2009 / 2010 Medicare Part D Plan Information Click here to jump to the Chart Legend | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 |
|||||||||
2009 Aetna Medicare Rx Plus | $59.70 | $0 | Some Generics | No | S5810 -157 | $0.00 | $10.00 | $36.00 | $76.00 | 659 members | |||||
Plan changed to S5810-225 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Humana PDP Standard S5884-079 | $43.70 | $295 | No Gap Coverage | No | S5884 -079 | 15% | 25% | 45% | 13,481 members | ||||||
Plan changed to S5884-108 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 CIGNA Medicare Rx Plan One | $28.40 | $295 | No Gap Coverage | No | S5617 -103 | $2.50 | $28.00 | $71.00 | 25% | 2,976 members | |||||
2010 CIGNA Medicare Rx Plan One (PDP) | $25.10 | $310 | No Gap Coverage | Yes | $3.00 | $29.00 | $71.00 | 25% | tbd members | ||||||
2009 Prescriba Rx Bronze | $26.80 | $295 | No Gap Coverage | Yes | S5597 -255 | 25% | 25% | 25% | 2,935 members | ||||||
2010 PrescribaRx Bronze (PDP) | $25.40 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 WellCare Classic | $28.50 | $295 | No Gap Coverage | No | S5967 -158 | $0.00 | $32.00 | $83.00 | 25% | 4,432 members | |||||
2010 WellCare Classic (PDP) | $26.90 | $310 | No Gap Coverage | -- | $4.00 | $32.00 | $68.00 | 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 Health Net Orange Option 1 | $30.00 | $295 | No Gap Coverage | No | S5678 -048 | $2.00 | $41.00 | $90.00 | 25% | 323 members | |||||
2010 Health Net Orange Option 1 (PDP) | $27.10 | $310 | No Gap Coverage | Yes | $4.00 | $36.00 | $95.00 | 25% | tbd members | ||||||
2009 Community CCRx Basic | $27.00 | $295 | No Gap Coverage | Yes | S5803 -090 | $0.00 | 25% | 50% | 47,822 members | ||||||
2010 Community CCRx Basic (PDP) | $27.20 | $310 | No Gap Coverage | Yes | $0.00 | 30% | 50% | tbd members | |||||||
2009 First Health Part D-Premier | $28.50 | $0 | No Gap Coverage | No | S5768 -044 | $7.00 | $27.00 | $52.00 | 33% | 452 members | |||||
2010 First Health Part D-Premier (PDP) | $27.70 | $150 | No Gap Coverage | Yes | $9.00 | 10% | 42% | 29% | tbd members | ||||||
2009 Moved From Plan S5884-79 | S5884 -108 | members | |||||||||||||
2010 Humana Value S5884-108 (PDP) | $27.70 | $150 | No Gap Coverage | No | $5.00 | $35.00 | 32% | tbd members | |||||||
2009 Medco Medicare Prescription Plan - Value | $24.70 | $295 | No Gap Coverage | Yes | S5660 -123 | 23% | 23% | 53% | 25% | 12,346 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $27.80 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 MedicareRx Rewards Standard | $27.00 | $295 | No Gap Coverage | Yes | S5960 -127 | 25% | 25% | 25% | 25% | 14,344 members | |||||
2010 MedicareRx Rewards Standard (PDP) | $28.70 | $310 | No Gap Coverage | Yes | $6.50 | 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 BravoRx | $27.60 | $295 | No Gap Coverage | No | S5998 -026 | 25% | 25% | 25% | 37 members | ||||||
2010 BravoRx (PDP) | $29.10 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 HealthSpring Prescription Drug Plan-Reg 21 | $25.60 | $295 | No Gap Coverage | Yes | S5932 -020 | 25% | 25% | 16,073 members | |||||||
2010 HealthSpring Prescription Drug Plan-Reg 21 (PDP) | $29.10 | $310 | No Gap Coverage | Yes | 25% | 25% | tbd members | ||||||||
2009 Advantage Star Plan by RxAmerica | $27.40 | $295 | No Gap Coverage | Yes | S5644 -196 | $5.00 | 25% | 25% | 45% | 11,084 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $29.80 | $310 | No Gap Coverage | Yes | $4.25 | 25% | 25% | 45% | tbd members | ||||||
2009 SilverScript Value | $24.00 | $295 | No Gap Coverage | Yes | S5601 -042 | $8.00 | $28.25 | $98.00 | 25% | 36,153 members | |||||
2010 SilverScript Value (PDP) | $29.80 | $310 | No Gap Coverage | Yes | $7.00 | $19.25 | $95.00 | 25% | tbd members | ||||||
-- This plan not offered in 2009 -- | S5557 -048 | ||||||||||||||
2010 Fox Value Plan (PDP) | $30.10 | $310 | No Gap Coverage | Yes | tbd | tbd members | |||||||||
