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 | $61.00 | $0 | Some Generics | No | S5810 -154 | $0.00 | $10.00 | $36.00 | $76.00 | 891 members | |||||
Plan changed to S5810-222 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 First Health Part D-Secure | $14.50 | $175 | No Gap Coverage | No | S5768 -100 | $4.00 | $20.00 | $50.00 | 28% | 6,618 members | |||||
2010 First Health Part D-Secure (PDP) | $25.10 | $175 | No Gap Coverage | No | $4.00 | 20% | 51% | 28% | tbd members | ||||||
2009 Aetna Medicare Rx Essentials | $30.80 | $200 | No Gap Coverage | Yes | S5810 -052 | $0.00 | $13.00 | $26.00 | $67.00 | 11,322 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $29.60 | $310 | No Gap Coverage | Yes | $2.00 | $27.00 | $28.00 | $70.00 | tbd members | ||||||
2009 WellCare Classic | $32.60 | $295 | No Gap Coverage | No | S5967 -155 | $0.00 | $30.00 | $75.00 | 25% | 5,148 members | |||||
2010 WellCare Classic (PDP) | $31.10 | $310 | No Gap Coverage | -- | $4.00 | $32.00 | $63.00 | 25% | tbd members | ||||||
2009 AdvantraRx Value | $23.10 | $0 | No Gap Coverage | No | S5670 -093 | $8.00 | $24.00 | $55.00 | 33% | 31,089 members | |||||
2010 AdvantraRx Value (PDP) | $32.90 | $100 | No Gap Coverage | No | $6.00 | 20% | 62% | 30% | 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 - Value | $28.60 | $295 | No Gap Coverage | Yes | S5660 -120 | 23% | 23% | 53% | 25% | 7,877 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $33.00 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 BravoRx | $36.10 | $295 | No Gap Coverage | No | S5998 -023 | 25% | 25% | 25% | 29 members | ||||||
2010 BravoRx (PDP) | $33.30 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
-- This plan not offered in 2009 -- | S5557 -044 | ||||||||||||||
2010 Fox Value Plan (PDP) | $33.70 | $310 | No Gap Coverage | Yes | tbd | tbd members | |||||||||
2009 Health Net Orange Option 1 | $39.00 | $295 | No Gap Coverage | No | S5678 -042 | $2.00 | $43.00 | $90.00 | 25% | 754 members | |||||
2010 Health Net Orange Option 1 (PDP) | $33.70 | $310 | No Gap Coverage | Yes | $4.00 | $37.00 | $95.00 | 25% | tbd members | ||||||
2009 Prescriba Rx Gold | $33.20 | $0 | No Gap Coverage | No | S5597 -050 | $6.00 | $44.00 | 33% | 1,463 members | ||||||
2010 PrescribaRx Gold (PDP) | $34.00 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
2009 Moved From Plan S5810-154 | S5810 -222 | members | |||||||||||||
2010 Aetna Medicare Rx Plus (PDP) | $34.10 | $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 HealthSpring Prescription Drug Plan-Reg 18 | $30.50 | $295 | No Gap Coverage | Yes | S5932 -017 | 25% | 25% | 8,792 members | |||||||
2010 HealthSpring Prescription Drug Plan-Reg 18 (PDP) | $34.20 | $310 | No Gap Coverage | Yes | 25% | 25% | tbd members | ||||||||
2009 SilverScript Value | $36.30 | $295 | No Gap Coverage | No | S5601 -036 | $8.00 | $33.00 | $98.00 | 25% | 5,090 members | |||||
2010 SilverScript Value (PDP) | $34.50 | $310 | No Gap Coverage | Yes | $8.00 | $20.00 | $95.00 | 25% | tbd members | ||||||
2009 Prescriba Rx Bronze | $37.90 | $295 | No Gap Coverage | No | S5597 -252 | 25% | 25% | 25% | 84 members | ||||||
2010 PrescribaRx Bronze (PDP) | $34.90 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 EnvisionRxPlus Silver | $36.10 | $295 | No Gap Coverage | No | S7694 -018 | $4.00 | $31.00 | $21.00 | $75.00 | 50 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $35.30 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 Community CCRx Choice | $43.30 | $0 | No Gap Coverage | No | S5803 -155 | $5.00 | $30.00 | $60.00 | 33% | 3,450 members | |||||
2010 Community CCRx Choice (PDP) | $35.70 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Two | $42.50 | $0 | No Gap Coverage | No | S5617 -090 | $0.00 | $6.00 | $38.00 | $80.00 | 904 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $36.30 | $100 | No Gap Coverage | Yes | $0.00 | $8.00 | $36.00 | $84.00 | 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 AARP MedicareRx Saver | $36.30 | $295 | No Gap Coverage | No | S5921 -301 | $5.00 | $22.00 | $56.95 | 25% | 11,423 members | |||||
