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 | $69.50 | $0 | Some Generics | No | S5810 -139 | $0.00 | $5.00 | $35.00 | $90.00 | 585 members | |||||
Plan changed to S5810-207 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 First Health Part D-Secure | $26.40 | $175 | No Gap Coverage | No | S5569 -005 | $4.00 | $20.00 | $47.00 | 28% | 1,546 members | |||||
2010 First Health Part D-Secure (PDP) | $19.50 | $175 | No Gap Coverage | No | $4.00 | 20% | 49% | 28% | tbd members | ||||||
2009 GHI Medicare Prescription Drug Plan | $19.60 | $295 | No Gap Coverage | Yes | S5966 -001 | 25% | 25% | 25% | 25% | 54,000 members | |||||
2010 GHI Medicare Prescription Drug Plan (PDP) | $27.60 | $310 | No Gap Coverage | Yes | $5.00 | 25% | 40% | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan One | $27.30 | $295 | No Gap Coverage | Yes | S5617 -013 | $2.00 | $25.00 | $72.50 | 25% | 77,928 members | |||||
2010 CIGNA Medicare Rx Plan One (PDP) | $27.70 | $310 | No Gap Coverage | Yes | $3.00 | $30.00 | $74.00 | 25% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Value | $25.90 | $295 | No Gap Coverage | Yes | S5983 -004 | 23% | 23% | 53% | 25% | 39,773 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $28.00 | $310 | No Gap Coverage | Yes | 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 Prescriba Rx Bronze | $25.30 | $295 | No Gap Coverage | Yes | S5825 -045 | 25% | 25% | 25% | 98,779 members | ||||||
2010 PrescribaRx Bronze (PDP) | $28.30 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 Advantage Star Plan by RxAmerica | $25.30 | $295 | No Gap Coverage | Yes | S5644 -004 | $5.50 | 25% | 25% | 45% | 56,386 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $28.80 | $310 | No Gap Coverage | Yes | $5.00 | 25% | 25% | 45% | tbd members | ||||||
-- This plan not offered in 2009 -- | S5557 -034 | ||||||||||||||
2010 Fox Value Plan (PDP) | $29.30 | $310 | No Gap Coverage | Yes | tbd | tbd members | |||||||||
2009 BravoRx | $27.50 | $295 | No Gap Coverage | Yes | S5998 -001 | 25% | 25% | 25% | 45,953 members | ||||||
2010 BravoRx (PDP) | $30.60 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 HIP Part D New York | $21.00 | $295 | No Gap Coverage | Yes | S5741 -001 | $5.00 | 25% | 40% | 25% | 23,691 members | |||||
2010 HIP Part D New York (PDP) | $30.60 | $310 | No Gap Coverage | Yes | $4.00 | 25% | 40% | 25% | tbd members | ||||||
2009 EnvisionRxPlus Silver | $32.00 | $295 | No Gap Coverage | No | S7694 -003 | $4.00 | $30.00 | $20.00 | $75.00 | 52 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $31.20 | $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 SilverScript Value | $26.10 | $295 | No Gap Coverage | Yes | S5601 -006 | $8.00 | $33.75 | $98.00 | 25% | 81,381 members | |||||
2010 SilverScript Value (PDP) | $31.60 | $310 | No Gap Coverage | Yes | $8.00 | $23.50 | $95.00 | 25% | tbd members | ||||||
2009 WellCare Classic | $28.40 | $295 | No Gap Coverage | No | S5967 -140 | $0.00 | $42.00 | $91.00 | 25% | 14,799 members | |||||
2010 WellCare Classic (PDP) | $33.30 | $310 | No Gap Coverage | -- | $4.00 | $36.00 | $75.00 | 25% | tbd members | ||||||
2009 Community CCRx Basic | $41.80 | $295 | No Gap Coverage | No | S5803 -072 | $0.00 | 25% | 40% | 6,928 members | ||||||
2010 Community CCRx Basic (PDP) | $33.40 | $310 | No Gap Coverage | No | $0.00 | 25% | 60% | tbd members | |||||||
2009 SmartHealth RX | $40.50 | $0 | No Gap Coverage | No | S5585 -001 | $6.00 | $45.00 | 45% | 33% | 106 members | |||||
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2010 SmartHealth RX PDP (PDP) | $35.50 | $100 | No Gap Coverage | No | $6.00 | $40.00 | 40% | 25% | tbd members | ||||||
2009 Advantage Freedom Plan by RxAmerica | $29.30 | $0 | No Gap Coverage | No | S5644 -048 | $4.00 | 35% | 33% | 45% | 4,291 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $35.70 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 Community CCRx Choice | $48.30 | $0 | No Gap Coverage | No | S5803 -140 | $5.00 | $30.00 | $60.00 | 33% | 1,274 members | |||||
2010 Community CCRx Choice (PDP) | $36.20 | $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 AARP MedicareRx Saver | $33.80 | $295 | No Gap Coverage | No | S5921 -203 | $5.00 | $22.00 | $55.80 | 25% | 49,006 members | |||||
2010 AARP MedicareRx Saver (PDP) | $36.40 | $310 | No Gap Coverage | No | $6.00 | $25.00 | $93.00 | 25% | tbd members | ||||||
