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 - Costco Plus Plan | $57.80 | $0 | Some Generics | No | S5810 -162 | $0.00 | $5.00 | $35.00 | $90.00 | 93 members | |||||
Plan changed to S5810-230 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Humana PDP Complete S5884-054 | $95.10 | $0 | Many Generics | No | S5884 -054 | $7.00 | $40.00 | $70.00 | 33% | 394 members | |||||
Plan changed to S5884-110 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Humana PDP Standard S5884-084 | $30.40 | $295 | No Gap Coverage | No | S5884 -084 | 15% | 25% | 50% | 4,178 members | ||||||
Plan changed to S5884-123 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 First Health Part D-Secure | $10.30 | $175 | No Gap Coverage | No | S5768 -108 | $4.00 | $20.00 | $47.00 | 28% | 465 members | |||||
2010 First Health Part D-Secure (PDP) | $15.90 | $175 | No Gap Coverage | No | $4.00 | 20% | 53% | 28% | tbd members | ||||||
2009 MedicareRx Rewards Standard | $18.90 | $295 | No Gap Coverage | Yes | S5960 -132 | 25% | 25% | 25% | 25% | 5,657 members | |||||
2010 MedicareRx Rewards Standard (PDP) | $15.90 | $310 | No Gap Coverage | Yes | $6.00 | 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 UnitedHealth Rx Value | $18.10 | $0 | No Gap Coverage | No | S5917 -002 | $8.00 | $45.00 | 33% | 1,078 members | ||||||
2010 UnitedHealthcare MedicareRx (PDP) | $16.70 | $0 | No Gap Coverage | No | $8.00 | $45.00 | $90.00 | 33% | tbd members | ||||||
2009 Moved From Plan S5884-54 | S5884 -110 | members | |||||||||||||
2010 Humana Value S5884-110 (PDP) | $17.00 | $150 | No Gap Coverage | No | $5.00 | $35.00 | 33% | tbd members | |||||||
2009 Prescriba Rx Bronze | $18.00 | $295 | No Gap Coverage | Yes | S5597 -260 | 25% | 25% | 25% | 8,185 members | ||||||
2010 PrescribaRx Bronze (PDP) | $17.90 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 WellCare Classic | $15.20 | $295 | No Gap Coverage | Yes | S5967 -163 | $0.00 | $36.00 | $88.00 | 25% | 5,131 members | |||||
2010 WellCare Classic (PDP) | $18.00 | $310 | No Gap Coverage | -- | $4.00 | $35.00 | $69.00 | 25% | tbd members | ||||||
2009 Blue Medicare Rx - Value | $18.70 | $0 | No Gap Coverage | Yes | S5715 -003 | $10.00 | $45.00 | $79.00 | 30% | 8,939 members | |||||
2010 Blue MedicareRx - Value (PDP) | $18.50 | $10 | No Gap Coverage | Yes | $12.00 | $45.00 | $89.00 | 32% | tbd members | ||||||
2009 Health Net Orange Option 1 | $21.80 | $295 | No Gap Coverage | No | S5678 -058 | $2.00 | $43.00 | $90.00 | 25% | 530 members | |||||
2010 Health Net Orange Option 1 (PDP) | $19.70 | $310 | No Gap Coverage | Yes | $4.00 | $36.00 | $95.00 | 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 Moved From Plan S5884-84 | S5884 -123 | members | |||||||||||||
2010 Humana Basic S5884-123 (PDP) | $20.00 | $310 | No Gap Coverage | Yes | $4.00 | 29% | 29% | tbd members | |||||||
2009 AdvantraRx Value | $19.30 | $0 | No Gap Coverage | No | S5674 -038 | $8.00 | $24.00 | $60.00 | 33% | 1,495 members | |||||
2010 AdvantraRx Value (PDP) | $20.70 | $100 | No Gap Coverage | No | $6.00 | 20% | 67% | 30% | tbd members | ||||||
2009 Advantage Star Plan by RxAmerica | $18.70 | $295 | No Gap Coverage | Yes | S5644 -199 | $6.25 | 25% | 25% | 45% | 5,562 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $21.10 | $310 | No Gap Coverage | Yes | $4.75 | 25% | 25% | 45% | tbd members | ||||||
2009 SilverScript Value | $14.50 | $295 | No Gap Coverage | Yes | S5601 -052 | $8.00 | $30.75 | $98.00 | 25% | 11,505 members | |||||
2010 SilverScript Value (PDP) | $21.10 | $310 | No Gap Coverage | Yes | $8.00 | $21.00 | $95.00 | 25% | tbd members | ||||||
2009 HealthSpring Prescription Drug Plan-Reg 26 | $26.20 | $295 | No Gap Coverage | No | S5932 -025 | 25% | 25% | 135 members | |||||||
2010 HealthSpring Prescription Drug Plan-Reg 26 (PDP) | $21.80 | $310 | No Gap Coverage | No | 25% | 25% | tbd members | ||||||||
2009 Community CCRx Basic | $19.00 | $295 | No Gap Coverage | Yes | S5803 -095 | $0.00 | 30% | 55% | 5,739 members | ||||||
2010 Community CCRx Basic (PDP) | $22.80 | $310 | No Gap Coverage | No | $0.00 | 30% | 65% | 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 -157 | ||||||||||||||
