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 | $33.50 | $295 | No Gap Coverage | Yes | S5617 -073 | $2.50 | $30.00 | $79.00 | 25% | 16,887 members | |||||
Plan changed to S5617-222 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Aetna Medicare Rx Plus | $58.80 | $0 | Some Generics | No | S5810 -151 | $0.00 | $10.00 | $38.00 | $78.00 | 2,111 members | |||||
Plan changed to S5810-219 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 First Health Part D-Secure | $16.80 | $175 | No Gap Coverage | No | S5768 -097 | $4.00 | $20.00 | $45.00 | 28% | 8,509 members | |||||
2010 First Health Part D-Secure (PDP) | $23.10 | $175 | No Gap Coverage | No | $4.00 | 20% | 55% | 28% | tbd members | ||||||
2009 Prescriba Rx Bronze | $29.80 | $295 | No Gap Coverage | Yes | S5597 -249 | 25% | 25% | 25% | 3,491 members | ||||||
2010 PrescribaRx Bronze (PDP) | $26.40 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 Community CCRx Basic | $31.80 | $295 | No Gap Coverage | Yes | S5803 -084 | $0.00 | 30% | 45% | 73,781 members | ||||||
2010 Community CCRx Basic (PDP) | $28.60 | $310 | No Gap Coverage | Yes | $0.00 | 30% | 55% | 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 S5617-73 | S5617 -222 | members | |||||||||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $30.50 | $310 | No Gap Coverage | Yes | $3.00 | $30.00 | $86.00 | 25% | tbd members | ||||||
2009 Aetna Medicare Rx Essentials | $33.90 | $200 | No Gap Coverage | Yes | S5810 -049 | $0.00 | $12.00 | $28.00 | $70.00 | 15,484 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $32.40 | $310 | No Gap Coverage | Yes | $3.00 | $26.00 | $27.00 | $70.00 | tbd members | ||||||
2009 AARP MedicareRx Saver | $28.20 | $295 | No Gap Coverage | Yes | S5921 -061 | $5.00 | $22.00 | $59.65 | 25% | 52,412 members | |||||
2010 AARP MedicareRx Saver (PDP) | $32.80 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $77.25 | 25% | tbd members | ||||||
2009 Moved From Plan S5810-151 | S5810 -219 | members | |||||||||||||
2010 Aetna Medicare Rx Plus (PDP) | $32.80 | $0 | No Gap Coverage | No | $5.00 | $32.00 | $38.00 | $80.00 | tbd members | ||||||
2009 First Health Part D-Premier | $28.10 | $0 | No Gap Coverage | Yes | S5768 -018 | $6.00 | $30.00 | $58.00 | 33% | 30,222 members | |||||
2010 First Health Part D-Premier (PDP) | $34.10 | $150 | No Gap Coverage | Yes | $7.00 | 11% | 43% | 29% | tbd members | ||||||
2009 HealthSpring Prescription Drug Plan-Reg 15 | $25.60 | $295 | No Gap Coverage | Yes | S5932 -014 | 25% | 25% | 11,949 members | |||||||
2010 HealthSpring Prescription Drug Plan-Reg 15 (PDP) | $34.70 | $310 | No Gap Coverage | Yes | 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 AdvantraRx Value | $24.40 | $0 | No Gap Coverage | No | S5674 -026 | $8.00 | $24.00 | $55.00 | 33% | 46,636 members | |||||
2010 AdvantraRx Value (PDP) | $34.90 | $100 | No Gap Coverage | No | $6.00 | 20% | 64% | 30% | tbd members | ||||||
2009 Blue MedicareRx Value | $37.70 | $130 | No Gap Coverage | No | S5596 -017 | $10.00 | $38.00 | $85.00 | 29% | 18,267 members | |||||
2010 Blue MedicareRx Standard (PDP) | $35.20 | $310 | No Gap Coverage | Yes | $6.00 | 25% | 25% | 25% | tbd members | ||||||
2009 Community CCRx Choice | $43.40 | $0 | No Gap Coverage | No | S5803 -152 | $5.00 | $30.00 | $60.00 | 33% | 4,672 members | |||||
2010 Community CCRx Choice (PDP) | $35.30 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Value | $28.90 | $295 | No Gap Coverage | Yes | S5660 -117 | 23% | 23% | 53% | 25% | 9,056 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $35.30 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 EnvisionRxPlus Silver | $35.00 | $295 | No Gap Coverage | No | S7694 -015 | $4.00 | $31.00 | $21.00 | $75.00 | 95 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $36.60 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 Prescriba Rx Gold | $38.40 | $0 | No Gap Coverage | No | S5597 -047 | $6.00 | $44.00 | 33% | 4,274 members | ||||||
