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 | $32.90 | $295 | No Gap Coverage | No | S5617 -063 | $2.50 | $33.00 | $88.00 | 25% | 3,232 members | |||||
Plan changed to S5617-221 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Aetna Medicare Rx - Costco Plus Plan | $56.00 | $0 | Some Generics | No | S5810 -149 | $0.00 | $5.00 | $35.00 | $90.00 | 1,071 members | |||||
Plan changed to S5810-217 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Moved From Plan S5810-149 | S5810 -217 | members | |||||||||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $33.90 | $0 | No Gap Coverage | No | $2.00 | $28.00 | $34.00 | $80.00 | tbd members | ||||||
-- This plan not offered in 2009 -- | S5960 -149 | ||||||||||||||
2010 MedicareRx Rewards Plus (PDP) | $36.30 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $39.30 | $0 | No Gap Coverage | No | S5820 -012 | $7.00 | $38.00 | $94.10 | 33% | 64,165 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $38.80 | $0 | No Gap Coverage | No | $7.00 | $44.00 | $95.00 | 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 WellCare Signature | $38.70 | $0 | No Gap Coverage | No | S5967 -047 | $0.00 | $39.00 | $79.00 | 33% | 8,712 members | |||||
2010 WellCare Signature (PDP) | $39.40 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 Humana PDP Enhanced S5884-011 | $38.90 | $0 | No Gap Coverage | No | S5884 -011 | $7.00 | $40.00 | $70.00 | 33% | 29,691 members | |||||
2010 Humana Enhanced S5884-011 (PDP) | $42.70 | $0 | No Gap Coverage | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier | $39.10 | $0 | No Gap Coverage | No | S5670 -070 | $6.00 | $30.00 | $76.00 | 33% | 5,949 members | |||||
2010 AdvantraRx Premier (PDP) | $43.60 | $0 | No Gap Coverage | No | $12.00 | 17% | 53% | 33% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $42.60 | $0 | No Gap Coverage | No | S5755 -016 | $5.00 | $31.00 | $62.00 | 33% | 3,645 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $45.90 | $0 | No Gap Coverage | No | $6.00 | $35.00 | $70.00 | 33% | tbd members | ||||||
2009 Advantage Freedom Plan by RxAmerica | $40.60 | $0 | No Gap Coverage | No | S5644 -057 | $5.00 | 35% | 33% | 45% | 733 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $47.10 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 Health Net Value Orange Option 2 | $44.80 | $0 | No Gap Coverage | No | S5678 -031 | $0.00 | $39.00 | $75.00 | 33% | 1,753 members | |||||
2010 Health Net Value Orange Option 2 (PDP) | $56.10 | $0 | No Gap Coverage | No | $0.00 | $42.00 | $95.00 | 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 PriorityMedicareRx | $38.40 | $0 | No Gap Coverage | No | S5857 -001 | $7.00 | $42.00 | $65.00 | 33% | 2,882 members | |||||
-- | -- | -- | |||||||||||||
2010 PriorityMedicare Rx (PDP) | $56.80 | $0 | No Gap Coverage | No | $8.00 | $43.00 | $79.00 | 33% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $76.20 | $0 | Some Generics | No | S5617 -183 | $6.00 | $35.00 | $60.00 | 33% | 226 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $59.00 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier Plus | $53.60 | $0 | Many Generics | No | S5670 -072 | $4.00 | $30.00 | $75.00 | 33% | 7,396 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $60.30 | $0 | Many Generics | No | $5.00 | $25.00 | 20% | 75% | tbd members | ||||||
2009 SilverScript Complete | $63.10 | $0 | Many Generics | No | S5601 -084 | $2.50 | $7.50 | $39.00 | $98.00 | 332 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $64.50 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 Alliance Medicare RX | $64.00 | $0 | All Generics, Few Brands |
No | S3440 -002 | $2.00 | $35.00 | $55.00 | $55.00 | 1,683 members | |||||
-- | |||||||||||||||
2010 Alliance Medicare RX (PDP) | $70.00 | $0 | No Gap Coverage | No | $5.00 | $35.00 | $60.00 | $60.00 | tbd members | ||||||
2009 Prescription Blue Option B | $50.00 | $0 | Many Generics | No | S5584 -002 | $7.00 | $30.00 | $55.00 | 25% | 43,978 members | |||||
2010 Prescription Blue Option B (PDP) | $71.00 | $0 | Many Generics | No | $7.00 | $30.00 | $70.00 | 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 Community CCRx Gold | $67.70 | $0 | All Generics | No | S5803 -230 | $5.00 | $30.00 | $60.00 | 33% | 1,539 members | |||||
2010 Community CCRx Gold (PDP) | $72.60 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $67.90 | $0 | All Generics | No | S5660 -183 | $6.00 | $35.00 | 75% | 33% | 1,151 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $77.50 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $75.20 | $0 | Many Generics | No | S5921 -163 | $7.00 | $39.00 | $95.00 | 33% | 2,585 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $79.90 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $106.00 | $0 | Many Generics | No | S5810 -183 | $0.00 | $10.00 | $30.00 | $65.00 | 649 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $85.90 | $0 | Many Generics | No | $6.00 | $36.00 | $37.00 | $82.00 | tbd members | ||||||
2009 Humana PDP Complete S5884-041 | $97.80 | $0 | Many Generics | No | S5884 -041 | $7.00 | $40.00 | $70.00 | 33% | 4,134 members | |||||
2010 Humana Complete S5884-041 (PDP) | $102.50 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 Prescriba Rx Platinum | $77.00 | $0 | All Generics | No | S5597 -210 | $6.00 | $44.00 | 33% | 174 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 EnvisionRxPlus Gold | $68.90 | $0 | No Gap Coverage | No | S7694 -047 | $0.00 | $45.00 | $40.00 | $75.00 | 322 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 MedicareRx Rewards Value | $34.10 | $130 | No Gap Coverage | No | S5960 -013 | $10.00 | $46.00 | $85.00 | 29% | 3,282 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 EnvisionRxPlus Silver | $32.80 | $295 | No Gap Coverage | No | S7694 -013 | $4.00 | $32.00 | $22.00 | $75.00 | 60 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 UnitedHealth Rx Basic | $40.60 | $0 | No Gap Coverage | No | S5921 -162 | $7.00 | $35.00 | $98.00 | 33% | 5,568 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 Alliance Medicare RX | $50.00 | $150 | No Gap Coverage | No | S3440 -003 | $3.00 | $17.00 | $55.00 | $55.00 | 279 members | |||||
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-- This plan not offered in 2010 -- | |||||||||||||||
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