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 | $51.60 | $0 | Some Generics | No | S5810 -150 | $0.00 | $5.00 | $35.00 | $90.00 | 2,488 members | |||||
Plan changed to S5810-218 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 First Health Part D-Secure | $16.90 | $175 | No Gap Coverage | No | S5768 -096 | $4.00 | $20.00 | $46.00 | 28% | 4,189 members | |||||
2010 First Health Part D-Secure (PDP) | $22.60 | $175 | No Gap Coverage | No | $4.00 | 20% | 51% | 28% | tbd members | ||||||
2009 Aetna Medicare Rx Essentials | $31.80 | $200 | No Gap Coverage | No | S5810 -048 | $0.00 | $12.00 | $30.00 | $72.00 | 1,852 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $25.40 | $310 | No Gap Coverage | Yes | $3.00 | $26.00 | $27.00 | $67.00 | tbd members | ||||||
2009 AARP MedicareRx Saver | $25.80 | $295 | No Gap Coverage | Yes | S5921 -051 | $5.00 | $22.00 | $62.20 | 25% | 46,911 members | |||||
2010 AARP MedicareRx Saver (PDP) | $26.00 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $81.75 | 25% | tbd members | ||||||
2009 Community CCRx Basic | $27.90 | $295 | No Gap Coverage | Yes | S5803 -083 | $0.00 | 25% | 55% | 60,705 members | ||||||
2010 Community CCRx Basic (PDP) | $27.20 | $310 | No Gap Coverage | Yes | $0.00 | 30% | 50% | 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 One | $41.10 | $295 | No Gap Coverage | No | S5617 -068 | $2.50 | $31.00 | $72.00 | 25% | 2,160 members | |||||
2010 CIGNA Medicare Rx Plan One (PDP) | $30.00 | $310 | No Gap Coverage | Yes | $3.00 | $34.00 | $76.00 | 25% | tbd members | ||||||
2009 HealthSpring Prescription Drug Plan-Reg 14 | $29.60 | $295 | No Gap Coverage | No | S5932 -013 | 25% | 25% | 1,319 members | |||||||
2010 HealthSpring Prescription Drug Plan-Reg 14 (PDP) | $30.30 | $310 | No Gap Coverage | Yes | 25% | 25% | tbd members | ||||||||
2009 Prescriba Rx Gold | $32.10 | $0 | No Gap Coverage | No | S5597 -046 | $6.00 | $44.00 | 33% | 2,779 members | ||||||
2010 PrescribaRx Gold (PDP) | $30.30 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
2009 BravoRx | $31.00 | $295 | No Gap Coverage | No | S5998 -011 | 25% | 25% | 25% | 653 members | ||||||
2010 BravoRx (PDP) | $30.60 | $310 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | |||||||
-- This plan not offered in 2009 -- | S5557 -042 | ||||||||||||||
2010 Fox Value Plan (PDP) | $30.60 | $310 | No Gap Coverage | No | tbd | tbd members | |||||||||
2009 Moved From Plan S5810-150 | S5810 -218 | 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 | ||||||
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 | $30.90 | $295 | No Gap Coverage | No | S5678 -034 | $2.00 | $42.00 | $90.00 | 25% | 1,462 members | |||||
2010 Health Net Orange Option 1 (PDP) | $31.10 | $310 | No Gap Coverage | No | $4.00 | $39.00 | $95.00 | 25% | tbd members | ||||||
2009 SilverScript Value | $25.10 | $295 | No Gap Coverage | Yes | S5601 -028 | $8.00 | $35.50 | $98.00 | 25% | 62,904 members | |||||
2010 SilverScript Value (PDP) | $31.10 | $310 | No Gap Coverage | No | $8.00 | $23.50 | $95.00 | 25% | tbd members | ||||||
2009 EnvisionRxPlus Silver | $30.30 | $295 | No Gap Coverage | No | S7694 -014 | $4.00 | $32.00 | $22.00 | $75.00 | 116 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $31.20 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 Blue MedicareRx Value | $32.00 | $130 | No Gap Coverage | No | S5596 -013 | $10.00 | $41.50 | $85.00 | 29% | 10,152 members | |||||
2010 Blue MedicareRx Standard (PDP) | $31.60 | $310 | No Gap Coverage | No | $6.50 | 25% | 25% | 25% | tbd members | ||||||
2009 Prescriba Rx Bronze | $27.30 | $295 | No Gap Coverage | Yes | S5597 -248 | 25% | 25% | 25% | 9,730 members | ||||||
2010 PrescribaRx Bronze (PDP) | $31.60 | $310 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | |||||||
2009 Medco Medicare Prescription Plan - Value | $28.50 | $295 | No Gap Coverage | No | S5660 -116 | 23% | 23% | 53% | 25% | 1,499 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $32.00 | $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 AdvantraRx Value | $23.40 | $0 | No Gap Coverage | No | S5670 -075 | $8.00 | $24.00 | $55.00 | 33% | 27,581 members | |||||
