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 | $35.00 | $295 | No Gap Coverage | No | S5617 -038 | $2.50 | $30.00 | $75.00 | 25% | 8,986 members | |||||
Plan changed to S5617-217 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Aetna Medicare Rx Plus | $63.50 | $0 | Some Generics | No | S5810 -144 | $0.00 | $10.00 | $36.00 | $77.00 | 1,070 members | |||||
Plan changed to S5810-212 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 First Health Part D-Secure | $15.20 | $175 | No Gap Coverage | No | S5768 -090 | $4.00 | $20.00 | $49.00 | 28% | 7,341 members | |||||
2010 First Health Part D-Secure (PDP) | $17.10 | $175 | No Gap Coverage | No | $4.00 | 20% | 57% | 28% | tbd members | ||||||
2009 Prescriba Rx Bronze | $32.40 | $295 | No Gap Coverage | Yes | S5597 -242 | 25% | 25% | 25% | 4,136 members | ||||||
2010 PrescribaRx Bronze (PDP) | $28.20 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 Prescriba Rx Gold | $32.30 | $0 | No Gap Coverage | No | S5597 -040 | $6.00 | $44.00 | 33% | 2,671 members | ||||||
2010 PrescribaRx Gold (PDP) | $29.80 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 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 Aetna Medicare Rx Essentials | $33.90 | $215 | No Gap Coverage | No | S5810 -042 | $0.00 | $14.00 | $25.00 | $65.00 | 1,745 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $30.20 | $310 | No Gap Coverage | Yes | $3.00 | $25.00 | $26.00 | $69.00 | tbd members | ||||||
2009 Community CCRx Basic | $32.80 | $295 | No Gap Coverage | Yes | S5803 -077 | $0.00 | 25% | 55% | 49,900 members | ||||||
2010 Community CCRx Basic (PDP) | $30.20 | $310 | No Gap Coverage | Yes | $0.00 | 30% | 55% | tbd members | |||||||
2009 Moved From Plan S5617-38 | S5617 -217 | members | |||||||||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $31.00 | $310 | No Gap Coverage | Yes | $3.00 | $30.00 | $80.00 | 25% | tbd members | ||||||
2009 AARP MedicareRx Saver | $28.00 | $295 | No Gap Coverage | Yes | S5921 -111 | $5.00 | $22.00 | $60.30 | 25% | 53,685 members | |||||
2010 AARP MedicareRx Saver (PDP) | $31.50 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $83.00 | 25% | tbd members | ||||||
2009 First Health Part D-Premier | $31.70 | $0 | No Gap Coverage | Yes | S5768 -039 | $7.00 | $28.00 | $59.00 | 33% | 13,444 members | |||||
2010 First Health Part D-Premier (PDP) | $32.70 | $150 | No Gap Coverage | Yes | $8.00 | 10% | 40% | 29% | tbd members | ||||||
2009 Fox Value Plan | $18.80 | $295 | No Gap Coverage | Yes | S5557 -024 | $0.00 | $17.00 | $33.00 | $75.00 | 10,463 members | |||||
2010 Fox Value Plan (PDP) | $32.90 | $310 | No Gap Coverage | Yes | 0% | 50% | 38% | 60% | 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 | $32.20 | $295 | No Gap Coverage | Yes | S5660 -110 | 23% | 23% | 53% | 25% | 10,244 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $33.90 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 AdvantraRx Value | $23.40 | $0 | No Gap Coverage | No | S5670 -045 | $8.00 | $24.00 | $55.00 | 33% | 28,216 members | |||||
2010 AdvantraRx Value (PDP) | $35.00 | $100 | No Gap Coverage | No | $7.00 | 20% | 65% | 30% | tbd members | ||||||
2009 Moved From Plan S5810-144 | S5810 -212 | members | |||||||||||||
2010 Aetna Medicare Rx Plus (PDP) | $35.50 | $0 | No Gap Coverage | No | $5.00 | $32.00 | $36.00 | $80.00 | tbd members | ||||||
2009 HealthSpring Prescription Drug Plan -Reg 8 | $31.40 | $295 | No Gap Coverage | Yes | S5932 -008 | 25% | 25% | 12,630 members | |||||||
2010 HealthSpring Prescription Drug Plan -Reg 8 (PDP) | $35.60 | $310 | No Gap Coverage | No | 25% | 25% | tbd members | ||||||||
2009 SilverScript Value | $30.20 | $295 | No Gap Coverage | Yes | S5601 -016 | $8.00 | $33.75 | $98.00 | 25% | 47,493 members | |||||
2010 SilverScript Value (PDP) | $35.80 | $310 | No Gap Coverage | No | $8.00 | $20.00 | $95.00 | 25% | tbd members | ||||||
2009 Advantage Star Plan by RxAmerica | $33.40 | $295 | No Gap Coverage | Yes | S5644 -074 | $4.75 | 25% | 25% | 45% | 28,719 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $35.90 | $310 | No Gap Coverage | No | $3.75 | 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 BravoRx | $31.90 | $295 | No Gap Coverage | Yes | S5998 -017 | 25% | 25% | 25% | 8,051 members | ||||||