2010 MedicareRx Rewards Plus (PDP) | $24.20 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 BravoRx | $27.90 | $295 | No Gap Coverage | No | S5998 -030 | 25% | 25% | 25% | < 10 members | ||||||
2010 BravoRx (PDP) | $24.30 | $310 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | |||||||
2009 CIGNA Medicare Rx Plan One | $29.70 | $295 | No Gap Coverage | No | S5617 -128 | $2.50 | $28.00 | $60.00 | 25% | 296 members | |||||
2010 CIGNA Medicare Rx Plan One (PDP) | $26.80 | $310 | No Gap Coverage | No | $3.00 | $30.00 | $70.00 | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Two | $38.60 | $0 | No Gap Coverage | No | S5617 -130 | $0.00 | $6.00 | $33.00 | $80.00 | 247 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $27.20 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $40.00 | $88.00 | tbd members | ||||||
2009 AARP MedicareRx Saver | $24.80 | $295 | No Gap Coverage | No | S5921 -261 | $5.00 | $22.00 | $49.00 | 25% | 6,372 members | |||||
2010 AARP MedicareRx Saver (PDP) | $27.40 | $310 | No Gap Coverage | No | $6.00 | $25.00 | $72.00 | 25% | tbd members | ||||||
2009 First Health Part D-Premier | $20.80 | $0 | No Gap Coverage | No | S5768 -048 | $7.00 | $29.00 | $59.00 | 33% | 154 members | |||||
2010 First Health Part D-Premier (PDP) | $28.40 | $150 | No Gap Coverage | No | $7.00 | 11% | 43% | 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 Moved From Plan S5810-162 | S5810 -230 | members | |||||||||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $28.80 | $0 | No Gap Coverage | No | $2.00 | $28.00 | $34.00 | $80.00 | tbd members | ||||||
2009 WellCare Signature | $26.80 | $0 | No Gap Coverage | No | S5967 -060 | $0.00 | $39.00 | $79.00 | 33% | 966 members | |||||
2010 WellCare Signature (PDP) | $31.20 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 EnvisionRxPlus Silver | $22.90 | $295 | No Gap Coverage | No | S7694 -026 | $4.00 | $30.00 | $20.00 | $75.00 | 13 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $31.30 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Value | $30.40 | $295 | No Gap Coverage | No | S5660 -128 | 23% | 23% | 53% | 25% | 27 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $31.70 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $35.30 | $150 | No Gap Coverage | No | S5755 -064 | $4.00 | $40.00 | $80.00 | 25% | 200 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $32.80 | $180 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 25% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $31.10 | $0 | No Gap Coverage | No | S5820 -025 | $7.00 | $38.00 | $84.30 | 33% | 15,716 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $33.70 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $77.00 | 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 Essentials | $27.20 | $200 | No Gap Coverage | No | S5810 -060 | $0.00 | $13.00 | $26.00 | $67.00 | 104 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $34.10 | $310 | No Gap Coverage | No | $3.00 | $26.00 | $27.00 | $70.00 | tbd members | ||||||
2009 Humana PDP Enhanced S5884-024 | $34.50 | $0 | No Gap Coverage | No | S5884 -024 | $7.00 | $40.00 | $70.00 | 33% | 3,507 members | |||||
2010 Humana Enhanced S5884-024 (PDP) | $34.10 | $0 | No Gap Coverage | No | $8.00 | $45.00 | $80.00 | 33% | tbd members | ||||||
2009 Community CCRx Choice | $48.30 | $0 | No Gap Coverage | No | S5803 -163 | $5.00 | $30.00 | $60.00 | 33% | 934 members | |||||
2010 Community CCRx Choice (PDP) | $35.40 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | tbd members | ||||||
2009 EnvisionRxPlus Gold | $43.80 | $0 | No Gap Coverage | No | S7694 -060 | $0.00 | $45.00 | $40.00 | $75.00 | 38 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $35.40 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
2009 Prescriba Rx Gold | $33.70 | $0 | No Gap Coverage | No | S5597 -058 | $6.00 | $44.00 | 33% | 112 members | ||||||
2010 PrescribaRx Gold (PDP) | $36.50 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
2009 Blue Medicare Rx - Standard | $29.60 | $295 | No Gap Coverage | No | S5715 -008 | $2.00 | $32.00 | $62.00 | 25% | 464 members | |||||
2010 Blue MedicareRx - Standard (PDP) | $37.30 | $310 | No Gap Coverage | No | $3.00 | $29.00 | $79.00 | 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 AdvantraRx Premier | $33.60 | $0 | No Gap Coverage | No | S5674 -039 | $8.00 | $30.00 | $73.00 | 33% | 509 members | |||||
