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 | $66.40 | $0 | Some Generics | No | S5810 -165 | $0.00 | $5.00 | $35.00 | $90.00 | 220 members | |||||
Plan changed to S5810-233 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Humana PDP Complete S5884-057 | $104.30 | $0 | Many Generics | No | S5884 -057 | $7.00 | $40.00 | $70.00 | 33% | 550 members | |||||
Plan changed to S5884-112 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 UnitedHealth Rx Value | $19.00 | $0 | No Gap Coverage | No | S5917 -005 | $8.00 | $50.00 | 33% | 1,753 members | ||||||
2010 UnitedHealthcare MedicareRx (PDP) | $20.40 | $0 | No Gap Coverage | No | $9.00 | $45.00 | $90.00 | 33% | tbd members | ||||||
2009 Community CCRx Basic | $25.50 | $295 | No Gap Coverage | No | S5803 -098 | $0.00 | 30% | 50% | 615 members | ||||||
2010 Community CCRx Basic (PDP) | $23.10 | $310 | No Gap Coverage | Yes | $0.00 | 30% | 70% | tbd members | |||||||
2009 Moved From Plan S5884-57 | S5884 -112 | members | |||||||||||||
2010 Humana Value S5884-112 (PDP) | $23.80 | $150 | No Gap Coverage | No | $5.00 | $35.00 | 34% | 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 Health Net Orange Option 1 | $28.30 | $295 | No Gap Coverage | No | S5678 -062 | $2.00 | $44.00 | $90.00 | 25% | 1,094 members | |||||
2010 Health Net Orange Option 1 (PDP) | $24.50 | $310 | No Gap Coverage | Yes | $4.00 | $36.00 | $95.00 | 25% | tbd members | ||||||
-- This plan not offered in 2009 -- | S5557 -052 | ||||||||||||||
2010 Fox Value Plan (PDP) | $24.60 | $310 | No Gap Coverage | Yes | tbd | tbd members | |||||||||
2009 BravoRx | $29.70 | $295 | No Gap Coverage | No | S5998 -033 | 25% | 25% | 25% | < 10 members | ||||||
2010 BravoRx (PDP) | $25.40 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 HealthSpring Prescription Drug Plan-Reg 29 | $23.90 | $295 | No Gap Coverage | No | S5932 -028 | 25% | 25% | 170 members | |||||||
2010 HealthSpring Prescription Drug Plan-Reg 29 (PDP) | $25.60 | $310 | No Gap Coverage | Yes | 25% | 25% | tbd members | ||||||||
2009 WellCare Classic | $22.50 | $200 | No Gap Coverage | No | S5967 -166 | $0.00 | $30.00 | $78.00 | 25% | 3,286 members | |||||
2010 WellCare Classic (PDP) | $28.70 | $310 | No Gap Coverage | -- | $4.00 | $35.00 | $75.00 | 25% | tbd members | ||||||
2009 First Health Part D-Premier | $20.20 | $0 | No Gap Coverage | Yes | S5768 -031 | $6.00 | $25.00 | $67.00 | 33% | 26,514 members | |||||
2010 First Health Part D-Premier (PDP) | $29.30 | $150 | No Gap Coverage | No | $9.00 | 10% | 40% | 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 Blue MedicareRx Value | $26.20 | $130 | No Gap Coverage | No | S5596 -029 | $10.00 | $43.00 | $85.00 | 29% | 1,800 members | |||||
2010 Blue MedicareRx Standard (PDP) | $30.30 | $310 | No Gap Coverage | No | $7.00 | 25% | 25% | 25% | tbd members | ||||||
2009 EnvisionRxPlus Silver | $27.90 | $295 | No Gap Coverage | No | S7694 -029 | $4.00 | $32.00 | $22.00 | $75.00 | 32 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $31.00 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 Moved From Plan S5810-165 | S5810 -233 | members | |||||||||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $31.10 | $0 | No Gap Coverage | No | $2.00 | $28.00 | $34.00 | $80.00 | tbd members | ||||||
2009 First Health Part D-Secure | $19.40 | $175 | No Gap Coverage | No | S5768 -111 | $4.00 | $20.00 | $50.00 | 28% | 333 members | |||||
2010 First Health Part D-Secure (PDP) | $33.20 | $175 | No Gap Coverage | No | $4.00 | 20% | 52% | 28% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan One | $33.40 | $295 | No Gap Coverage | No | S5617 -143 | $2.50 | $28.00 | $80.00 | 25% | 317 members | |||||
2010 CIGNA Medicare Rx Plan One (PDP) | $34.90 | $310 | No Gap Coverage | No | $3.00 | $30.00 | $85.00 | 25% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Value | $29.10 | $295 | No Gap Coverage | No | S5660 -131 | 23% | 23% | 53% | 25% | 86 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $35.10 | $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 AARP MedicareRx Saver | $33.30 | $295 | No Gap Coverage | No | S5921 -265 | $5.00 | $22.00 | $56.10 | 25% | 3,408 members | |||||
