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 Plus | $59.50 | $0 | Some Generics | No | S5810 -159 | $0.00 | $10.00 | $36.00 | $77.00 | 859 members | |||||
Plan changed to S5810-227 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Humana PDP Standard S5884-081 | $38.50 | $295 | No Gap Coverage | No | S5884 -081 | 15% | 25% | 48% | 10,627 members | ||||||
Plan changed to S5884-122 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Moved From Plan S5810-159 | S5810 -227 | members | |||||||||||||
2010 Aetna Medicare Rx Plus (PDP) | $31.70 | $0 | No Gap Coverage | No | $5.00 | $32.00 | $38.00 | $80.00 | tbd members | ||||||
-- This plan not offered in 2009 -- | S5960 -155 | ||||||||||||||
2010 MedicareRx Rewards Plus (PDP) | $32.80 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 Medicare Blue Rx Basic Plus | $34.70 | $0 | No Gap Coverage | No | S5566 -002 | $8.00 | $43.00 | $73.00 | 30% | 23,335 members | |||||
2010 Blue MedicareRx Value (PDP) | $34.00 | $0 | No Gap Coverage | No | $10.00 | $43.00 | $89.00 | 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 Humana PDP Enhanced S5884-021 | $40.70 | $0 | No Gap Coverage | No | S5884 -021 | $7.00 | $40.00 | $70.00 | 33% | 15,205 members | |||||
2010 Humana Enhanced S5884-021 (PDP) | $42.20 | $0 | No Gap Coverage | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 WellCare Signature | $38.20 | $0 | No Gap Coverage | No | S5967 -057 | $0.00 | $39.00 | $79.00 | 33% | 1,749 members | |||||
2010 WellCare Signature (PDP) | $42.50 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $40.50 | $0 | No Gap Coverage | No | S5820 -022 | $7.00 | $38.00 | $74.55 | 33% | 29,572 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $43.10 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $66.25 | 33% | tbd members | ||||||
2009 Health Net Value Orange Option 2 | $43.20 | $0 | No Gap Coverage | No | S5678 -051 | $0.00 | $39.00 | $75.00 | 33% | 552 members | |||||
2010 Health Net Value Orange Option 2 (PDP) | $49.60 | $0 | No Gap Coverage | No | $0.00 | $42.00 | $95.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier | $40.50 | $0 | No Gap Coverage | No | S5670 -124 | $7.00 | $26.00 | $72.00 | 33% | 2,339 members | |||||
2010 AdvantraRx Premier (PDP) | $49.80 | $0 | No Gap Coverage | No | $12.00 | 16% | 50% | 33% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $47.30 | $0 | No Gap Coverage | No | S5755 -026 | $6.00 | $32.00 | $64.00 | 33% | 1,247 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $50.00 | $0 | No Gap Coverage | No | $9.00 | $38.00 | $76.00 | 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 Advantage Freedom Plan by RxAmerica | $53.00 | $0 | No Gap Coverage | No | S5644 -183 | $4.25 | 35% | 33% | 45% | 124 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $56.30 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $74.70 | $0 | Some Generics | No | S5617 -193 | $6.00 | $35.00 | $60.00 | 33% | 130 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $63.90 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 Medicare Blue Rx Enhanced | $77.00 | $0 | All Generics | No | S5566 -003 | $6.00 | $34.00 | $60.00 | 30% | 8,439 members | |||||
2010 Blue MedicareRx Plus (PDP) | $72.50 | $0 | Many Generics | No | $6.00 | $34.00 | $75.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier Plus | $56.60 | $0 | Many Generics | No | S5670 -126 | $5.00 | $33.00 | $75.00 | 33% | 1,383 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $72.80 | $0 | Many Generics | No | $5.00 | $25.00 | 20% | 75% | tbd members | ||||||
2009 Community CCRx Gold | $73.90 | $0 | All Generics | No | S5803 -240 | $5.00 | $30.00 | $60.00 | 33% | 1,944 members | |||||
2010 Community CCRx Gold (PDP) | $76.30 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 SilverScript Complete | $85.80 | $0 | Many Generics | No | S5601 -094 | $2.50 | $7.50 | $39.00 | $98.00 | 140 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $77.70 | $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 AARP MedicareRx Enhanced | $73.60 | $0 | Many Generics | No | S5921 -235 | $7.00 | $39.00 | $95.00 | 33% | 1,561 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $81.90 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $75.00 | $0 | All Generics | No | S5660 -193 | $6.00 | $35.00 | 75% | 33% | 225 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $84.70 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $102.90 | $0 | Many Generics | No | S5810 -193 | $0.00 | $10.00 | $30.00 | $65.00 | 789 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $88.90 | $0 | Many Generics | No | $6.00 | $32.00 | $35.00 | $80.00 | tbd members | ||||||
2009 Humana PDP Complete S5884-051 | $100.70 | $0 | Many Generics | No | S5884 -051 | $7.00 | $40.00 | $70.00 | 33% | 1,445 members | |||||
2010 Humana Complete S5884-051 (PDP) | $105.50 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 UnitedHealth Rx Basic | $44.40 | $0 | No Gap Coverage | No | S5921 -202 | $7.00 | $35.00 | $91.00 | 33% | 1,505 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 MedicareRx Rewards Value | $30.70 | $130 | No Gap Coverage | No | S5960 -023 | $10.00 | $41.00 | $85.00 | 29% | 1,177 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 SierraRx Basic | $73.80 | $295 | No Gap Coverage | No | S5917 -024 | 25% | 25% | 25% | 86 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 Prescriba Rx Platinum | $76.10 | $0 | All Generics | No | S5597 -220 | $6.00 | $44.00 | 33% | 109 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
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