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 | $31.60 | $295 | No Gap Coverage | No | S5617 -023 | $2.50 | $30.00 | $83.00 | 25% | 2,670 members | |||||
Plan changed to S5617-214 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Aetna Medicare Rx Plus | $64.50 | $0 | Some Generics | No | S5810 -141 | $0.00 | $10.00 | $36.00 | $77.00 | 1,137 members | |||||
Plan changed to S5810-209 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Humana PDP Standard S5884-063 | $41.60 | $295 | No Gap Coverage | No | S5884 -063 | 15% | 25% | 43% | 14,755 members | ||||||
Plan changed to S5884-103 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 First Health Part D-Secure | $18.40 | $175 | No Gap Coverage | No | S5768 -087 | $4.00 | $20.00 | $47.00 | 28% | 2,576 members | |||||
2010 First Health Part D-Secure (PDP) | $11.60 | $175 | No Gap Coverage | No | $4.00 | 20% | 52% | 28% | tbd members | ||||||
2009 Prescriba Rx Bronze | $29.80 | $295 | No Gap Coverage | Yes | S5597 -239 | 25% | 25% | 25% | 2,213 members | ||||||
2010 PrescribaRx Bronze (PDP) | $26.40 | $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 Community CCRx Basic | $30.40 | $295 | No Gap Coverage | Yes | S5803 -074 | $0.00 | 25% | 55% | 20,364 members | ||||||
2010 Community CCRx Basic (PDP) | $28.20 | $310 | No Gap Coverage | Yes | $0.00 | 25% | 65% | tbd members | |||||||
2009 AARP MedicareRx Saver | $27.00 | $295 | No Gap Coverage | Yes | S5921 -237 | $5.00 | $22.00 | $65.45 | 25% | 25,369 members | |||||
2010 AARP MedicareRx Saver (PDP) | $30.00 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $92.50 | 25% | tbd members | ||||||
2009 First Health Part D-Premier | $26.10 | $0 | No Gap Coverage | Yes | S5768 -008 | $5.00 | $29.00 | $58.00 | 33% | 15,517 members | |||||
2010 First Health Part D-Premier (PDP) | $30.30 | $150 | No Gap Coverage | Yes | $7.00 | 11% | 45% | 29% | tbd members | ||||||
2009 WellCare Classic | $29.40 | $295 | No Gap Coverage | Yes | S5967 -142 | $0.00 | $39.00 | $88.00 | 25% | 15,375 members | |||||
2010 WellCare Classic (PDP) | $30.50 | $310 | No Gap Coverage | -- | $4.00 | $39.00 | $85.00 | 25% | tbd members | ||||||
2009 Moved From Plan S5884-63 | S5884 -103 | members | |||||||||||||
2010 Humana Value S5884-103 (PDP) | $30.70 | $150 | No Gap Coverage | No | $5.00 | $35.00 | 37% | tbd members | |||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $34.20 | $180 | No Gap Coverage | No | S5755 -043 | $4.00 | $40.00 | $80.00 | 25% | 410 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $30.80 | $150 | No Gap Coverage | Yes | $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 Moved From Plan S5617-23 | S5617 -214 | members | |||||||||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $31.60 | $310 | No Gap Coverage | Yes | $3.00 | $31.00 | $88.00 | 25% | tbd members | ||||||
2009 Aetna Medicare Rx Essentials | $31.80 | $205 | No Gap Coverage | No | S5810 -039 | $0.00 | $11.00 | $32.00 | $72.00 | 3,631 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $31.80 | $310 | No Gap Coverage | Yes | $3.00 | $26.00 | $27.00 | $70.00 | tbd members | ||||||
2009 HealthSpring Prescription Drug Plan -Reg 5 | $30.10 | $295 | No Gap Coverage | Yes | S5932 -034 | 25% | 25% | 6,675 members | |||||||
2010 HealthSpring Prescription Drug Plan -Reg 5 (PDP) | $31.80 | $310 | No Gap Coverage | Yes | 25% | 25% | tbd members | ||||||||
2009 Medco Medicare Prescription Plan - Value | $29.80 | $295 | No Gap Coverage | Yes | S5660 -107 | 23% | 23% | 53% | 25% | 5,666 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $32.90 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 MedicareRx Rewards Standard | $30.10 | $295 | No Gap Coverage | Yes | S5960 -111 | 25% | 25% | 25% | 25% | 1,559 members | |||||
2010 MedicareRx Rewards Standard (PDP) | $33.40 | $310 | No Gap Coverage | Yes | $7.00 | 25% | 25% | 25% | tbd members | ||||||
2009 Moved From Plan S5810-141 | S5810 -209 | members | |||||||||||||
