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 Aetna Medicare Rx Plus | $61.20 | $0 | Some Generics | No | S5810 -137 | $0.00 | $10.00 | $36.00 | $77.00 | 310 members | |||||
Plan changed to S5810-205 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Humana PDP Complete S5884-098 | $100.20 | $0 | Many Generics | No | S5884 -098 | $7.00 | $40.00 | $70.00 | 33% | 39 members | |||||
Plan changed to S5884-101 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 First Health Part D-Secure | $12.80 | $175 | No Gap Coverage | No | S5768 -084 | $4.00 | $20.00 | $48.00 | 28% | 573 members | |||||
2010 First Health Part D-Secure (PDP) | $14.70 | $175 | No Gap Coverage | No | $4.00 | 20% | 48% | 28% | tbd members | ||||||
2009 AARP MedicareRx Saver | $27.10 | $295 | No Gap Coverage | Yes | S5921 -171 | $5.00 | $22.00 | $59.65 | 25% | 52,256 members | |||||
2010 AARP MedicareRx Saver (PDP) | $22.90 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $80.00 | 25% | tbd members | ||||||
2009 Moved From Plan S5884-98 | S5884 -101 | members | |||||||||||||
2010 Humana Value S5884-101 (PDP) | $24.80 | $150 | No Gap Coverage | No | $5.00 | $35.00 | 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 Prescriba Rx Bronze | $29.10 | $295 | No Gap Coverage | No | S5597 -236 | 25% | 25% | 25% | 52 members | ||||||
2010 PrescribaRx Bronze (PDP) | $26.40 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 CIGNA Medicare Rx Plan One | $30.50 | $295 | No Gap Coverage | No | S5617 -003 | $2.50 | $33.00 | $81.00 | 25% | 2,558 members | |||||
2010 CIGNA Medicare Rx Plan One (PDP) | $26.50 | $310 | No Gap Coverage | Yes | $3.00 | $32.00 | $78.00 | 25% | tbd members | ||||||
2009 WellCare Classic | $21.20 | $250 | No Gap Coverage | Yes | S5967 -138 | $0.00 | $31.00 | $75.00 | 25% | 35,160 members | |||||
2010 WellCare Classic (PDP) | $26.90 | $310 | No Gap Coverage | -- | $4.00 | $35.00 | $75.00 | 25% | tbd members | ||||||
2009 AdvantraRx Value | $13.50 | $0 | No Gap Coverage | No | S5674 -002 | $8.00 | $20.00 | $50.00 | 33% | 12,485 members | |||||
2010 AdvantraRx Value (PDP) | $27.00 | $100 | No Gap Coverage | No | $6.00 | 20% | 62% | 30% | tbd members | ||||||
2009 First Health Part D-Premier | $25.40 | $0 | No Gap Coverage | Yes | S5768 -005 | $6.00 | $27.00 | $59.00 | 33% | 8,588 members | |||||
2010 First Health Part D-Premier (PDP) | $28.70 | $150 | No Gap Coverage | No | $7.00 | 11% | 45% | 29% | tbd members | ||||||
2009 HealthSpring Prescription Drug Plan -Reg 1 | $26.10 | $295 | No Gap Coverage | Yes | S5932 -002 | 25% | 25% | 4,278 members | |||||||
2010 HealthSpring Prescription Drug Plan -Reg 1 (PDP) | $29.00 | $310 | No Gap Coverage | No | 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 | $30.00 | $295 | No Gap Coverage | No | S5803 -070 | $0.00 | 30% | 45% | 2,158 members | ||||||
2010 Community CCRx Basic (PDP) | $30.50 | $310 | No Gap Coverage | No | $0.00 | 25% | 70% | tbd members | |||||||
2009 Health Net Orange Option 1 | $34.40 | $295 | No Gap Coverage | No | S5678 -014 | $2.00 | $43.00 | $90.00 | 25% | 150 members | |||||
2010 Health Net Orange Option 1 (PDP) | $31.50 | $310 | No Gap Coverage | No | $4.00 | $41.00 | $95.00 | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Two | $37.20 | $0 | No Gap Coverage | No | S5617 -005 | $0.00 | $6.00 | $38.00 | $80.00 | 961 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $31.70 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $40.00 | $90.00 | tbd members | ||||||
2009 Moved From Plan S5810-137 | S5810 -205 | members | |||||||||||||
2010 Aetna Medicare Rx Plus (PDP) | $32.00 | $0 | No Gap Coverage | No | $5.00 | $32.00 | $38.00 | $80.00 | tbd members | ||||||