2010 AdvantraRx Value (PDP) | $33.30 | $100 | No Gap Coverage | No | $7.00 | 20% | 64% | 30% | tbd members | ||||||
2009 Community CCRx Choice | $46.10 | $0 | No Gap Coverage | No | S5803 -151 | $5.00 | $30.00 | $60.00 | 33% | 2,341 members | |||||
2010 Community CCRx Choice (PDP) | $34.20 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | tbd members | ||||||
2009 First Health Part D-Premier | $23.00 | $0 | No Gap Coverage | Yes | S5768 -017 | $7.00 | $29.00 | $56.00 | 33% | 40,791 members | |||||
2010 First Health Part D-Premier (PDP) | $34.70 | $150 | No Gap Coverage | No | $7.00 | 11% | 44% | 29% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Two | $41.40 | $0 | No Gap Coverage | No | S5617 -070 | $0.00 | $6.00 | $38.00 | $81.00 | 1,398 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $35.30 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $40.00 | $89.00 | tbd members | ||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $37.80 | $130 | No Gap Coverage | No | S5755 -052 | $4.00 | $40.00 | $80.00 | 25% | 328 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $36.80 | $140 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 25% | tbd members | ||||||
2009 WellCare Signature | $33.50 | $0 | No Gap Coverage | No | S5967 -048 | $0.00 | $39.00 | $79.00 | 33% | 9,978 members | |||||
2010 WellCare Signature (PDP) | $37.00 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $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 WellCare Classic | $37.00 | $295 | No Gap Coverage | No | S5967 -151 | $0.00 | $30.00 | $67.00 | 25% | 10,659 members | |||||
2010 WellCare Classic (PDP) | $38.00 | $310 | No Gap Coverage | -- | $4.00 | $33.00 | $70.00 | 25% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $38.20 | $0 | No Gap Coverage | No | S5820 -013 | $7.00 | $38.00 | $84.10 | 33% | 116,254 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $40.80 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $79.50 | 33% | tbd members | ||||||
2009 AdvantraRx Premier | $39.50 | $0 | No Gap Coverage | No | S5670 -076 | $5.00 | $30.00 | $75.00 | 33% | 7,607 members | |||||
2010 AdvantraRx Premier (PDP) | $42.50 | $0 | No Gap Coverage | No | $12.00 | 17% | 54% | 33% | tbd members | ||||||
2009 Humana PDP Enhanced S5884-012 | $39.50 | $0 | No Gap Coverage | No | S5884 -012 | $7.00 | $40.00 | $70.00 | 33% | 36,932 members | |||||
2010 Humana Enhanced S5884-012 (PDP) | $43.20 | $0 | No Gap Coverage | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 SilverScript Plus | $50.10 | $50 | Many Generics | No | S5601 -029 | $4.00 | $9.00 | $30.00 | $35.00 | 904 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $43.50 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 Advantage Freedom Plan by RxAmerica | $31.20 | $0 | No Gap Coverage | No | S5644 -175 | $5.00 | 35% | 33% | 45% | 1,749 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $45.10 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 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 Advantage Star Plan by RxAmerica | $28.60 | $295 | No Gap Coverage | No | S5644 -189 | $5.00 | 25% | 25% | 45% | 1,232 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $45.70 | $310 | No Gap Coverage | No | $4.50 | 25% | 25% | 45% | tbd members | ||||||
2009 Humana PDP Standard S5884-072 | $42.70 | $295 | No Gap Coverage | No | S5884 -072 | 15% | 25% | 45% | 23,085 members | ||||||
2010 Humana Standard S5884-072 (PDP) | $46.40 | $310 | No Gap Coverage | No | 15% | 25% | 44% | tbd members | |||||||
2009 Medco Medicare Prescription Plan - Choice | $40.90 | $0 | No Gap Coverage | No | S5660 -014 | $6.00 | $38.00 | 75% | 33% | 6,203 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $46.70 | $100 | No Gap Coverage | No | $6.00 | $40.00 | 75% | 30% | tbd members | ||||||
2009 Blue MedicareRx Plus | $42.40 | $0 | No Gap Coverage | No | S5596 -014 | $9.00 | $35.00 | $75.00 | 33% | 12,654 members | |||||
