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 AARP MedicareRx Saver | $26.10 | $295 | No Gap Coverage | Yes | S5921 -286 | $5.00 | $22.00 | $61.25 | 25% | 83,934 members | |||||
2010 AARP MedicareRx Saver (PDP) | $28.10 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $82.75 | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan One | $34.90 | $295 | No Gap Coverage | No | S5617 -018 | $2.50 | $28.00 | $77.00 | 25% | 1,479 members | |||||
2010 CIGNA Medicare Rx Plan One (PDP) | $31.30 | $310 | No Gap Coverage | Yes | $3.00 | $29.00 | $77.00 | 25% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Value | $27.70 | $295 | No Gap Coverage | Yes | S5660 -106 | 23% | 23% | 53% | 25% | 14,933 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $32.00 | $310 | No Gap Coverage | Yes | 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 EnvisionRxPlus Silver | $33.20 | $295 | No Gap Coverage | No | S7694 -004 | $4.00 | $33.00 | $23.00 | $75.00 | 47 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $33.30 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 Advantage Star Plan by RxAmerica | $30.50 | $295 | No Gap Coverage | Yes | S5644 -005 | $6.50 | 25% | 25% | 45% | 17,809 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $34.00 | $310 | No Gap Coverage | Yes | $4.25 | 25% | 25% | 45% | tbd members | ||||||
2009 SilverScript Value | $29.40 | $295 | No Gap Coverage | Yes | S5601 -008 | $8.00 | $39.00 | $98.00 | 25% | 77,995 members | |||||
2010 SilverScript Value (PDP) | $34.20 | $310 | No Gap Coverage | Yes | $8.00 | $22.50 | $95.00 | 25% | tbd members | ||||||
2009 Health Net Orange Option 1 | $32.90 | $295 | No Gap Coverage | No | S5678 -005 | $2.00 | $40.00 | $90.00 | 25% | 1,576 members | |||||
2010 Health Net Orange Option 1 (PDP) | $35.80 | $310 | No Gap Coverage | No | $4.00 | $38.00 | $95.00 | 25% | tbd members | ||||||
2009 Fox Value Plan | $24.60 | $295 | No Gap Coverage | Yes | S5557 -023 | $0.00 | $29.00 | $33.00 | $75.00 | 24,610 members | |||||
2010 Fox Value Plan (PDP) | $36.00 | $310 | No Gap Coverage | No | 0% | 50% | 33% | 60% | tbd members | ||||||
2009 AdvantraRx Value | $24.60 | $0 | No Gap Coverage | No | S5674 -014 | $8.00 | $24.00 | $55.00 | 33% | 13,715 members | |||||
2010 AdvantraRx Value (PDP) | $36.50 | $100 | No Gap Coverage | No | $6.00 | 19% | 65% | 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 Humana PDP Enhanced S5884-003 | $33.70 | $0 | No Gap Coverage | No | S5884 -003 | $7.00 | $40.00 | $70.00 | 33% | 34,244 members | |||||
2010 Humana Enhanced S5884-003 (PDP) | $37.40 | $0 | No Gap Coverage | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 HealthSpring Prescription Drug Plan -Reg 4 | $26.60 | $295 | No Gap Coverage | Yes | S5932 -005 | 25% | 25% | 12,358 members | |||||||
2010 HealthSpring Prescription Drug Plan -Reg 4 (PDP) | $38.40 | $310 | No Gap Coverage | No | 25% | 25% | tbd members | ||||||||
2009 Aetna Medicare Rx Essentials | $32.90 | $220 | No Gap Coverage | No | S5810 -038 | $5.00 | $11.00 | $22.00 | $63.00 | 2,295 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $38.70 | $310 | No Gap Coverage | No | $3.00 | $24.00 | $25.00 | $67.00 | tbd members | ||||||
2009 AARP MedicareRx Preferred | $36.90 | $0 | No Gap Coverage | No | S5820 -003 | $7.00 | $38.00 | $75.10 | 33% | 116,809 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $39.40 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $77.00 | 33% | tbd members | ||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $41.50 | $160 | No Gap Coverage | No | S5755 -042 | $4.00 | $40.00 | $80.00 | 25% | 129 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $39.40 | $210 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 25% | tbd members | ||||||
2009 WellCare Classic | $33.60 | $295 | No Gap Coverage | No | S5967 -141 | $0.00 | $41.00 | $92.00 | 25% | 3,475 members | |||||