2009 AARP MedicareRx Preferred | $35.50 | $0 | No Gap Coverage | No | S5820 -001 | $7.00 | $38.00 | $98.00 | 33% | 50,041 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $32.50 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $90.00 | 33% | tbd members | ||||||
2009 WellCare Signature | $28.80 | $0 | No Gap Coverage | No | S5967 -035 | $0.00 | $39.00 | $79.00 | 33% | 4,576 members | |||||
2010 WellCare Signature (PDP) | $32.50 | $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 SilverScript Value | $27.10 | $295 | No Gap Coverage | Yes | S5601 -002 | $8.00 | $36.50 | $98.00 | 25% | 11,656 members | |||||
2010 SilverScript Value (PDP) | $34.20 | $310 | No Gap Coverage | No | $8.00 | $28.00 | $95.00 | 25% | tbd members | ||||||
2009 Blue MedicareRx Value | $35.00 | $130 | No Gap Coverage | No | 046 -046 | $10.00 | $44.00 | $85.00 | 29% | 1,892 members | |||||
2010 Blue MedicareRx Standard (PDP) | $34.50 | $310 | No Gap Coverage | No | $7.50 | 25% | 25% | 25% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Value | $30.40 | $295 | No Gap Coverage | No | S5660 -104 | 23% | 23% | 53% | 25% | 140 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $34.80 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 EnvisionRxPlus Silver | $34.20 | $295 | No Gap Coverage | No | S7694 -001 | $4.00 | $32.00 | $22.00 | $75.00 | 11 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $36.50 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 Prescriba Rx Gold | $38.60 | $0 | No Gap Coverage | No | S5597 -034 | $6.00 | $44.00 | 33% | 347 members | ||||||
2010 PrescribaRx Gold (PDP) | $39.40 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
2009 Advantage Star Plan by RxAmerica | $32.00 | $295 | No Gap Coverage | No | S5644 -067 | $5.50 | 25% | 25% | 45% | 1,305 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $40.30 | $310 | No Gap Coverage | No | $4.25 | 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 Advantage Freedom Plan by RxAmerica | $29.90 | $0 | No Gap Coverage | No | S5644 -045 | $5.00 | 35% | 33% | 45% | 750 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $40.40 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 AdvantraRx Premier | $37.20 | $0 | No Gap Coverage | No | S5674 -003 | $7.00 | $28.00 | $64.00 | 33% | 2,052 members | |||||
2010 AdvantraRx Premier (PDP) | $41.10 | $0 | No Gap Coverage | No | $12.00 | 16% | 56% | 33% | tbd members | ||||||
2009 Community CCRx Choice | $42.50 | $0 | No Gap Coverage | No | S5803 -138 | $5.00 | $30.00 | $60.00 | 33% | 320 members | |||||
2010 Community CCRx Choice (PDP) | $42.50 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | tbd members | ||||||
2009 Humana PDP Standard S5884-092 | $39.20 | $295 | No Gap Coverage | No | S5884 -092 | 15% | 25% | 45% | 835 members | ||||||
2010 Humana Standard S5884-092 (PDP) | $42.90 | $310 | No Gap Coverage | No | 15% | 25% | 42% | tbd members | |||||||
2009 SilverScript Plus | $45.30 | $50 | Many Generics | No | S5601 -003 | $4.00 | $9.00 | $30.00 | $35.00 | 514 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $45.10 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $40.20 | $160 | No Gap Coverage | No | S5755 -040 | $4.00 | $40.00 | $80.00 | 25% | 46 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $46.00 | $135 | No Gap Coverage | No | $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 Sterling Rx | $37.50 | $295 | No Gap Coverage | No | S4802 -022 | $7.00 | $25.00 | $58.00 | 25% | 34 members | |||||
2010 Sterling Rx (PDP) | $46.10 | $310 | No Gap Coverage | No | $10.00 | $34.00 | 25% | tbd members | |||||||
2009 Humana PDP Enhanced S5884-095 | $42.50 | $0 | No Gap Coverage | No | S5884 -095 | $7.00 | $40.00 | $70.00 | 33% | 1,873 members | |||||