2009 Health Net Orange Option 1 | $28.50 | $295 | No Gap Coverage | No | S5678 -003 | $2.00 | $39.00 | $90.00 | 25% | 8,175 members | |||||
2010 Health Net Orange Option 1 (PDP) | $37.10 | $310 | No Gap Coverage | No | $4.00 | $35.00 | $95.00 | 25% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $34.80 | $0 | No Gap Coverage | No | S5805 -001 | $7.00 | $38.00 | $80.75 | 33% | 142,332 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $37.40 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $71.25 | 33% | tbd members | ||||||
2009 Prescriba Rx Gold | $34.40 | $0 | No Gap Coverage | No | S5825 -017 | $6.00 | $44.00 | 33% | 5,612 members | ||||||
2010 PrescribaRx Gold (PDP) | $37.60 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
2009 First Health Part D-Premier | $29.30 | $0 | No Gap Coverage | No | S5569 -003 | $7.00 | $27.00 | $52.00 | 33% | 29,394 members | |||||
2010 First Health Part D-Premier (PDP) | $38.20 | $150 | No Gap Coverage | No | $7.00 | 11% | 44% | 29% | tbd members | ||||||
2009 First UA Medicare Part D Rx Covg - Silver | $38.80 | $150 | No Gap Coverage | No | S5580 -004 | $4.00 | $40.00 | $80.00 | 25% | 526 members | |||||
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2010 First UA Medicare Part D Rx Covg - Silver (PDP) | $38.20 | $160 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 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 MedicareRx Rewards Standard | $26.70 | $295 | No Gap Coverage | Yes | S5960 -109 | 25% | 25% | 25% | 25% | 53,014 members | |||||
2010 MedicareRx Rewards Standard (PDP) | $38.70 | $310 | No Gap Coverage | No | $7.00 | 25% | 25% | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Two | $45.00 | $0 | No Gap Coverage | No | S5617 -015 | $0.00 | $6.00 | $38.00 | $85.00 | 1,741 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $40.80 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $37.00 | $90.00 | tbd members | ||||||
2009 HealthSpring Prescription Drug Plan -Reg 3 | $31.00 | $295 | No Gap Coverage | No | S5932 -004 | 25% | 25% | 2,879 members | |||||||
2010 HealthSpring Prescription Drug Plan -Reg 3 (PDP) | $41.10 | $310 | No Gap Coverage | No | 25% | 25% | tbd members | ||||||||
2009 WellCare Signature | $37.60 | $0 | No Gap Coverage | No | S5967 -037 | $0.00 | $39.00 | $79.00 | 33% | 5,933 members | |||||
2010 WellCare Signature (PDP) | $41.60 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 Moved From Plan S5810-139 | S5810 -207 | members | |||||||||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $42.00 | $0 | No Gap Coverage | No | $2.00 | $29.00 | $32.00 | $80.00 | tbd members | ||||||
2009 Humana PDP Enhanced S5552-001 | $36.00 | $0 | No Gap Coverage | No | S5552 -001 | $7.00 | $40.00 | $70.00 | 33% | 26,378 members | |||||
2010 Humana Enhanced S5552-001 (PDP) | $42.70 | $0 | No Gap Coverage | No | $8.00 | $45.00 | 41% | 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 Simply Prescriptions Rx 1 | $42.80 | $295 | No Gap Coverage | No | S3521 -001 | 25% | 25% | 5,789 members | |||||||
2010 Simply Prescriptions Rx 1 (PDP) | $43.70 | $310 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | |||||||
2009 First UA Medicare Part D Prescription Drug | $40.70 | $0 | No Gap Coverage | No | S5580 -003 | $9.00 | $35.00 | $70.00 | 33% | 6,399 members | |||||
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2010 First UA Medicare Part D Prescription Drug (PDP) | $46.00 | $0 | No Gap Coverage | No | $10.00 | $39.00 | $78.00 | 33% | tbd members | ||||||
2009 AdvantraRx Value | $30.60 | $0 | No Gap Coverage | No | S0197 -002 | $8.00 | $25.00 | $55.00 | 33% | 4,350 members | |||||
2010 AdvantraRx Value (PDP) | $47.10 | $100 | No Gap Coverage | No | $7.00 | 20% | 65% | 30% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Choice | $41.30 | $0 | No Gap Coverage | No | S5983 -001 | $6.00 | $35.00 | 75% | 33% | 2,387 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $47.20 | $100 | No Gap Coverage | No | $6.00 | $39.00 | 75% | 30% | tbd members | ||||||
2009 Aetna Medicare Rx Essentials | $32.70 | $205 | No Gap Coverage | No | S5810 -037 | $0.00 | $11.00 | $26.00 | $67.00 | 3,684 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $50.00 | $310 | No Gap Coverage | No | $3.00 | $24.00 | $25.00 | $67.00 | tbd members | ||||||