2010 AARP MedicareRx Saver (PDP) | $38.80 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $81.00 | 25% | tbd members | ||||||
2009 Community CCRx Basic | $27.70 | $295 | No Gap Coverage | Yes | S5803 -087 | $0.00 | 30% | 50% | 66,678 members | ||||||
2010 Community CCRx Basic (PDP) | $39.60 | $310 | No Gap Coverage | Yes | $0.00 | 30% | 50% | tbd members | |||||||
2009 WellCare Signature | $35.30 | $0 | No Gap Coverage | No | S5967 -052 | $0.00 | $39.00 | $79.00 | 33% | 7,207 members | |||||
2010 WellCare Signature (PDP) | $39.60 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $37.80 | $0 | No Gap Coverage | No | S5820 -017 | $7.00 | $38.00 | $83.00 | 33% | 61,414 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $40.40 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $76.00 | 33% | tbd members | ||||||
2009 Humana PDP Enhanced S5884-016 | $38.30 | $0 | No Gap Coverage | No | S5884 -016 | $7.00 | $40.00 | $70.00 | 33% | 37,171 members | |||||
2010 Humana Enhanced S5884-016 (PDP) | $42.00 | $0 | No Gap Coverage | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 Blue MedicareRx Value | $32.30 | $130 | No Gap Coverage | No | S5596 -043 | $10.00 | $40.00 | $85.00 | 29% | 6,172 members | |||||
2010 Blue MedicareRx Value (PDP) | $42.20 | $150 | No Gap Coverage | No | $7.80 | $45.00 | 29% | 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 One | $41.70 | $295 | No Gap Coverage | No | S5617 -088 | $2.50 | $30.00 | $86.00 | 25% | 695 members | |||||
2010 CIGNA Medicare Rx Plan One (PDP) | $42.70 | $310 | No Gap Coverage | No | $3.00 | $30.00 | $84.00 | 25% | tbd members | ||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $43.10 | $140 | No Gap Coverage | No | S5755 -056 | $4.00 | $40.00 | $80.00 | 25% | 121 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $44.40 | $140 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 25% | tbd members | ||||||
2009 AdvantraRx Premier | $38.90 | $0 | No Gap Coverage | No | S5670 -094 | $6.00 | $30.00 | $73.00 | 33% | 5,450 members | |||||
2010 AdvantraRx Premier (PDP) | $46.10 | $0 | No Gap Coverage | No | $12.00 | 17% | 55% | 33% | tbd members | ||||||
2009 Advantage Freedom Plan by RxAmerica | $37.10 | $0 | No Gap Coverage | No | S5644 -179 | $4.75 | 35% | 33% | 45% | 1,072 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $46.70 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 Blue MedicareRx Plus | $42.60 | $0 | No Gap Coverage | No | S5596 -044 | $9.00 | $35.00 | $75.00 | 33% | 10,987 members | |||||
2010 Blue MedicareRx Plus (PDP) | $48.20 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 Humana PDP Standard S5884-076 | $44.60 | $295 | No Gap Coverage | No | S5884 -076 | 15% | 25% | 48% | 19,737 members | ||||||
2010 Humana Standard S5884-076 (PDP) | $48.30 | $310 | No Gap Coverage | No | 15% | 25% | 44% | 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 | $56.00 | $50 | Many Generics | No | S5601 -037 | $4.00 | $9.00 | $30.00 | $35.00 | 553 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $50.10 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 First Health Part D-Premier | $27.60 | $0 | No Gap Coverage | Yes | S5768 -021 | $7.00 | $27.00 | $51.00 | 33% | 52,176 members | |||||
2010 First Health Part D-Premier (PDP) | $50.20 | $150 | No Gap Coverage | No | $7.00 | 10% | 40% | 29% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Choice | $44.20 | $0 | No Gap Coverage | No | S5660 -018 | $6.00 | $38.00 | 75% | 33% | 1,580 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $50.90 | $100 | No Gap Coverage | No | $6.00 | $40.00 | 75% | 30% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $48.60 | $0 | No Gap Coverage | No | S5755 -021 | $5.00 | $31.00 | $62.00 | 33% | 2,057 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $51.20 | $0 | No Gap Coverage | No | $7.00 | $36.00 | $72.00 | 33% | tbd members | ||||||