2010 AARP MedicareRx Saver (PDP) | $35.80 | $310 | No Gap Coverage | No | $6.00 | $25.00 | $84.75 | 25% | tbd members | ||||||
2009 WellCare Signature | $32.20 | $0 | No Gap Coverage | No | S5967 -063 | $0.00 | $39.00 | $79.00 | 33% | 1,195 members | |||||
2010 WellCare Signature (PDP) | $36.30 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $34.20 | $0 | No Gap Coverage | No | S5820 -028 | $7.00 | $38.00 | $86.30 | 33% | 16,744 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $36.80 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $82.00 | 33% | tbd members | ||||||
2009 Prescriba Rx Bronze | $30.50 | $295 | No Gap Coverage | No | S5597 -263 | 25% | 25% | 25% | 24 members | ||||||
2010 PrescribaRx Bronze (PDP) | $37.10 | $310 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | |||||||
2009 AdvantraRx Value | $25.10 | $0 | No Gap Coverage | No | S5670 -147 | $9.00 | $26.00 | $65.00 | 33% | 2,667 members | |||||
2010 AdvantraRx Value (PDP) | $37.80 | $100 | No Gap Coverage | No | $7.00 | 20% | 65% | 30% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Two | $44.50 | $0 | No Gap Coverage | No | S5617 -145 | $0.00 | $6.00 | $38.00 | $82.00 | 250 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $38.40 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $40.00 | $95.00 | 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 Prescriba Rx Gold | $38.80 | $0 | No Gap Coverage | No | S5597 -061 | $6.00 | $44.00 | 33% | 258 members | ||||||
2010 PrescribaRx Gold (PDP) | $40.90 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
2009 SilverScript Plus | $57.10 | $50 | Many Generics | No | S5601 -059 | $4.00 | $9.00 | $30.00 | $35.00 | 183 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $41.80 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 Advantage Freedom Plan by RxAmerica | $32.20 | $0 | No Gap Coverage | No | S5644 -061 | $5.00 | 35% | 33% | 45% | 228 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $42.10 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Essentials | $41.40 | $195 | No Gap Coverage | No | S5810 -063 | $0.00 | $12.00 | $26.00 | $67.00 | 191 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $43.10 | $310 | No Gap Coverage | No | $2.00 | $29.00 | $30.00 | $70.00 | tbd members | ||||||
2009 SilverScript Value | $23.60 | $295 | No Gap Coverage | No | S5601 -058 | $8.00 | $36.75 | $98.00 | 25% | 929 members | |||||
2010 SilverScript Value (PDP) | $44.60 | $310 | No Gap Coverage | No | $8.00 | $23.75 | $95.00 | 25% | tbd members | ||||||
2009 EnvisionRxPlus Gold | $56.80 | $0 | No Gap Coverage | No | S7694 -063 | $0.00 | $45.00 | $40.00 | $75.00 | 62 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $45.00 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 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 Humana PDP Standard S5884-087 | $41.40 | $295 | No Gap Coverage | No | S5884 -087 | 15% | 25% | 44% | 2,911 members | ||||||
2010 Humana Standard S5884-087 (PDP) | $45.10 | $310 | No Gap Coverage | No | 15% | 25% | 43% | tbd members | |||||||
2009 Humana PDP Enhanced S5884-027 | $44.00 | $0 | No Gap Coverage | No | S5884 -027 | $7.00 | $40.00 | $70.00 | 33% | 5,112 members | |||||
2010 Humana Enhanced S5884-027 (PDP) | $47.70 | $0 | No Gap Coverage | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $40.70 | $180 | No Gap Coverage | No | S5755 -067 | $4.00 | $40.00 | $80.00 | 25% | 78 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $47.90 | $160 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 25% | tbd members | ||||||
2009 Community CCRx Choice | $53.90 | $0 | No Gap Coverage | No | S5803 -166 | $5.00 | $30.00 | $60.00 | 33% | 227 members | |||||
2010 Community CCRx Choice (PDP) | $48.80 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $47.40 | $0 | No Gap Coverage | No | S5755 -032 | $6.00 | $32.00 | $64.00 | 33% | 1,811 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $49.00 | $0 | No Gap Coverage | No | $9.00 | $38.00 | $76.00 | 33% | tbd members | ||||||