2010 WellCare Classic (PDP) | $39.80 | $310 | No Gap Coverage | -- | $4.00 | $38.00 | $78.00 | 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 CIGNA Medicare Rx Plan Two | $43.80 | $0 | No Gap Coverage | No | S5617 -020 | $0.00 | $6.00 | $36.00 | $80.00 | 918 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $40.10 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $39.00 | $88.00 | tbd members | ||||||
2009 Moved From Plan S5810-140 | S5810 -208 | members | |||||||||||||
2010 Aetna Medicare Rx Plus (PDP) | $40.20 | $0 | No Gap Coverage | No | $5.00 | $32.00 | $36.00 | $80.00 | tbd members | ||||||
2009 Prescriba Rx Gold | $42.70 | $0 | No Gap Coverage | No | S5597 -036 | $6.00 | $44.00 | 33% | 615 members | ||||||
2010 PrescribaRx Gold (PDP) | $40.40 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
2009 WellCare Signature | $37.20 | $0 | No Gap Coverage | No | S5967 -038 | $0.00 | $39.00 | $79.00 | 33% | 2,676 members | |||||
2010 WellCare Signature (PDP) | $41.10 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier | $40.80 | $0 | No Gap Coverage | No | S5674 -015 | $7.00 | $26.00 | $69.00 | 33% | 2,204 members | |||||
2010 AdvantraRx Premier (PDP) | $41.70 | $0 | No Gap Coverage | No | $15.00 | 17% | 53% | 33% | tbd members | ||||||
2009 BravoRx | $39.20 | $295 | No Gap Coverage | No | S5998 -003 | 25% | 25% | 25% | 199 members | ||||||
2010 BravoRx (PDP) | $41.70 | $310 | No Gap Coverage | No | 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 | |||||||||
-- This plan not offered in 2009 -- | S5960 -142 | ||||||||||||||
2010 MedicareRx Rewards Plus (PDP) | $42.30 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 First Health Part D-Premier | $29.10 | $0 | No Gap Coverage | Yes | S5768 -007 | $7.00 | $27.00 | $52.00 | 33% | 34,892 members | |||||
2010 First Health Part D-Premier (PDP) | $42.50 | $150 | No Gap Coverage | No | $7.00 | 11% | 43% | 29% | tbd members | ||||||
2009 Humana PDP Standard S5884-062 | $38.90 | $295 | No Gap Coverage | No | S5884 -062 | 15% | 25% | 40% | 11,793 members | ||||||
2010 Humana Standard S5884-062 (PDP) | $42.60 | $310 | No Gap Coverage | No | 15% | 25% | 40% | tbd members | |||||||
2009 Community CCRx Basic | $43.90 | $295 | No Gap Coverage | No | S5803 -073 | $0.00 | 25% | 60% | 1,903 members | ||||||
2010 Community CCRx Basic (PDP) | $42.90 | $310 | No Gap Coverage | No | $0.00 | 25% | 70% | tbd members | |||||||
2009 Prescriba Rx Bronze | $44.70 | $295 | No Gap Coverage | No | S5597 -238 | 25% | 25% | 25% | 52 members | ||||||
2010 PrescribaRx Bronze (PDP) | $42.90 | $310 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | |||||||
2009 Community CCRx Choice | $56.40 | $0 | No Gap Coverage | No | S5803 -141 | $5.00 | $30.00 | $60.00 | 33% | 399 members | |||||
2010 Community CCRx Choice (PDP) | $44.10 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 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 Horizon Medicare Blue Rx Standard | $42.30 | $295 | No Gap Coverage | No | S5993 -001 | $7.00 | $37.00 | $74.00 | 25% | 8,457 members | |||||
2010 Horizon Medicare Blue Rx Standard (PDP) | $45.80 | $310 | No Gap Coverage | No | $8.00 | $36.00 | $72.00 | 25% | tbd members | ||||||
2009 Advantage Freedom Plan by RxAmerica | $28.60 | $0 | No Gap Coverage | No | S5644 -049 | $5.00 | 35% | 33% | 45% | 2,143 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $47.40 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Choice | $41.60 | $0 | No Gap Coverage | No | S5660 -035 | $6.00 | $38.00 | 75% | 33% | 1,929 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $47.50 | $100 | No Gap Coverage | No | $6.00 | $39.00 | 75% | 30% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $45.90 | $0 | No Gap Coverage | No | S5755 -007 | $7.00 | $33.00 | $66.00 | 33% | 2,235 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $47.70 | $0 | No Gap Coverage | No | $8.00 | $37.00 | $74.00 | 33% | tbd members | ||||||
2009 Fox Grand Plan | $41.60 | $285 | Some Generics | No | S5557 -013 | $0.00 | $19.00 | $35.00 | $75.00 | 47 members | |||||
2010 Fox Grand Plan (PDP) | $51.60 | $0 | Some Generics | No | $1.00 | $37.00 | $41.00 | $95.00 | tbd members | ||||||