2009 EnvisionRxPlus Silver | $30.70 | $295 | No Gap Coverage | No | S7694 -021 | $4.00 | $31.00 | $21.00 | $75.00 | 12 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $31.70 | $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 CIGNA Medicare Rx Plan Two | $39.80 | $0 | No Gap Coverage | No | S5617 -105 | $0.00 | $6.00 | $36.00 | $80.00 | 1,073 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $31.90 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $36.00 | $84.00 | tbd members | ||||||
2009 Prescriba Rx Gold | $40.50 | $0 | No Gap Coverage | No | S5597 -053 | $6.00 | $44.00 | 33% | 514 members | ||||||
2010 PrescribaRx Gold (PDP) | $32.50 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
-- This plan not offered in 2009 -- | S5960 -153 | ||||||||||||||
2010 MedicareRx Rewards Plus (PDP) | $33.00 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 Moved From Plan S5810-157 | S5810 -225 | members | |||||||||||||
2010 Aetna Medicare Rx Plus (PDP) | $35.80 | $0 | No Gap Coverage | No | $5.00 | $32.00 | $36.00 | $80.00 | tbd members | ||||||
2009 AARP MedicareRx Saver | $34.90 | $295 | No Gap Coverage | No | S5921 -331 | $5.00 | $22.00 | $49.45 | 25% | 14,595 members | |||||
2010 AARP MedicareRx Saver (PDP) | $37.40 | $310 | No Gap Coverage | No | $6.00 | $25.00 | $70.50 | 25% | tbd members | ||||||
2009 Community CCRx Choice | $44.80 | $0 | No Gap Coverage | No | S5803 -158 | $5.00 | $30.00 | $60.00 | 33% | 2,529 members | |||||
2010 Community CCRx Choice (PDP) | $38.20 | $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 First Health Part D-Secure | $17.90 | $175 | No Gap Coverage | No | S5768 -103 | $4.00 | $20.00 | $47.00 | 28% | 1,370 members | |||||
2010 First Health Part D-Secure (PDP) | $39.50 | $175 | No Gap Coverage | No | $4.00 | 20% | 59% | 28% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $37.50 | $0 | No Gap Coverage | No | S5820 -020 | $7.00 | $38.00 | $66.25 | 33% | 23,942 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $40.10 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $54.50 | 33% | tbd members | ||||||
2009 WellCare Signature | $35.40 | $0 | No Gap Coverage | No | S5967 -055 | $0.00 | $39.00 | $79.00 | 33% | 3,090 members | |||||
2010 WellCare Signature (PDP) | $40.10 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Choice | $32.10 | $0 | No Gap Coverage | No | S5660 -021 | $6.00 | $35.00 | 75% | 33% | 2,633 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $40.50 | $100 | No Gap Coverage | No | $6.00 | $36.00 | 75% | 30% | tbd members | ||||||
2009 Aetna Medicare Rx Essentials | $30.70 | $200 | No Gap Coverage | No | S5810 -055 | $0.00 | $13.00 | $26.00 | $67.00 | 895 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $41.40 | $310 | No Gap Coverage | No | $2.00 | $25.00 | $26.00 | $70.00 | tbd members | ||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $38.30 | $130 | No Gap Coverage | No | S5755 -059 | $4.00 | $40.00 | $80.00 | 25% | 208 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $42.10 | $160 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 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 | $24.60 | $0 | No Gap Coverage | No | S5670 -111 | $8.00 | $24.00 | $55.00 | 33% | 6,425 members | |||||
2010 AdvantraRx Value (PDP) | $42.70 | $100 | No Gap Coverage | No | $6.00 | 19% | 62% | 30% | tbd members | ||||||
2009 EnvisionRxPlus Gold | $47.60 | $0 | No Gap Coverage | No | S7694 -055 | $0.00 | $45.00 | $40.00 | $75.00 | 78 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $43.30 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
2009 Health Net Value Orange Option 2 | $40.30 | $0 | No Gap Coverage | No | S5678 -047 | $0.00 | $39.00 | $75.00 | 33% | 699 members | |||||
2010 Health Net Value Orange Option 2 (PDP) | $44.80 | $0 | No Gap Coverage | No | $0.00 | $42.00 | $95.00 | 33% | tbd members | ||||||
