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 CIGNA Medicare Rx Plan One | $31.50 | $295 | No Gap Coverage | Yes | S5617 -043 | $2.50 | $28.00 | $76.00 | 25% | 6,994 members | |||||
Plan changed to S5617-218 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Aetna Medicare Rx Plus | $59.60 | $0 | Some Generics | No | S5810 -145 | $0.00 | $10.00 | $36.00 | $77.00 | 627 members | |||||
Plan changed to S5810-213 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Humana PDP Standard S5884-067 | $42.20 | $295 | No Gap Coverage | No | S5884 -067 | 15% | 25% | 46% | 13,652 members | ||||||
Plan changed to S5884-118 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 InStil Rx | $32.50 | $295 | No Gap Coverage | No | S5946 -001 | 25% | 1,586 members | ||||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 InStil Rx Plus | $65.90 | $0 | No Gap Coverage | No | S5946 -003 | $6.00 | $36.00 | $72.00 | 33% | 1,255 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 | $70.70 | $0 | All Generics | No | S5597 -206 | $6.00 | $44.00 | 33% | 322 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 PerformRx Option I | $32.10 | $295 | No Gap Coverage | No | S5650 -001 | 7,091 members | |||||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 PerformRx Option II | $39.70 | $265 | No Gap Coverage | No | S5650 -003 | 799 members | |||||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 SierraRx Basic | $66.70 | $295 | No Gap Coverage | No | S5917 -014 | 25% | 25% | 25% | 133 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 MedicareRx Rewards Value | $34.70 | $130 | No Gap Coverage | No | S5960 -009 | $8.00 | $44.00 | $85.00 | 29% | 1,524 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 UnitedHealth Rx Basic | $41.00 | $0 | No Gap Coverage | No | S5921 -122 | $7.00 | $35.00 | $93.00 | 33% | 4,820 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
|