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 | $66.00 | $0 | Some Generics | No | S5810 -140 | $0.00 | $10.00 | $36.00 | $76.00 | 945 members | |||||
Plan changed to S5810-208 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 First Health Part D-Secure | $16.70 | $175 | No Gap Coverage | No | S5768 -086 | $4.00 | $20.00 | $48.00 | 28% | 3,705 members | |||||
2010 First Health Part D-Secure (PDP) | $15.00 | $175 | No Gap Coverage | No | $4.00 | 20% | 52% | 28% | tbd members | ||||||
2009 AmeriHealth NJ Rx Option I | $32.20 | $295 | No Gap Coverage | No | S4496 -001 | $0.00 | $30.00 | $88.00 | 25% | 682 members | |||||
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-- This plan not offered in 2010 -- | |||||||||||||||
2009 Prescriba Rx Platinum | $74.90 | $0 | All Generics | No | S5597 -201 | $6.00 | $44.00 | 33% | 158 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 SierraRx Basic | $72.70 | $295 | No Gap Coverage | No | S5917 -009 | 25% | 25% | 25% | 70 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 Value | $41.50 | $130 | No Gap Coverage | No | S5960 -004 | $10.00 | $46.50 | $85.00 | 29% | 2,500 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 UnitedHealth Rx Basic | $41.40 | $0 | No Gap Coverage | No | S5921 -288 | $7.00 | $35.00 | $98.00 | 33% | 2,834 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 AmeriHealth NJ Rx Option II | $40.20 | $0 | No Gap Coverage | No | S4496 -003 | $7.00 | $37.00 | $70.00 | 33% | 252 members | |||||
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-- This plan not offered in 2010 -- | |||||||||||||||
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