2009 / 2010 Medicare Part D Plan Information Click here to jump to the Chart Legend | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 |
|||||||||
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 First Health Part D-Secure | $16.80 | $175 | No Gap Coverage | No | S5768 -105 | $4.00 | $20.00 | $46.00 | 28% | 2,325 members | |||||
2010 First Health Part D-Secure (PDP) | $23.50 | $175 | No Gap Coverage | No | $4.00 | 20% | 61% | 28% | tbd members | ||||||
2009 Aetna Medicare Rx Essentials | $29.80 | $215 | No Gap Coverage | No | S5810 -057 | $0.00 | $15.00 | $27.00 | $68.00 | 1,353 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $26.70 | $310 | No Gap Coverage | Yes | $2.00 | $28.00 | $29.00 | $72.00 | tbd members | ||||||
2009 Prescriba Rx Bronze | $26.30 | $295 | No Gap Coverage | Yes | S5597 -257 | 25% | 25% | 25% | 10,109 members | ||||||
2010 PrescribaRx Bronze (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 WellCare Classic | $30.10 | $295 | No Gap Coverage | No | S5967 -160 | $0.00 | $34.00 | $86.00 | 25% | 2,844 members | |||||
2010 WellCare Classic (PDP) | $29.80 | $310 | No Gap Coverage | -- | $4.00 | $35.00 | $72.00 | 25% | tbd members | ||||||
2009 HealthSpring Prescription Drug Plan-Reg 23 | $26.00 | $295 | No Gap Coverage | Yes | S5932 -022 | 25% | 25% | 8,957 members | |||||||
2010 HealthSpring Prescription Drug Plan-Reg 23 (PDP) | $30.00 | $310 | No Gap Coverage | Yes | 25% | 25% | tbd members | ||||||||
2009 Medco Medicare Prescription Plan - Value | $29.30 | $295 | No Gap Coverage | Yes | S5660 -125 | 23% | 23% | 53% | 25% | 7,574 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $30.60 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 Moved From Plan S5884-81 | S5884 -122 | members | |||||||||||||
2010 Humana Basic S5884-122 (PDP) | $30.80 | $310 | No Gap Coverage | Yes | $4.00 | 29% | 29% | tbd members | |||||||
2009 Health Net Orange Option 1 | $30.70 | $295 | No Gap Coverage | No | S5678 -052 | $2.00 | $45.00 | $90.00 | 25% | 465 members | |||||
2010 Health Net Orange Option 1 (PDP) | $31.50 | $310 | No Gap Coverage | Yes | $4.00 | $39.00 | $95.00 | 25% | 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 | ||||||
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 | $26.50 | $295 | No Gap Coverage | Yes | S5960 -129 | 25% | 25% | 25% | 25% | 7,182 members | |||||
2010 MedicareRx Rewards Standard (PDP) | $31.80 | $310 | No Gap Coverage | Yes | $6.00 | 25% | 25% | 25% | tbd members | ||||||
2009 Advantage Star Plan by RxAmerica | $26.80 | $295 | No Gap Coverage | Yes | S5644 -197 | $5.50 | 25% | 25% | 45% | 7,830 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $32.20 | $310 | No Gap Coverage | Yes | $4.25 | 25% | 25% | 45% | tbd members | ||||||
2009 Community CCRx Basic | $28.20 | $295 | No Gap Coverage | Yes | S5803 -092 | $0.00 | 30% | 50% | 29,016 members | ||||||
2010 Community CCRx Basic (PDP) | $32.30 | $310 | No Gap Coverage | Yes | $0.00 | 30% | 55% | 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 SilverScript Value | $25.90 | $295 | No Gap Coverage | Yes | S5601 -046 | $8.00 | $37.00 | $98.00 | 25% | 16,335 members | |||||
2010 SilverScript Value (PDP) | $33.00 | $310 | No Gap Coverage | No | $8.00 | $24.25 | $95.00 | 25% | tbd members | ||||||
2009 BravoRx | $34.30 | $295 | No Gap Coverage | No | S5998 -027 | 25% | 25% | 25% | < 10 members | ||||||
2010 BravoRx (PDP) | $33.70 | $310 | No Gap Coverage | No | 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 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 | ||||||
2009 First Health Part D-Premier | $26.00 | $0 | No Gap Coverage | Yes | S5768 -046 | $7.00 | $30.00 | $60.00 | 33% | 9,908 members | |||||
2010 First Health Part D-Premier (PDP) | $34.00 | $150 | No Gap Coverage | No | $7.00 | 11% | 43% | 29% | tbd members | ||||||
2009 AARP MedicareRx Saver | $30.90 | $295 | No Gap Coverage | No | S5921 -201 | $5.00 | $22.00 | $58.60 | 25% | 4,161 members | |||||
