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 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 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 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 | ||||||
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