2010 Aetna Medicare Rx Plus (PDP) | $33.60 | $0 | No Gap Coverage | No | $5.00 | $32.00 | $38.00 | $80.00 | 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 BravoRx | $33.10 | $295 | No Gap Coverage | No | S5998 -037 | 25% | 25% | 25% | 1,221 members | ||||||
2010 BravoRx (PDP) | $34.30 | $310 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | |||||||
2009 Advantage Star Plan by RxAmerica | $31.80 | $295 | No Gap Coverage | No | S5644 -071 | $5.50 | 25% | 25% | 45% | 2,788 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $34.70 | $310 | No Gap Coverage | No | $5.00 | 25% | 25% | 45% | tbd members | ||||||
2009 SilverScript Value | $27.20 | $295 | No Gap Coverage | Yes | S5601 -010 | $8.00 | $42.00 | $98.00 | 25% | 23,005 members | |||||
2010 SilverScript Value (PDP) | $34.70 | $310 | No Gap Coverage | No | $8.00 | $28.00 | $95.00 | 25% | tbd members | ||||||
2009 Health Net Orange Option 1 | $28.80 | $295 | No Gap Coverage | Yes | S5678 -016 | $2.00 | $45.00 | $90.00 | 25% | 6,625 members | |||||
2010 Health Net Orange Option 1 (PDP) | $35.60 | $310 | No Gap Coverage | No | $4.00 | $41.00 | $95.00 | 25% | tbd members | ||||||
2009 EnvisionRxPlus Silver | $26.50 | $295 | No Gap Coverage | Yes | S7694 -005 | $4.00 | $33.00 | $23.00 | $75.00 | 4,045 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $36.40 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
-- This plan not offered in 2009 -- | S5960 -143 | ||||||||||||||
2010 MedicareRx Rewards Plus (PDP) | $37.20 | $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 CIGNA Medicare Rx Plan Two | $40.70 | $0 | No Gap Coverage | No | S5617 -025 | $0.00 | $6.00 | $38.00 | $80.00 | 1,112 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $37.30 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $40.00 | $78.00 | tbd members | ||||||
2009 Community CCRx Choice | $49.10 | $0 | No Gap Coverage | No | S5803 -142 | $5.00 | $30.00 | $60.00 | 33% | 632 members | |||||
2010 Community CCRx Choice (PDP) | $38.90 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | tbd members | ||||||
2009 Health Net Value Orange Option 2 | $39.90 | $0 | No Gap Coverage | No | S5678 -015 | $0.00 | $39.00 | $75.00 | 33% | 1,083 members | |||||
2010 Health Net Value Orange Option 2 (PDP) | $39.00 | $0 | No Gap Coverage | No | $0.00 | $42.00 | $95.00 | 33% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $37.00 | $0 | No Gap Coverage | No | S5820 -004 | $7.00 | $38.00 | $79.95 | 33% | 77,227 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $39.60 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 Prescriba Rx Gold | $38.30 | $0 | No Gap Coverage | No | S5597 -037 | $6.00 | $44.00 | 33% | 956 members | ||||||
2010 PrescribaRx Gold (PDP) | $39.80 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
2009 WellCare Signature | $36.40 | $0 | No Gap Coverage | No | S5967 -039 | $0.00 | $39.00 | $79.00 | 33% | 4,578 members | |||||
2010 WellCare Signature (PDP) | $40.30 | $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 | $36.30 | $0 | No Gap Coverage | No | S5644 -050 | $5.00 | 35% | 33% | 45% | 730 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $40.60 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 AdvantraRx Value | $24.50 | $0 | No Gap Coverage | No | S5670 -027 | $8.00 | $24.00 | $55.00 | 33% | 11,468 members | |||||
2010 AdvantraRx Value (PDP) | $41.40 | $100 | No Gap Coverage | No | $6.00 | 19% | 64% | 30% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Choice | $35.70 | $0 | No Gap Coverage | No | S5660 -004 | $6.00 | $35.00 | 75% | 33% | 4,658 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $41.60 | $100 | No Gap Coverage | No | $6.00 | $38.00 | 75% | 30% | tbd members | ||||||
2009 Humana PDP Enhanced S5884-004 | $38.20 | $0 | No Gap Coverage | No | S5884 -004 | $7.00 | $40.00 | $70.00 | 33% | 23,919 members | |||||