2010 AARP MedicareRx Saver (PDP) | $34.10 | $310 | No Gap Coverage | No | $6.00 | $25.00 | $77.00 | 25% | tbd members | ||||||
2009 AdvantraRx Value | $24.70 | $0 | No Gap Coverage | No | S5670 -123 | $8.00 | $24.00 | $55.00 | 33% | 7,648 members | |||||
2010 AdvantraRx Value (PDP) | $34.50 | $100 | No Gap Coverage | No | $6.00 | 20% | 65% | 30% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Two | $44.60 | $0 | No Gap Coverage | No | S5617 -115 | $0.00 | $6.00 | $38.00 | $85.00 | 444 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $38.10 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $40.00 | $98.00 | tbd members | ||||||
2009 EnvisionRxPlus Gold | $50.70 | $0 | No Gap Coverage | No | S7694 -057 | $0.00 | $45.00 | $40.00 | $75.00 | 80 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $38.60 | $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 EnvisionRxPlus Silver | $34.50 | $295 | No Gap Coverage | No | S7694 -023 | $4.00 | $31.00 | $21.00 | $75.00 | 23 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $39.60 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 Prescriba Rx Gold | $45.80 | $0 | No Gap Coverage | No | S5597 -055 | $6.00 | $44.00 | 33% | 575 members | ||||||
2010 PrescribaRx Gold (PDP) | $41.00 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
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 Medco Medicare Prescription Plan - Choice | $36.50 | $0 | No Gap Coverage | No | S5660 -023 | $6.00 | $35.00 | 75% | 33% | 2,367 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $42.50 | $100 | No Gap Coverage | No | $6.00 | $40.00 | 75% | 30% | 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 | ||||||
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 | $35.20 | $295 | No Gap Coverage | No | S5617 -113 | $2.50 | $30.00 | $80.00 | 25% | 828 members | |||||
2010 CIGNA Medicare Rx Plan One (PDP) | $43.50 | $310 | No Gap Coverage | No | $3.00 | $30.00 | $86.00 | 25% | tbd members | ||||||
2009 Medicare Blue Rx Basic | $38.10 | $295 | No Gap Coverage | No | S5566 -001 | $6.00 | $27.00 | $57.00 | 25% | 6,083 members | |||||
2010 Blue MedicareRx Standard (PDP) | $44.20 | $310 | No Gap Coverage | No | $3.00 | $33.00 | $83.00 | 25% | tbd members | ||||||
2009 Community CCRx Choice | $58.70 | $0 | No Gap Coverage | No | S5803 -160 | $5.00 | $30.00 | $60.00 | 33% | 3,563 members | |||||
2010 Community CCRx Choice (PDP) | $49.00 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | tbd members | ||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $43.40 | $130 | No Gap Coverage | No | S5755 -061 | $4.00 | $40.00 | $80.00 | 25% | 106 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $49.20 | $135 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 25% | 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 | ||||||
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 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 | ||||||
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 Sterling Rx | $37.60 | $295 | No Gap Coverage | No | S4802 -014 | $7.00 | $25.00 | $58.00 | 25% | 480 members | |||||
2010 Sterling Rx (PDP) | $60.30 | $310 | No Gap Coverage | No | $9.00 | $28.00 | 25% | 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 SilverScript Plus | $62.70 | $50 | Many Generics | No | S5601 -047 | $4.00 | $9.00 | $30.00 | $35.00 | 304 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $66.50 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | 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 | ||||||
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 | $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 | ||||||
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 | ||||||
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 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 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 -- | |||||||||||||||
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 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 -- | |||||||||||||||
|