2010 Blue MedicareRx Plus (PDP) | $47.00 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $45.80 | $0 | No Gap Coverage | No | S5755 -017 | $5.00 | $31.00 | $62.00 | 33% | 5,395 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $49.00 | $0 | No Gap Coverage | No | $7.00 | $36.00 | $72.00 | 33% | tbd members | ||||||
2009 UPMC for Life Prescription Drug Plan | $44.10 | $0 | No Gap Coverage | No | S8201 -001 | $5.00 | $32.00 | $80.00 | 33% | 67 members | |||||
-- | |||||||||||||||
2010 UPMC for Life (PDP) | $52.30 | $0 | No Gap Coverage | No | $5.00 | $32.00 | $80.00 | 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 Health Net Value Orange Option 2 | $41.50 | $0 | No Gap Coverage | No | S5678 -033 | $0.00 | $39.00 | $75.00 | 33% | 1,829 members | |||||
2010 Health Net Value Orange Option 2 (PDP) | $54.20 | $0 | No Gap Coverage | No | $0.00 | $42.00 | $95.00 | 33% | tbd members | ||||||
2009 EnvisionRxPlus Gold | $70.40 | $0 | No Gap Coverage | No | S7694 -048 | $0.00 | $45.00 | $40.00 | $75.00 | 300 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $56.70 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $65.50 | $0 | Some Generics | No | S5617 -184 | $6.00 | $35.00 | $60.00 | 33% | 387 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $57.70 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier Plus | $56.10 | $0 | Many Generics | No | S5670 -078 | $4.00 | $30.00 | $75.00 | 33% | 7,725 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $60.20 | $0 | Many Generics | No | $5.00 | $25.00 | 20% | 75% | tbd members | ||||||
2009 SilverScript Complete | $67.50 | $0 | Many Generics | No | S5601 -085 | $2.50 | $7.50 | $39.00 | $98.00 | 445 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $63.40 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 Sterling Rx | $38.20 | $295 | No Gap Coverage | No | S4802 -026 | $7.00 | $25.00 | $57.00 | 25% | 137 members | |||||
2010 Sterling Rx (PDP) | $70.20 | $310 | No Gap Coverage | No | $9.00 | $28.00 | 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 - Access | $66.40 | $0 | All Generics | No | S5660 -184 | $6.00 | $35.00 | 75% | 33% | 1,869 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $73.10 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 Community CCRx Gold | $78.40 | $0 | All Generics | No | S5803 -231 | $5.00 | $30.00 | $60.00 | 33% | 1,031 members | |||||
2010 Community CCRx Gold (PDP) | $76.30 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $73.30 | $0 | Many Generics | No | S5921 -053 | $7.00 | $39.00 | $95.00 | 33% | 4,625 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $78.00 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $94.90 | $0 | Many Generics | No | S5810 -184 | $0.00 | $10.00 | $30.00 | $65.00 | 2,181 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $78.00 | $0 | Many Generics | No | $6.00 | $36.00 | $37.00 | $80.00 | tbd members | ||||||
2009 Blue MedicareRx Premier | $77.80 | $0 | Many Generics | No | S5596 -015 | $9.00 | $35.00 | $75.00 | 33% | 8,118 members | |||||
2010 Blue MedicareRx Premier (PDP) | $94.20 | $0 | Many Generics | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 Humana PDP Complete S5884-042 | $97.50 | $0 | Many Generics | No | S5884 -042 | $7.00 | $40.00 | $70.00 | 33% | 4,568 members | |||||
2010 Humana Complete S5884-042 (PDP) | $102.20 | $0 | Many Generics | No | $7.00 | $45.00 | $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 UnitedHealth Rx Basic | $42.80 | $0 | No Gap Coverage | No | S5921 -052 | $7.00 | $35.00 | $98.00 | 33% | 5,410 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 SierraRx Basic | $61.40 | $295 | No Gap Coverage | No | S5917 -017 | 25% | 25% | 25% | 296 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 MedicareRx Rewards Standard | $28.10 | $295 | No Gap Coverage | Yes | S5960 -120 | 25% | 25% | 25% | 25% | 24,557 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 Prescriba Rx Platinum | $65.40 | $0 | All Generics | No | S5597 -211 | $6.00 | $44.00 | 33% | 432 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
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