2010 AdvantraRx Premier (PDP) | $37.40 | $0 | No Gap Coverage | No | $12.00 | 18% | 55% | 33% | tbd members | ||||||
2009 Health Net Orange Option 2 | $41.20 | $0 | No Gap Coverage | No | S5678 -057 | $5.00 | $30.00 | $90.00 | 33% | 226 members | |||||
2010 Health Net Orange Option 2 (PDP) | $39.60 | $0 | No Gap Coverage | No | $5.00 | $35.00 | $95.00 | 33% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $36.90 | $0 | No Gap Coverage | No | S5755 -029 | $6.00 | $32.00 | $64.00 | 33% | 2,153 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $39.60 | $0 | No Gap Coverage | No | $8.00 | $37.00 | $74.00 | 33% | tbd members | ||||||
2009 Advantage Freedom Plan by RxAmerica | $27.10 | $0 | No Gap Coverage | No | S5644 -185 | $5.00 | 35% | 33% | 45% | 162 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $39.90 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 SilverScript Plus | $44.60 | $50 | Many Generics | No | S5601 -053 | $4.00 | $9.00 | $30.00 | $35.00 | 127 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $47.00 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 Sterling Rx | $37.80 | $295 | No Gap Coverage | No | S4802 -016 | $7.00 | $25.00 | $58.00 | 25% | 24 members | |||||
2010 Sterling Rx (PDP) | $48.20 | $310 | No Gap Coverage | No | $10.00 | $30.00 | 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 Medco Medicare Prescription Plan - Choice | $42.50 | $0 | No Gap Coverage | No | S5660 -026 | $6.00 | $38.00 | 75% | 33% | 211 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $48.60 | $100 | No Gap Coverage | No | $6.00 | $38.00 | 75% | 30% | tbd members | ||||||
2009 AdvantraRx Premier Plus | $49.20 | $0 | Many Generics | No | S5674 -041 | $4.00 | $30.00 | $75.00 | 33% | 625 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $54.20 | $0 | Many Generics | No | $5.00 | $25.00 | 20% | 75% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $66.10 | $0 | Some Generics | No | S5617 -196 | $6.00 | $35.00 | $60.00 | 33% | 57 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $56.00 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 Community CCRx Gold | $63.10 | $0 | All Generics | No | S5803 -243 | $5.00 | $30.00 | $60.00 | 33% | 412 members | |||||
2010 Community CCRx Gold (PDP) | $65.20 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 SilverScript Complete | $62.80 | $0 | Many Generics | No | S5601 -097 | $2.50 | $7.50 | $39.00 | $98.00 | 64 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $69.10 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 Blue Medicare Rx - Plus | $70.90 | $0 | All Generics | No | S5715 -004 | $5.00 | $38.00 | $60.00 | 30% | 954 members | |||||
2010 Blue MedicareRx - Plus (PDP) | $70.90 | $0 | Many Generics | No | $5.00 | $38.00 | $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 - Access | $69.00 | $0 | All Generics | No | S5660 -196 | $6.00 | $35.00 | 75% | 33% | 53 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $73.70 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $75.50 | $0 | Many Generics | No | S5921 -263 | $7.00 | $39.00 | $95.00 | 33% | 624 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $80.10 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $104.00 | $0 | Many Generics | No | S5810 -196 | $0.00 | $10.00 | $30.00 | $65.00 | 107 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $82.70 | $0 | Many Generics | No | $6.00 | $36.00 | $37.00 | $82.00 | tbd members | ||||||
2009 SierraRx Basic | $74.60 | $295 | No Gap Coverage | No | S5917 -027 | 25% | 25% | 25% | 46 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 Prescriba Rx Platinum | $71.70 | $0 | All Generics | No | S5597 -223 | $6.00 | $44.00 | 33% | 20 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 UnitedHealth Rx Basic | $32.90 | $0 | No Gap Coverage | No | S5921 -262 | $7.00 | $35.00 | $98.00 | 33% | 496 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 | $22.50 | $130 | No Gap Coverage | No | S5960 -026 | $9.00 | $44.50 | $85.00 | 29% | 886 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
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