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 Moved From Plan S5617-63 | S5617 -221 | members | |||||||||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $29.70 | $310 | No Gap Coverage | Yes | $3.00 | $33.00 | $85.00 | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Two | $39.40 | $0 | No Gap Coverage | No | S5617 -065 | $0.00 | $6.00 | $43.00 | $85.00 | 1,191 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $35.70 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $41.00 | $87.00 | 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 | ||||||
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