2010 BravoRx (PDP) | $35.90 | $310 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | |||||||
2009 Health Net Orange Option 1 | $35.80 | $295 | No Gap Coverage | No | S5678 -022 | $2.00 | $43.00 | $90.00 | 25% | 917 members | |||||
2010 Health Net Orange Option 1 (PDP) | $35.90 | $310 | No Gap Coverage | No | $4.00 | $38.00 | $95.00 | 25% | tbd members | ||||||
2009 MedicareRx Rewards Standard | $32.60 | $295 | No Gap Coverage | Yes | S5960 -114 | 25% | 25% | 25% | 25% | 13,853 members | |||||
2010 MedicareRx Rewards Standard (PDP) | $36.00 | $310 | No Gap Coverage | No | $6.50 | 25% | 25% | 25% | tbd members | ||||||
2009 WellCare Classic | $35.40 | $295 | No Gap Coverage | No | S5967 -145 | $0.00 | $32.00 | $82.00 | 25% | 8,617 members | |||||
2010 WellCare Classic (PDP) | $36.30 | $310 | No Gap Coverage | -- | $4.00 | $33.00 | $71.00 | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Two | $45.50 | $0 | No Gap Coverage | No | S5617 -040 | $0.00 | $6.00 | $39.00 | $80.00 | 1,692 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $36.80 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $35.00 | $91.00 | tbd members | ||||||
2009 EnvisionRxPlus Silver | $34.50 | $295 | No Gap Coverage | No | S7694 -008 | $4.00 | $32.00 | $22.00 | $75.00 | 78 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $36.80 | $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 Community CCRx Choice | $47.00 | $0 | No Gap Coverage | No | S5803 -145 | $5.00 | $30.00 | $60.00 | 33% | 5,305 members | |||||
2010 Community CCRx Choice (PDP) | $38.00 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | tbd members | ||||||
-- This plan not offered in 2009 -- | S5960 -145 | ||||||||||||||
2010 MedicareRx Rewards Plus (PDP) | $40.30 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 WellCare Signature | $36.80 | $0 | No Gap Coverage | No | S5967 -042 | $0.00 | $39.00 | $79.00 | 33% | 8,384 members | |||||
2010 WellCare Signature (PDP) | $41.30 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $41.50 | $130 | No Gap Coverage | No | S5755 -046 | $4.00 | $40.00 | $80.00 | 25% | 311 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $41.40 | $125 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 25% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $39.90 | $0 | No Gap Coverage | No | S5820 -007 | $7.00 | $38.00 | $76.50 | 33% | 102,201 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $42.50 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $69.25 | 33% | tbd members | ||||||
2009 Humana PDP Enhanced S5884-007 | $39.40 | $0 | No Gap Coverage | No | S5884 -007 | $7.00 | $40.00 | $70.00 | 33% | 42,553 members | |||||
2010 Humana Enhanced S5884-007 (PDP) | $43.20 | $0 | No Gap Coverage | 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 Medco Medicare Prescription Plan - Choice | $37.30 | $0 | No Gap Coverage | No | S5660 -007 | $6.00 | $35.00 | 75% | 33% | 6,067 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $43.90 | $100 | No Gap Coverage | No | $6.00 | $38.00 | 75% | 30% | tbd members | ||||||
2009 AdvantraRx Premier | $39.10 | $0 | No Gap Coverage | No | S5670 -046 | $5.00 | $30.00 | $77.00 | 33% | 13,155 members | |||||
2010 AdvantraRx Premier (PDP) | $46.10 | $0 | No Gap Coverage | No | $12.00 | 16% | 51% | 33% | tbd members | ||||||
2009 Fox Grand Plan | $31.90 | $185 | Some Generics | No | S5557 -015 | $0.00 | $19.00 | $35.00 | $75.00 | 904 members | |||||
2010 Fox Grand Plan (PDP) | $47.20 | $0 | Some Generics | No | $1.00 | $30.00 | $34.00 | $95.00 | tbd members | ||||||
2009 Humana PDP Standard S5884-066 | $43.70 | $295 | No Gap Coverage | No | S5884 -066 | 15% | 25% | 45% | 23,185 members | ||||||
2010 Humana Standard S5884-066 (PDP) | $47.40 | $310 | No Gap Coverage | No | 15% | 25% | 42% | tbd members | |||||||
2009 UA Medicare Part D Prescription Drug Cov | $45.80 | $0 | No Gap Coverage | No | S5755 -011 | $6.00 | $32.00 | $64.00 | 33% | 4,159 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $47.50 | $0 | No Gap Coverage | No | $10.00 | $39.00 | $78.00 | 33% | tbd members | ||||||