2009 EnvisionRxPlus Gold | $70.20 | $0 | No Gap Coverage | No | S7694 -052 | $0.00 | $45.00 | $40.00 | $75.00 | 173 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $56.00 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
2009 Advantage Star Plan by RxAmerica | $34.70 | $295 | No Gap Coverage | No | S5644 -193 | $5.00 | 25% | 25% | 45% | 434 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $56.90 | $310 | No Gap Coverage | No | $3.25 | 25% | 25% | 45% | 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 | $68.90 | $0 | Some Generics | No | S5617 -188 | $6.00 | $35.00 | $60.00 | 33% | 216 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $60.40 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 Sterling Rx | $41.70 | $295 | No Gap Coverage | No | S4802 -010 | $7.00 | $25.00 | $58.00 | 25% | 156 members | |||||
2010 Sterling Rx (PDP) | $60.50 | $310 | No Gap Coverage | No | $9.00 | $32.00 | 25% | tbd members | |||||||
2009 AdvantraRx Premier Plus | $54.50 | $0 | Many Generics | No | S5670 -096 | $4.00 | $30.00 | $75.00 | 33% | 5,939 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $62.60 | $0 | Many Generics | No | $5.00 | $25.00 | 20% | 75% | tbd members | ||||||
2009 Health Net Orange Option 2 | $61.20 | $0 | No Gap Coverage | No | S5678 -041 | $5.00 | $30.00 | $90.00 | 33% | 271 members | |||||
2010 Health Net Orange Option 2 (PDP) | $72.40 | $0 | No Gap Coverage | No | $5.00 | $35.00 | $95.00 | 33% | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $69.10 | $0 | Many Generics | No | S5921 -303 | $7.00 | $39.00 | $95.00 | 33% | 2,953 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $73.90 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 SilverScript Complete | $75.30 | $0 | Many Generics | No | S5601 -089 | $2.50 | $7.50 | $39.00 | $98.00 | 288 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $75.90 | $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 Community CCRx Gold | $75.70 | $0 | All Generics | No | S5803 -235 | $5.00 | $30.00 | $60.00 | 33% | 1,765 members | |||||
2010 Community CCRx Gold (PDP) | $77.30 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $75.00 | $0 | All Generics | No | S5660 -188 | $6.00 | $35.00 | 75% | 33% | 518 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $83.40 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $106.80 | $0 | Many Generics | No | S5810 -188 | $0.00 | $10.00 | $30.00 | $65.00 | 728 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $86.50 | $0 | Many Generics | No | $6.00 | $34.00 | $35.00 | $82.00 | tbd members | ||||||
2009 Blue MedicareRx Premier | $77.10 | $0 | Many Generics | No | S5596 -045 | $9.00 | $35.00 | $75.00 | 33% | 9,046 members | |||||
2010 Blue MedicareRx Premier (PDP) | $89.80 | $0 | Many Generics | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 Humana PDP Complete S5884-046 | $99.30 | $0 | Many Generics | No | S5884 -046 | $7.00 | $40.00 | $70.00 | 33% | 3,865 members | |||||
2010 Humana Complete S5884-046 (PDP) | $104.00 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 UnitedHealth Rx Basic | $42.40 | $0 | No Gap Coverage | No | S5921 -302 | $7.00 | $35.00 | $91.00 | 33% | 5,172 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 MedicareRx Rewards Standard | $28.20 | $295 | No Gap Coverage | Yes | S5960 -124 | 25% | 25% | 25% | 25% | 6,057 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 Prescriba Rx Platinum | $73.50 | $0 | All Generics | No | S5597 -215 | $6.00 | $44.00 | 33% | 212 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 SierraRx Basic | $64.40 | $295 | No Gap Coverage | No | S5917 -020 | 25% | 25% | 25% | 102 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
|