2010 Humana Enhanced S5884-095 (PDP) | $46.20 | $0 | No Gap Coverage | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Essentials | $31.20 | $205 | No Gap Coverage | No | 035 -035 | $0.00 | $12.00 | $27.00 | $67.00 | 350 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $47.90 | $310 | No Gap Coverage | No | $4.00 | $27.00 | $28.00 | $69.00 | tbd members | ||||||
2009 EnvisionRxPlus Gold | $56.50 | $0 | No Gap Coverage | No | S7694 -035 | $0.00 | $45.00 | $40.00 | $75.00 | 73 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $48.00 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Choice | $41.70 | $0 | No Gap Coverage | No | S5660 -001 | $6.00 | $35.00 | 75% | 33% | 1,159 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $48.10 | $100 | No Gap Coverage | No | $6.00 | $40.00 | 75% | 30% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $45.80 | $0 | No Gap Coverage | No | S5755 -005 | $6.00 | $32.00 | $64.00 | 33% | 584 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $49.00 | $0 | No Gap Coverage | No | $6.00 | $35.00 | $70.00 | 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 MedicareRx Value Plus | $45.50 | $0 | No Gap Coverage | No | 001 -001 | $9.00 | $35.00 | $75.00 | 33% | 8,530 members | |||||
2010 Blue MedicareRx Plus (PDP) | $49.20 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 Health Net Value Orange Option 2 | $47.40 | $0 | No Gap Coverage | No | S5678 -013 | $0.00 | $39.00 | $75.00 | 33% | 271 members | |||||
2010 Health Net Value Orange Option 2 (PDP) | $52.10 | $0 | No Gap Coverage | No | $0.00 | $42.00 | $95.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier Plus | $53.40 | $0 | Many Generics | No | S5674 -005 | $4.00 | $30.00 | $74.00 | 33% | 3,746 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $58.20 | $0 | Many Generics | No | $5.00 | $25.00 | 20% | 75% | tbd members | ||||||
2009 SilverScript Complete | $62.00 | $0 | Many Generics | No | S5601 -072 | $2.50 | $7.50 | $39.00 | $98.00 | 307 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $64.20 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $67.60 | $0 | Some Generics | No | S5617 -171 | $6.00 | $35.00 | $60.00 | 33% | 180 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $64.60 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 Community CCRx Gold | $59.20 | $0 | All Generics | No | S5803 -218 | $5.00 | $30.00 | $60.00 | 33% | 176 members | |||||
2010 Community CCRx Gold (PDP) | $79.70 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 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 | $78.90 | $0 | All Generics | No | S5660 -172 | $6.00 | $35.00 | 75% | 33% | 124 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $86.00 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $81.70 | $0 | Many Generics | No | S5921 -173 | $7.00 | $39.00 | $95.00 | 33% | 1,429 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $86.30 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 Blue MedicareRx Premier | $81.80 | $0 | Many Generics | No | S5596 -003 | $9.00 | $35.00 | $75.00 | 33% | 5,258 members | |||||
2010 Blue MedicareRx Premier (PDP) | $86.50 | $0 | Many Generics | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $101.70 | $0 | Many Generics | No | S5810 -171 | $0.00 | $10.00 | $30.00 | $65.00 | 332 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $87.20 | $0 | Many Generics | No | $6.00 | $35.00 | $37.00 | $81.00 | tbd members | ||||||
2009 Prescriba Rx Platinum | $72.50 | $0 | All Generics | No | S5597 -199 | $6.00 | $44.00 | 33% | 45 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 UnitedHealth Rx Basic | $40.80 | $0 | No Gap Coverage | No | S5921 -172 | $7.00 | $35.00 | $98.00 | 33% | 2,583 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 | $31.40 | $295 | No Gap Coverage | No | S5960 -107 | 25% | 25% | 25% | 25% | 331 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
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