2009 SilverScript Plus | $55.50 | $50 | Many Generics | No | S5601 -017 | $4.00 | $9.00 | $30.00 | $35.00 | 1,470 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $48.80 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | 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 Advantage Freedom Plan by RxAmerica | $37.80 | $0 | No Gap Coverage | No | S5644 -053 | $5.00 | 35% | 33% | 45% | 1,793 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $55.40 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 Blue Medicare Rx Standard | $39.40 | $0 | No Gap Coverage | No | S5540 -002 | $8.00 | $35.00 | $75.00 | 33% | 7,493 members | |||||
2010 Blue Medicare Rx Standard (PDP) | $56.80 | $0 | No Gap Coverage | No | $6.00 | $41.00 | $81.00 | 33% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $68.10 | $0 | Some Generics | No | S5617 -178 | $6.00 | $35.00 | $60.00 | 33% | 495 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $58.40 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 EnvisionRxPlus Gold | $73.40 | $0 | No Gap Coverage | No | S7694 -042 | $0.00 | $45.00 | $40.00 | $75.00 | 466 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $65.40 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
2009 Sterling Rx | $42.40 | $295 | No Gap Coverage | No | S4802 -005 | $7.00 | $25.00 | $57.00 | 25% | 341 members | |||||
2010 Sterling Rx (PDP) | $66.50 | $310 | No Gap Coverage | No | $10.00 | $31.00 | 25% | tbd members | |||||||
2009 AdvantraRx Premier Plus | $54.80 | $0 | Many Generics | No | S5670 -048 | $4.00 | $30.00 | $76.00 | 33% | 7,511 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $67.60 | $0 | Many Generics | No | $5.00 | $25.00 | 19% | 75% | 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 | $62.30 | $0 | All Generics | No | S5803 -225 | $5.00 | $30.00 | $60.00 | 33% | 4,351 members | |||||
2010 Community CCRx Gold (PDP) | $69.90 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 Health Net Orange Option 2 | $55.60 | $0 | No Gap Coverage | No | S5678 -021 | $5.00 | $30.00 | $90.00 | 33% | 694 members | |||||
2010 Health Net Orange Option 2 (PDP) | $72.70 | $0 | No Gap Coverage | No | $5.00 | $35.00 | $95.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $68.20 | $0 | All Generics | No | S5660 -178 | $6.00 | $35.00 | 75% | 33% | 770 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $77.40 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $74.40 | $0 | Many Generics | No | S5921 -113 | $7.00 | $39.00 | $95.00 | 33% | 4,395 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $79.40 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 SilverScript Complete | $77.50 | $0 | Many Generics | No | S5601 -079 | $2.50 | $7.50 | $39.00 | $98.00 | 371 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $79.40 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 Blue Medicare Rx Enhanced | $68.80 | $0 | All Generics | No | S5540 -004 | $8.00 | $30.00 | $60.00 | 33% | 49,148 members | |||||
2010 Blue Medicare Rx Enhanced (PDP) | $81.20 | $0 | Many Generics | No | $6.00 | $35.00 | $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 Aetna Medicare Rx Premier | $128.50 | $0 | Many Generics | No | S5810 -178 | $0.00 | $10.00 | $30.00 | $65.00 | 743 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $101.80 | $0 | Many Generics | No | $7.00 | $34.00 | $35.00 | $83.00 | tbd members | ||||||
2009 Humana PDP Complete S5884-036 | $98.90 | $0 | Many Generics | No | S5884 -036 | $7.00 | $40.00 | $70.00 | 33% | 4,610 members | |||||
2010 Humana Complete S5884-036 (PDP) | $103.80 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 Prescriba Rx Platinum | $74.20 | $0 | All Generics | No | S5597 -205 | $6.00 | $44.00 | 33% | 188 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 UnitedHealth Rx Basic | $42.60 | $0 | No Gap Coverage | No | S5921 -112 | $7.00 | $35.00 | $89.00 | 33% | 6,860 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 MedicareRx Rewards Value | $36.70 | $130 | No Gap Coverage | No | S5960 -008 | $8.50 | $42.50 | $85.00 | 29% | 3,758 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
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