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 | $53.10 | $0 | Some Generics | No | S5810 -158 | $0.00 | $10.00 | $34.00 | $74.00 | 7,660 members | |||||
Plan changed to S5810-226 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Humana PDP Standard S5884-080 | $38.80 | $295 | No Gap Coverage | No | S5884 -080 | 15% | 25% | 41% | 51,952 members | ||||||
Plan changed to S5884-121 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Aetna Medicare Rx Essentials | $25.20 | $195 | No Gap Coverage | Yes | S5810 -056 | $0.00 | $12.00 | $27.00 | $68.00 | 61,375 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $21.00 | $310 | No Gap Coverage | Yes | $1.00 | $24.00 | $29.00 | $69.00 | tbd members | ||||||
2009 Prescriba Rx Bronze | $24.50 | $295 | No Gap Coverage | Yes | S5597 -256 | 25% | 25% | 25% | 29,025 members | ||||||
2010 PrescribaRx Bronze (PDP) | $23.20 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 AARP MedicareRx Saver | $23.50 | $295 | No Gap Coverage | Yes | S5921 -191 | $5.00 | $22.00 | $57.20 | 25% | 47,480 members | |||||
2010 AARP MedicareRx Saver (PDP) | $23.50 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $80.00 | 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 SierraRx | $22.70 | $0 | No Gap Coverage | Yes | S5917 -001 | $9.75 | $50.00 | 33% | 7,977 members | ||||||
2010 UnitedHealthcare MedicareRx (PDP) | $23.50 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $70.00 | 25% | tbd members | ||||||
2009 WellCare Classic | $23.20 | $295 | No Gap Coverage | Yes | S5967 -159 | $0.00 | $39.00 | $90.00 | 25% | 48,708 members | |||||
2010 WellCare Classic (PDP) | $24.50 | $310 | No Gap Coverage | -- | $4.00 | $37.00 | $75.00 | 25% | tbd members | ||||||
2009 First Health Part D-Premier | $13.70 | $0 | No Gap Coverage | Yes | S5768 -045 | $6.00 | $32.00 | $67.00 | 33% | 31,132 members | |||||
2010 First Health Part D-Premier (PDP) | $24.80 | $150 | No Gap Coverage | Yes | $8.00 | 12% | 44% | 29% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan One | $25.80 | $295 | No Gap Coverage | No | S5617 -108 | $2.50 | $28.00 | $75.00 | 25% | 8,809 members | |||||
2010 CIGNA Medicare Rx Plan One (PDP) | $25.00 | $310 | No Gap Coverage | Yes | $3.00 | $30.00 | $77.00 | 25% | tbd members | ||||||
2009 HealthSpring Prescription Drug Plan-Reg 22 | $23.90 | $295 | No Gap Coverage | Yes | S5932 -021 | 25% | 25% | 37,392 members | |||||||
2010 HealthSpring Prescription Drug Plan-Reg 22 (PDP) | $25.40 | $310 | No Gap Coverage | Yes | 25% | 25% | tbd members | ||||||||
2009 Community CCRx Basic | $25.00 | $295 | No Gap Coverage | Yes | S5803 -091 | $0.00 | 25% | 55% | 103,694 members | ||||||
2010 Community CCRx Basic (PDP) | $25.70 | $310 | No Gap Coverage | Yes | $0.00 | 25% | 70% | 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 | $25.30 | $295 | No Gap Coverage | Yes | S7694 -022 | $4.00 | $34.00 | $24.00 | $75.00 | 6,698 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $25.70 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 Moved From Plan S5810-158 | S5810 -226 | members | |||||||||||||
2010 Aetna Medicare Rx Plus (PDP) | $25.80 | $0 | No Gap Coverage | No | $5.00 | $32.00 | $38.00 | $80.00 | tbd members | ||||||
2009 BravoRx | $24.50 | $295 | No Gap Coverage | Yes | S5998 -039 | 25% | 25% | 25% | 31,551 members | ||||||
2010 BravoRx (PDP) | $26.70 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 Moved From Plan S5884-80 | S5884 -121 | members | |||||||||||||
2010 Humana Basic S5884-121 (PDP) | $27.90 | $310 | No Gap Coverage | No | $4.00 | 29% | 29% | tbd members | |||||||
2009 MedicareRx Rewards Standard | $24.10 | $295 | No Gap Coverage | Yes | S5960 -128 | 25% | 25% | 25% | 25% | 22,568 members | |||||
2010 MedicareRx Rewards Standard (PDP) | $28.30 | $310 | No Gap Coverage | No | $7.00 | 25% | 25% | 25% | tbd members | ||||||