2009 EnvisionRxPlus Gold | $70.60 | $0 | No Gap Coverage | No | S7694 -037 | $0.00 | $45.00 | $40.00 | $75.00 | 255 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $51.10 | $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 | |||||||||
-- This plan not offered in 2009 -- | S5960 -141 | ||||||||||||||
2010 MedicareRx Rewards Plus (PDP) | $51.40 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 SilverScript Plus | $45.40 | $50 | Many Generics | No | S5601 -007 | $4.00 | $9.00 | $30.00 | $35.00 | 3,619 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $51.40 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 Simply Prescriptions Rx 3 | $48.10 | $100 | No Gap Coverage | No | S3521 -003 | $5.00 | $30.00 | $75.00 | 25% | 2,849 members | |||||
2010 Simply Prescriptions Rx 3 (PDP) | $57.00 | $100 | No Gap Coverage | No | $5.00 | $30.00 | $75.00 | 25% | tbd members | ||||||
2009 AdvantraRx Premier | $48.20 | $0 | No Gap Coverage | No | S0197 -003 | $5.00 | $30.00 | $72.00 | 33% | 999 members | |||||
2010 AdvantraRx Premier (PDP) | $57.40 | $0 | No Gap Coverage | No | $13.00 | 19% | 50% | 33% | tbd members | ||||||
2009 Humana PDP Standard S5552-003 | $55.20 | $295 | No Gap Coverage | No | S5552 -003 | 10% | 25% | 42% | 18,808 members | ||||||
2010 Humana Standard S5552-003 (PDP) | $59.90 | $310 | No Gap Coverage | No | 15% | 25% | 38% | tbd members | |||||||
2009 Sterling Rx | $32.10 | $295 | No Gap Coverage | No | S4802 -024 | $7.00 | $25.00 | $58.00 | 25% | 200 members | |||||
2010 Sterling Rx (PDP) | $64.90 | $310 | No Gap Coverage | No | $9.00 | $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 Health Net Orange Option 2 | $48.40 | $0 | No Gap Coverage | No | S5678 -009 | $5.00 | $30.00 | $90.00 | 33% | 3,897 members | |||||
2010 Health Net Orange Option 2 (PDP) | $65.80 | $0 | No Gap Coverage | No | $5.00 | $35.00 | $95.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier Plus | $65.90 | $0 | Many Generics | No | S0197 -005 | $4.00 | $30.00 | $75.00 | 33% | 1,364 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $67.20 | $0 | Many Generics | No | $5.00 | $25.00 | 20% | 75% | tbd members | ||||||
2009 HIP Enhanced Part D New York | $39.00 | $0 | Many Generics | No | S5741 -003 | $5.00 | $25.00 | 50% | 25% | 2,013 members | |||||
2010 HIP Enhanced Part D New York (PDP) | $68.60 | $0 | Many Generics | No | $5.00 | $25.00 | 40% | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $78.70 | $0 | Some Generics | No | S5617 -173 | $6.00 | $35.00 | $60.00 | 33% | 324 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $71.00 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 SilverScript Complete | $68.10 | $0 | Many Generics | No | S5601 -074 | $2.50 | $7.50 | $39.00 | $98.00 | 744 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $76.70 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $69.20 | $0 | All Generics | No | S5983 -005 | $6.00 | $35.00 | 75% | 33% | 552 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $77.80 | $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 AARP MedicareRx Enhanced | $75.50 | $0 | Many Generics | No | S5921 -213 | $7.00 | $39.00 | $95.00 | 33% | 6,289 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $80.10 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 Prescriba Rx Platinum | $69.70 | $0 | All Generics | No | S5825 -085 | $6.00 | $44.00 | 33% | 460 members | ||||||
2010 Community CCRx Gold (PDP) | $81.00 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 Humana PDP Complete S5552-002 | $100.80 | $0 | Many Generics | No | S5552 -002 | $7.00 | $40.00 | $70.00 | 33% | 2,724 members | |||||
2010 Humana Complete S5552-002 (PDP) | $105.50 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $136.80 | $0 | Many Generics | No | S5810 -173 | $0.00 | $10.00 | $30.00 | $65.00 | 652 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $117.50 | $0 | Many Generics | No | $8.00 | $37.00 | $38.00 | $88.00 | tbd members | ||||||
2009 MedicareRx Rewards Value | $37.60 | $130 | No Gap Coverage | No | S5960 -003 | $9.50 | $45.00 | $85.00 | 29% | 7,696 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 Community CCRx Gold | $84.50 | $0 | All Generics | No | S5803 -220 | $5.00 | $30.00 | $60.00 | 33% | 727 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 UnitedHealth Rx Basic | $45.20 | $0 | No Gap Coverage | No | S5921 -207 | $7.00 | $35.00 | $98.00 | 33% | 2,307 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
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