2010 PrescribaRx Gold (PDP) | $36.60 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 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 CIGNA Medicare Rx Plan Two | $41.20 | $0 | No Gap Coverage | No | S5617 -075 | $0.00 | $6.00 | $38.00 | $80.00 | 2,631 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $36.80 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $38.00 | $84.00 | tbd members | ||||||
2009 WellCare Classic | $34.90 | $295 | No Gap Coverage | No | S5967 -152 | $0.00 | $31.00 | $77.00 | 25% | 13,829 members | |||||
2010 WellCare Classic (PDP) | $36.90 | $310 | No Gap Coverage | -- | $4.00 | $34.00 | $68.00 | 25% | tbd members | ||||||
2009 BravoRx | $32.50 | $295 | No Gap Coverage | Yes | S5998 -021 | 25% | 25% | 25% | 6,204 members | ||||||
2010 BravoRx (PDP) | $37.10 | $310 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | |||||||
2009 SilverScript Value | $28.00 | $295 | No Gap Coverage | Yes | S5601 -030 | $8.00 | $33.50 | $98.00 | 25% | 47,210 members | |||||
2010 SilverScript Value (PDP) | $37.90 | $310 | No Gap Coverage | No | $8.00 | $22.50 | $95.00 | 25% | tbd members | ||||||
2009 Advantage Star Plan by RxAmerica | $31.00 | $295 | No Gap Coverage | Yes | S5644 -190 | $5.50 | 25% | 25% | 45% | 9,201 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $38.00 | $310 | No Gap Coverage | No | $5.25 | 25% | 25% | 45% | tbd members | ||||||
2009 Health Net Orange Option 1 | $34.80 | $295 | No Gap Coverage | No | S5678 -036 | $2.00 | $42.00 | $90.00 | 25% | 1,504 members | |||||
2010 Health Net Orange Option 1 (PDP) | $38.10 | $310 | No Gap Coverage | No | $4.00 | $38.00 | $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 Medco Medicare Prescription Plan - Choice | $35.10 | $0 | No Gap Coverage | No | S5660 -015 | $6.00 | $35.00 | 75% | 33% | 9,303 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $40.70 | $100 | No Gap Coverage | No | $6.00 | $39.00 | 75% | 30% | tbd members | ||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $40.70 | $130 | No Gap Coverage | No | S5755 -053 | $4.00 | $40.00 | $80.00 | 25% | 307 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $41.00 | $100 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 25% | tbd members | ||||||
2009 WellCare Signature | $38.40 | $0 | No Gap Coverage | No | S5967 -049 | $0.00 | $39.00 | $79.00 | 33% | 9,782 members | |||||
2010 WellCare Signature (PDP) | $42.50 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $41.90 | $0 | No Gap Coverage | No | S5820 -014 | $7.00 | $38.00 | $76.00 | 33% | 125,180 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $44.50 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $71.00 | 33% | tbd members | ||||||
2009 Humana PDP Standard S5884-073 | $42.10 | $295 | No Gap Coverage | No | S5884 -073 | 15% | 25% | 47% | 56,854 members | ||||||
2010 Humana Standard S5884-073 (PDP) | $45.80 | $310 | No Gap Coverage | No | 15% | 25% | 44% | tbd members | |||||||
2009 Advantage Freedom Plan by RxAmerica | $29.10 | $0 | No Gap Coverage | No | S5644 -176 | $4.50 | 35% | 33% | 45% | 4,452 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $49.20 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 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 AdvantraRx Premier | $40.50 | $0 | No Gap Coverage | No | S5674 -027 | $5.00 | $30.00 | $73.00 | 33% | 13,125 members | |||||
2010 AdvantraRx Premier (PDP) | $49.20 | $0 | No Gap Coverage | No | $11.00 | 16% | 54% | 33% | tbd members | ||||||
2009 Blue MedicareRx Plus | $44.30 | $0 | No Gap Coverage | No | S5596 -018 | $9.00 | $35.00 | $75.00 | 33% | 31,376 members | |||||
2010 Blue MedicareRx Plus (PDP) | $50.00 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 SilverScript Plus | $51.30 | $50 | Many Generics | No | S5601 -031 | $4.00 | $9.00 | $30.00 | $35.00 | 1,313 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $51.10 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 Sterling Rx | $42.40 | $295 | No Gap Coverage | No | S4802 -009 | $7.00 | $25.00 | $57.00 | 25% | 560 members | |||||