2009 Advantage Freedom Plan by RxAmerica | $34.80 | $0 | No Gap Coverage | No | S5644 -182 | $4.75 | 35% | 33% | 45% | 458 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $46.10 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $44.50 | $0 | No Gap Coverage | No | S5755 -024 | $7.00 | $33.00 | $66.00 | 33% | 2,192 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $46.50 | $0 | No Gap Coverage | No | $9.00 | $38.00 | $76.00 | 33% | tbd members | ||||||
2009 Humana PDP Enhanced S5884-019 | $45.10 | $0 | No Gap Coverage | No | S5884 -019 | $7.00 | $40.00 | $70.00 | 33% | 12,413 members | |||||
2010 Humana Enhanced S5884-019 (PDP) | $47.40 | $0 | No Gap Coverage | No | $7.00 | $41.00 | $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 SilverScript Plus | $59.80 | $50 | Many Generics | No | S5601 -043 | $4.00 | $9.00 | $30.00 | $35.00 | 284 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $47.40 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 RxBLUE | $45.30 | $0 | No Gap Coverage | No | S5937 -001 | $8.00 | $32.00 | $73.00 | 33% | 13,344 members | |||||
2010 RxBLUE (PDP) | $51.50 | $75 | No Gap Coverage | No | $5.00 | $30.00 | $70.00 | 31% | tbd members | ||||||
2009 AdvantraRx Premier | $41.50 | $0 | No Gap Coverage | No | S5670 -112 | $5.00 | $30.00 | $69.00 | 33% | 2,636 members | |||||
2010 AdvantraRx Premier (PDP) | $51.90 | $0 | No Gap Coverage | No | $12.00 | 16% | 50% | 33% | tbd members | ||||||
2009 Sterling Rx | $39.80 | $295 | No Gap Coverage | No | S4802 -012 | $7.00 | $25.00 | $58.00 | 25% | 666 members | |||||
2010 Sterling Rx (PDP) | $54.30 | $310 | No Gap Coverage | No | $8.00 | $29.00 | 25% | tbd members | |||||||
2009 CIGNA Medicare Rx Plan Three | $69.90 | $0 | Some Generics | No | S5617 -191 | $6.00 | $35.00 | $60.00 | 33% | 249 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $59.20 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 SilverScript Complete | $79.90 | $0 | Many Generics | No | S5601 -092 | $2.50 | $7.50 | $39.00 | $98.00 | 165 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $64.00 | $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 AdvantraRx Premier Plus | $55.90 | $0 | Many Generics | No | S5670 -114 | $4.00 | $30.00 | $75.00 | 33% | 1,925 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $64.90 | $0 | Many Generics | No | $5.00 | $25.00 | 18% | 75% | tbd members | ||||||
2009 Community CCRx Gold | $63.80 | $0 | All Generics | No | S5803 -238 | $5.00 | $30.00 | $60.00 | 33% | 2,465 members | |||||
2010 Community CCRx Gold (PDP) | $68.00 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $69.10 | $0 | All Generics | No | S5660 -191 | $6.00 | $35.00 | 75% | 33% | 388 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $75.00 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $73.60 | $0 | Many Generics | No | S5921 -333 | $7.00 | $39.00 | $82.00 | 33% | 1,346 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $84.10 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $92.10 | $0 | Many Generics | No | S5810 -191 | $0.00 | $10.00 | $30.00 | $65.00 | 839 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $88.00 | $0 | Many Generics | No | $5.00 | $33.00 | $34.00 | $80.00 | tbd members | ||||||
2009 Humana PDP Complete S5884-049 | $93.60 | $0 | Many Generics | No | S5884 -049 | $7.00 | $40.00 | $70.00 | 33% | 2,792 members | |||||
2010 Humana Complete S5884-049 (PDP) | $98.30 | $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 Prescriba Rx Platinum | $71.40 | $0 | All Generics | No | S5597 -218 | $6.00 | $44.00 | 33% | 165 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 UnitedHealth Rx Basic | $47.20 | $0 | No Gap Coverage | No | S5921 -332 | $7.00 | $35.00 | $86.00 | 33% | 1,137 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 SierraRx Basic | $37.30 | $295 | No Gap Coverage | No | S5917 -023 | 25% | 25% | 25% | 195 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 MedicareRx Rewards Value | $31.70 | $130 | No Gap Coverage | No | S5960 -021 | $8.00 | $41.00 | $85.00 | 29% | 1,281 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
|