2009 Sterling Rx | $39.20 | $295 | No Gap Coverage | No | S4802 -019 | $7.00 | $25.00 | $58.00 | 25% | 125 members | |||||
2010 Sterling Rx (PDP) | $49.70 | $310 | No Gap Coverage | No | $10.00 | $30.50 | 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 | $44.40 | $0 | No Gap Coverage | No | S5660 -029 | $6.00 | $38.00 | 75% | 33% | 439 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $50.20 | $100 | No Gap Coverage | No | $6.00 | $40.00 | 75% | 30% | tbd members | ||||||
2009 Advantage Star Plan by RxAmerica | $29.40 | $295 | No Gap Coverage | No | S5644 -082 | $5.50 | 25% | 25% | 45% | 291 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $50.50 | $310 | No Gap Coverage | No | $6.00 | 25% | 25% | 45% | tbd members | ||||||
2009 Blue MedicareRx Plus | $46.80 | $0 | No Gap Coverage | No | S5596 -030 | $9.00 | $35.00 | $75.00 | 33% | 983 members | |||||
2010 Blue MedicareRx Plus (PDP) | $53.30 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier | $46.20 | $0 | No Gap Coverage | No | S5670 -148 | $6.00 | $30.00 | $74.00 | 33% | 719 members | |||||
2010 AdvantraRx Premier (PDP) | $53.90 | $0 | No Gap Coverage | No | $12.00 | 18% | 56% | 33% | tbd members | ||||||
2009 Health Net Orange Option 2 | $49.10 | $0 | No Gap Coverage | No | S5678 -061 | $5.00 | $30.00 | $90.00 | 33% | 268 members | |||||
2010 Health Net Orange Option 2 (PDP) | $62.40 | $0 | No Gap Coverage | No | $5.00 | $35.00 | $95.00 | 33% | tbd members | ||||||
2009 SilverScript Complete | $75.40 | $0 | Many Generics | No | S5601 -100 | $2.50 | $7.50 | $39.00 | $98.00 | 105 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $71.70 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | 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 AdvantraRx Premier Plus | $62.70 | $0 | Many Generics | No | S5670 -150 | $4.00 | $30.00 | $75.00 | 33% | 924 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $72.80 | $0 | Many Generics | No | $5.00 | $25.00 | 20% | 75% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $69.60 | $0 | All Generics | No | S5660 -199 | $6.00 | $35.00 | 75% | 33% | 137 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $79.50 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $77.00 | $0 | Many Generics | No | S5921 -273 | $7.00 | $39.00 | $95.00 | 33% | 908 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $81.70 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $80.40 | $0 | Some Generics | No | S5617 -199 | $6.00 | $35.00 | $60.00 | 33% | 68 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $84.20 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 Community CCRx Gold | $72.80 | $0 | All Generics | No | S5803 -246 | $5.00 | $30.00 | $60.00 | 33% | 172 members | |||||
2010 Community CCRx Gold (PDP) | $86.00 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 Blue MedicareRx Premier | $78.80 | $0 | Many Generics | No | S5596 -031 | $9.00 | $35.00 | $75.00 | 33% | 939 members | |||||
2010 Blue MedicareRx Premier (PDP) | $92.50 | $0 | Many Generics | No | $7.00 | $43.00 | $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 Aetna Medicare Rx Premier | $116.00 | $0 | Many Generics | No | S5810 -199 | $0.00 | $10.00 | $30.00 | $65.00 | 135 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $104.70 | $0 | Many Generics | No | $7.00 | $32.00 | $36.00 | $88.00 | tbd members | ||||||
2009 UnitedHealth Rx Basic | $42.10 | $0 | No Gap Coverage | No | S5921 -266 | $7.00 | $35.00 | $98.00 | 33% | 931 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 MedicareRx Rewards Standard | $22.00 | $295 | No Gap Coverage | No | S5960 -135 | 25% | 25% | 25% | 25% | 889 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 SierraRx Basic | $33.10 | $295 | No Gap Coverage | No | S5917 -030 | 25% | 25% | 25% | 473 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 Prescriba Rx Platinum | $72.50 | $0 | All Generics | No | S5597 -226 | $6.00 | $44.00 | 33% | 73 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
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