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 First Health Part D-Secure | $16.70 | $175 | No Gap Coverage | No | S5768 -112 | $4.00 | $20.00 | $48.00 | 28% | 4,624 members | |||||
2010 First Health Part D-Secure (PDP) | $8.80 | $175 | No Gap Coverage | No | $3.00 | 20% | 40% | 28% | tbd members | ||||||
2009 Moved From Plan S5884-88 | S5884 -113 | members | |||||||||||||
2010 Humana Value S5884-113 (PDP) | $18.60 | $150 | No Gap Coverage | No | $5.00 | $35.00 | 34% | tbd members | |||||||
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 -- | |||||||||||||||
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 | $32.90 | $0 | No Gap Coverage | No | S5917 -006 | $9.25 | $45.00 | 33% | 1,564 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 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 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 -- | |||||||||||||||
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