | 1,041 members | |||||
2010 Community CCRx Gold (PDP) | $86.80 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 Blue MedicareRx Premier | $77.20 | $0 | Many Generics | No | S5726 -015 | $9.00 | $35.00 | $75.00 | 33% | 8,492 members | |||||
2010 Blue MedicareRx Premier (PDP) | $91.20 | $0 | Many Generics | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 Humana PDP Complete S5884-052 | $87.10 | $0 | Many Generics | No | S5884 -052 | $7.00 | $40.00 | $70.00 | 33% | 2,721 members | |||||
2010 Humana Complete S5884-052 (PDP) | $91.80 | $0 | Many Generics | No | $7.00 | $40.00 | $75.00 | 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 | $106.90 | $0 | Many Generics | No | S5810 -194 | $0.00 | $10.00 | $30.00 | $65.00 | 397 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $93.40 | $0 | Many Generics | No | $6.00 | $29.00 | $33.00 | $78.00 | tbd members | ||||||
2009 UnitedHealth Rx Basic | $45.50 | $0 | No Gap Coverage | No | S5921 -282 | $7.00 | $35.00 | $88.00 | 33% | 1,564 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 SierraRx Basic | $73.10 | $295 | No Gap Coverage | No | S5917 -025 | 25% | 25% | 25% | 102 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 Prescriba Rx Platinum | $70.20 | $0 | All Generics | No | S5597 -221 | $6.00 | $44.00 | 33% | 87 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
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