2009 MedicareRx Rewards Standard | $31.20 | $295 | No Gap Coverage | No | S5960 -110 | 25% | 25% | 25% | 25% | 428 members | |||||
2010 MedicareRx Rewards Standard (PDP) | $51.70 | $310 | No Gap Coverage | No | $8.00 | 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 SilverScript Plus | $50.10 | $50 | Many Generics | No | S5601 -009 | $4.00 | $9.00 | $30.00 | $35.00 | 1,636 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $54.70 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 EnvisionRxPlus Gold | $69.00 | $0 | No Gap Coverage | No | S7694 -038 | $0.00 | $45.00 | $40.00 | $75.00 | 211 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $55.10 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
2009 AdvantraRx Premier Plus | $56.80 | $0 | Many Generics | No | S5674 -017 | $4.00 | $30.00 | $71.00 | 33% | 3,014 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $62.80 | $0 | Many Generics | No | $4.00 | $25.00 | 19% | 75% | tbd members | ||||||
2009 Health Net Orange Option 2 | $52.10 | $0 | No Gap Coverage | No | S5678 -011 | $5.00 | $30.00 | $90.00 | 33% | 1,233 members | |||||
2010 Health Net Orange Option 2 (PDP) | $66.90 | $0 | No Gap Coverage | No | $5.00 | $35.00 | $95.00 | 33% | tbd members | ||||||
2009 Sterling Rx | $38.70 | $295 | No Gap Coverage | No | S4802 -001 | $7.00 | $25.00 | $58.00 | 25% | 208 members | |||||
2010 Sterling Rx (PDP) | $67.40 | $310 | No Gap Coverage | No | $10.00 | $30.00 | 25% | tbd members | |||||||
2009 Medco Medicare Prescription Plan - Access | $71.40 | $0 | All Generics | No | S5660 -174 | $6.00 | $35.00 | 75% | 33% | 404 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $75.00 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 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 CIGNA Medicare Rx Plan Three | $88.50 | $0 | Some Generics | No | S5617 -174 | $6.00 | $35.00 | $60.00 | 33% | 155 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $75.10 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 Community CCRx Gold | $76.50 | $0 | All Generics | No | S5803 -221 | $5.00 | $30.00 | $60.00 | 33% | 326 members | |||||
2010 Community CCRx Gold (PDP) | $76.80 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 SilverScript Complete | $74.30 | $0 | Many Generics | No | S5601 -075 | $2.50 | $7.50 | $39.00 | $98.00 | 288 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $80.10 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $73.30 | $0 | Many Generics | No | S5921 -293 | $7.00 | $39.00 | $95.00 | 33% | 5,139 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $81.30 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 Horizon Medicare Blue Rx Plus | $72.90 | $0 | Many Generics | No | S5993 -003 | $0.00 | $37.00 | $74.00 | 33% | 23,274 members | |||||
2010 Horizon Medicare Blue Rx Enhanced (PDP) | $83.50 | $0 | Many Generics | No | $8.00 | $36.00 | $72.00 | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $130.20 | $0 | Many Generics | No | S5810 -174 | $0.00 | $10.00 | $30.00 | $65.00 | 642 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $98.30 | $0 | Many Generics | No | $6.00 | $37.00 | $38.00 | $82.00 | 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 Humana PDP Complete S5884-032 | $98.80 | $0 | Many Generics | No | S5884 -032 | $7.00 | $40.00 | $70.00 | 33% | 2,374 members | |||||
2010 Humana Complete S5884-032 (PDP) | $103.50 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 SierraRx Basic | $72.70 | $295 | No Gap Coverage | No | S5917 -009 | 25% | 25% | 25% | 70 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 AmeriHealth NJ Rx Option I | $32.20 | $295 | No Gap Coverage | No | S4496 -001 | $0.00 | $30.00 | $88.00 | 25% | 682 members | |||||
-- | |||||||||||||||
-- 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 AmeriHealth NJ Rx Option II | $40.20 | $0 | No Gap Coverage | No | S4496 -003 | $7.00 | $37.00 | $70.00 | 33% | 252 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 -- | |||||||||||||||
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 -- | |||||||||||||||
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