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 | $59.50 | $0 | Some Generics | No | S5810 -166 | $0.00 | $5.00 | $35.00 | $90.00 | 1,061 members | |||||
Plan changed to S5810-234 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Humana PDP Standard S5884-088 | $37.90 | $295 | No Gap Coverage | No | S5884 -088 | 15% | 25% | 47% | 28,604 members | ||||||
Plan changed to S5884-113 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Moved From Plan S5810-166 | S5810 -234 | members | |||||||||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $36.50 | $0 | No Gap Coverage | No | $2.00 | $28.00 | $33.00 | $80.00 | tbd members | ||||||
2009 Humana PDP Enhanced S5884-028 | $36.50 | $0 | No Gap Coverage | No | S5884 -028 | $7.00 | $40.00 | $70.00 | 33% | 43,582 members | |||||
2010 Humana Enhanced S5884-028 (PDP) | $40.10 | $0 | No Gap Coverage | No | $7.00 | $45.00 | $85.00 | 33% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $38.40 | $0 | No Gap Coverage | No | S5820 -029 | $7.00 | $38.00 | $81.20 | 33% | 90,064 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $40.80 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $73.00 | 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 Signature | $41.50 | $0 | No Gap Coverage | No | S5967 -064 | $0.00 | $39.00 | $79.00 | 33% | 3,207 members | |||||
2010 WellCare Signature (PDP) | $45.50 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier | $44.20 | $0 | No Gap Coverage | No | S5674 -045 | $6.00 | $27.00 | $71.00 | 33% | 2,987 members | |||||
2010 AdvantraRx Premier (PDP) | $47.20 | $0 | No Gap Coverage | No | $12.00 | 16% | 53% | 33% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $45.40 | $0 | No Gap Coverage | No | S5755 -033 | $7.00 | $33.00 | $66.00 | 33% | 2,265 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $48.30 | $0 | No Gap Coverage | No | $8.00 | $37.00 | $74.00 | 33% | tbd members | ||||||
-- This plan not offered in 2009 -- | S5960 -159 | ||||||||||||||
2010 MedicareRx Rewards Plus (PDP) | $48.50 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 Advantage Freedom Plan by RxAmerica | $34.40 | $0 | No Gap Coverage | No | S5644 -062 | $5.00 | 35% | 33% | 45% | 1,562 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $56.50 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 Community CCRx Gold | $46.40 | $0 | All Generics | No | S5803 -247 | $5.00 | $30.00 | $60.00 | 33% | 7,972 members | |||||
2010 Community CCRx Gold (PDP) | $56.60 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 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 | $59.50 | $0 | Many Generics | No | S5674 -047 | $4.00 | $30.00 | $74.00 | 33% | 8,282 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $67.10 | $0 | Many Generics | No | $5.00 | $25.00 | 19% | 75% | tbd members | ||||||
2009 Health Net Orange Option 2 | $48.20 | $0 | No Gap Coverage | No | S5678 -012 | $5.00 | $30.00 | $90.00 | 33% | 3,239 members | |||||
2010 Health Net Orange Option 2 (PDP) | $67.40 | $0 | No Gap Coverage | No | $5.00 | $35.00 | $95.00 | 33% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $80.10 | $0 | Some Generics | No | S5617 -200 | $6.00 | $35.00 | $60.00 | 33% | 225 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $69.80 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 SilverScript Complete | $79.40 | $0 | Many Generics | No | S5601 -101 | $2.50 | $7.50 | $39.00 | $98.00 | 604 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $78.30 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $79.10 | $0 | Many Generics | No | S5921 -023 | $7.00 | $39.00 | $95.00 | 33% | 4,195 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $83.90 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $76.60 | $0 | All Generics | No | S5660 -200 | $6.00 | $35.00 | 75% | 33% | 538 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $85.40 | $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 Aetna Medicare Rx Premier | $120.60 | $0 | Many Generics | No | S5810 -200 | $0.00 | $10.00 | $30.00 | $65.00 | 667 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $106.40 | $0 | Many Generics | No | $7.00 | $32.00 | $35.00 | $91.00 | tbd members | ||||||
2009 Humana PDP Complete S5884-058 | $104.60 | $0 | Many Generics | No | S5884 -058 | $7.00 | $40.00 | $70.00 | 33% | 3,764 members | |||||
2010 Humana Complete S5884-058 (PDP) | $109.30 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 UnitedHealth Rx Basic | $43.10 | $0 | No Gap Coverage | No | S5921 -022 | $7.00 | $35.00 | $94.00 | 33% | 6,481 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 MedicareRx Rewards Value | $36.00 | $130 | No Gap Coverage | No | S5960 -030 | $10.00 | $42.00 | $85.00 | 29% | 3,321 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 SierraRx Basic | $71.00 | $295 | No Gap Coverage | No | S5917 -031 | 25% | 25% | 25% | 400 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 SierraRx | $32.90 | $0 | No Gap Coverage | No | S5917 -006 | $9.25 | $45.00 | 33% | 1,564 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 Prescriba Rx Platinum | $66.90 | $0 | All Generics | No | S5597 -227 | $6.00 | $44.00 | 33% | 270 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
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