2010 Sterling Rx (PDP) | $51.40 | $310 | No Gap Coverage | No | $10.00 | $33.00 | 25% | tbd members | |||||||
2009 Humana PDP Enhanced S5884-013 | $47.90 | $0 | No Gap Coverage | No | S5884 -013 | $7.00 | $40.00 | $70.00 | 33% | 38,752 members | |||||
2010 Humana Enhanced S5884-013 (PDP) | $51.60 | $0 | No Gap Coverage | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $48.70 | $0 | No Gap Coverage | No | S5755 -018 | $5.00 | $31.00 | $62.00 | 33% | 3,592 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $52.50 | $0 | No Gap Coverage | No | $7.00 | $36.00 | $72.00 | 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 CIGNA Medicare Rx Plan Three | $66.10 | $0 | Some Generics | No | S5617 -185 | $6.00 | $35.00 | $60.00 | 33% | 602 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $59.90 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier Plus | $55.50 | $0 | Many Generics | No | S5674 -029 | $4.00 | $30.00 | $75.00 | 33% | 11,876 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $63.90 | $0 | Many Generics | No | $5.00 | $25.00 | 20% | 75% | tbd members | ||||||
2009 EnvisionRxPlus Gold | $72.30 | $0 | No Gap Coverage | No | S7694 -049 | $0.00 | $45.00 | $40.00 | $75.00 | 343 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $64.10 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
2009 SilverScript Complete | $66.90 | $0 | Many Generics | No | S5601 -086 | $2.50 | $7.50 | $39.00 | $98.00 | 771 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $66.50 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 Health Net Orange Option 2 | $62.00 | $0 | No Gap Coverage | No | S5678 -035 | $5.00 | $30.00 | $90.00 | 33% | 595 members | |||||
2010 Health Net Orange Option 2 (PDP) | $70.20 | $0 | No Gap Coverage | No | $5.00 | $35.00 | $95.00 | 33% | tbd members | ||||||
2009 Community CCRx Gold | $66.70 | $0 | All Generics | No | S5803 -232 | $5.00 | $30.00 | $60.00 | 33% | 3,393 members | |||||
2010 Community CCRx Gold (PDP) | $74.90 | $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 AARP MedicareRx Enhanced | $71.70 | $0 | Many Generics | No | S5921 -063 | $7.00 | $39.00 | $95.00 | 33% | 5,466 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $76.30 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $71.30 | $0 | All Generics | No | S5660 -185 | $6.00 | $35.00 | 75% | 33% | 1,521 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $80.00 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $100.90 | $0 | Many Generics | No | S5810 -185 | $0.00 | $10.00 | $30.00 | $65.00 | 1,915 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $85.90 | $0 | Many Generics | No | $5.00 | $35.00 | $37.00 | $80.00 | tbd members | ||||||
2009 Blue MedicareRx Premier | $79.10 | $0 | Many Generics | No | S5596 -019 | $9.00 | $35.00 | $75.00 | 33% | 25,310 members | |||||
2010 Blue MedicareRx Premier (PDP) | $93.10 | $0 | Many Generics | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 Humana PDP Complete S5884-043 | $98.40 | $0 | Many Generics | No | S5884 -043 | $7.00 | $40.00 | $70.00 | 33% | 7,690 members | |||||
2010 Humana Complete S5884-043 (PDP) | $100.70 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 MedicareRx Rewards Standard | $33.70 | $295 | No Gap Coverage | Yes | S5960 -121 | 25% | 25% | 25% | 25% | 17,465 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 UnitedHealth Rx Basic | $44.00 | $0 | No Gap Coverage | No | S5921 -062 | $7.00 | $35.00 | $89.00 | 33% | 9,356 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 SierraRx Basic | $65.70 | $295 | No Gap Coverage | No | S5917 -018 | 25% | 25% | 25% | 333 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 Prescriba Rx Platinum | $69.50 | $0 | All Generics | No | S5597 -212 | $6.00 | $44.00 | 33% | 1,181 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
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