2010 Humana Enhanced S5884-004 (PDP) | $41.90 | $0 | No Gap Coverage | No | $8.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 EnvisionRxPlus Gold | $57.20 | $0 | No Gap Coverage | No | S7694 -039 | $0.00 | $45.00 | $40.00 | $75.00 | 190 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $44.10 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $44.40 | $0 | No Gap Coverage | No | S5755 -008 | $6.00 | $32.00 | $64.00 | 33% | 6,520 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $46.50 | $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 AdvantraRx Premier | $41.50 | $0 | No Gap Coverage | No | S5670 -028 | $5.00 | $30.00 | $71.00 | 33% | 1,611 members | |||||
2010 AdvantraRx Premier (PDP) | $48.60 | $0 | No Gap Coverage | No | $11.00 | 18% | 53% | 33% | tbd members | ||||||
2009 SilverScript Plus | $55.00 | $50 | Many Generics | No | S5601 -011 | $4.00 | $9.00 | $30.00 | $35.00 | 712 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $51.00 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 Sterling Rx | $39.40 | $295 | No Gap Coverage | No | S4802 -002 | $7.00 | $25.00 | $57.00 | 25% | 245 members | |||||
2010 Sterling Rx (PDP) | $54.50 | $310 | No Gap Coverage | No | $9.00 | $31.00 | 25% | tbd members | |||||||
2009 AdvantraRx Premier Plus | $58.40 | $0 | Many Generics | No | S5670 -030 | $4.00 | $30.00 | $75.00 | 33% | 2,406 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $63.80 | $0 | Many Generics | No | $4.00 | $25.00 | 20% | 75% | tbd members | ||||||
2009 SilverScript Complete | $76.00 | $0 | Many Generics | No | S5601 -076 | $2.50 | $7.50 | $39.00 | $98.00 | 162 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $65.60 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $71.30 | $0 | Some Generics | No | S5617 -175 | $6.00 | $35.00 | $60.00 | 33% | 266 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $66.70 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 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 - Access | $67.00 | $0 | All Generics | No | S5660 -175 | $6.00 | $35.00 | 75% | 33% | 631 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $70.70 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 Blue Rx Standard | $52.00 | $0 | No Gap Coverage | No | S5766 -002 | $9.00 | $28.00 | $66.00 | 25% | 29,048 members | |||||
2010 Blue Rx Standard (PDP) | $74.40 | $150 | No Gap Coverage | No | $10.00 | $30.00 | $70.00 | 25% | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $74.30 | $0 | Many Generics | No | S5921 -239 | $7.00 | $39.00 | $95.00 | 33% | 3,347 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $79.10 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 Community CCRx Gold | $66.60 | $0 | All Generics | No | S5803 -222 | $5.00 | $30.00 | $60.00 | 33% | 552 members | |||||
2010 Community CCRx Gold (PDP) | $81.10 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $111.80 | $0 | Many Generics | No | S5810 -175 | $0.00 | $10.00 | $30.00 | $65.00 | 1,208 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $96.70 | $0 | Many Generics | No | $6.00 | $37.00 | $38.00 | $84.00 | tbd members | ||||||
2009 Humana PDP Complete S5884-033 | $95.20 | $0 | Many Generics | No | S5884 -033 | $7.00 | $40.00 | $70.00 | 33% | 2,936 members | |||||
2010 Humana Complete S5884-033 (PDP) | $99.90 | $0 | Many Generics | No | $7.00 | $45.00 | $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 Blue Rx Enhanced | $85.10 | $0 | Many Generics | No | S5766 -003 | $9.00 | $28.00 | $66.00 | 25% | 4,929 members | |||||
2010 Blue Rx Enhanced (PDP) | $120.20 | $0 | All Generics | No | $10.00 | $30.00 | $70.00 | 25% | tbd members | ||||||
2009 Prescriba Rx Platinum | $72.10 | $0 | All Generics | No | S5597 -202 | $6.00 | $44.00 | 33% | 263 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 SierraRx Basic | $66.90 | $295 | No Gap Coverage | No | S5917 -010 | 25% | 25% | 25% | 164 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 UnitedHealth Rx Basic | $38.20 | $0 | No Gap Coverage | No | S5921 -238 | $7.00 | $35.00 | $98.00 | 33% | 6,022 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 MedicareRx Rewards Value | $34.40 | $130 | No Gap Coverage | No | S5960 -005 | $10.00 | $47.00 | $85.00 | 29% | 5,243 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
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