2009 Advantage Star Plan by RxAmerica | $23.80 | $295 | No Gap Coverage | Yes | S5644 -079 | $5.50 | 25% | 25% | 45% | 35,478 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $29.40 | $310 | No Gap Coverage | No | $4.00 | 25% | 25% | 45% | 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 Health Net Orange Option 1 | $22.40 | $295 | No Gap Coverage | Yes | S5678 -050 | $2.00 | $43.00 | $90.00 | 25% | 24,455 members | |||||
2010 Health Net Orange Option 1 (PDP) | $29.40 | $310 | No Gap Coverage | No | $4.00 | $36.00 | $95.00 | 25% | tbd members | ||||||
2009 SilverScript Value | $23.50 | $295 | No Gap Coverage | Yes | S5601 -044 | $8.00 | $38.00 | $98.00 | 25% | 31,981 members | |||||
2010 SilverScript Value (PDP) | $29.40 | $310 | No Gap Coverage | No | $8.00 | $22.50 | $95.00 | 25% | tbd members | ||||||
2009 Blue Medicare Rx - Value | $30.50 | $0 | No Gap Coverage | No | S5715 -005 | $9.00 | $45.00 | $75.00 | 30% | 31,333 members | |||||
2010 Blue MedicareRx - Value (PDP) | $33.30 | $0 | No Gap Coverage | No | $11.00 | $45.00 | $88.00 | 33% | tbd members | ||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $36.80 | $170 | No Gap Coverage | No | S5755 -060 | $4.00 | $40.00 | $80.00 | 25% | 579 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $34.30 | $140 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Two | $38.30 | $0 | No Gap Coverage | No | S5617 -110 | $0.00 | $6.00 | $38.00 | $80.00 | 3,934 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $34.40 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $37.00 | $93.00 | tbd members | ||||||
2009 WellCare Signature | $31.80 | $0 | No Gap Coverage | No | S5967 -056 | $0.00 | $39.00 | $79.00 | 33% | 11,390 members | |||||
2010 WellCare Signature (PDP) | $37.10 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 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 Prescriba Rx Gold | $38.60 | $0 | No Gap Coverage | No | S5597 -054 | $6.00 | $44.00 | 33% | 3,859 members | ||||||
2010 PrescribaRx Gold (PDP) | $37.80 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
2009 Blue Medicare Rx - Standard | $30.90 | $295 | No Gap Coverage | No | S5715 -009 | $2.00 | $36.00 | $66.00 | 25% | 24,222 members | |||||
2010 Blue MedicareRx - Standard (PDP) | $39.00 | $310 | No Gap Coverage | No | $3.00 | $33.00 | $83.00 | 25% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $38.40 | $0 | No Gap Coverage | No | S5820 -021 | $7.00 | $38.00 | $73.30 | 33% | 179,409 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $41.00 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $64.00 | 33% | tbd members | ||||||
2009 Humana PDP Enhanced S5884-020 | $37.70 | $0 | No Gap Coverage | No | S5884 -020 | $7.00 | $40.00 | $70.00 | 33% | 109,934 members | |||||
2010 Humana Enhanced S5884-020 (PDP) | $41.40 | $0 | No Gap Coverage | No | $8.00 | $42.00 | $80.00 | 33% | tbd members | ||||||
2009 AdvantraRx Value | $26.20 | $0 | No Gap Coverage | No | S5670 -117 | $8.00 | $24.00 | $55.00 | 33% | 26,257 members | |||||
2010 AdvantraRx Value (PDP) | $41.80 | $100 | No Gap Coverage | No | $6.00 | 19% | 64% | 30% | tbd members | ||||||
2009 Community CCRx Choice | $49.50 | $0 | No Gap Coverage | No | S5803 -159 | $5.00 | $30.00 | $60.00 | 33% | 11,186 members | |||||
2010 Community CCRx Choice (PDP) | $42.20 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | 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 Scott and White Health Plan Texas Rx Value | $39.80 | $295 | No Gap Coverage | No | S5915 -003 | $4.00 | 25% | 38% | 654 members | ||||||
2010 Scott and White Health Plan Texas Rx Value (PDP) | $44.50 | $310 | No Gap Coverage | No | $1.00 | $29.00 | $60.00 | tbd members | |||||||
-- This plan not offered in 2009 -- | S5960 -154 | ||||||||||||||
2010 MedicareRx Rewards Plus (PDP) | $46.30 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
-- This plan not offered in 2009 -- | S5915 -004 | ||||||||||||||
2010 Scott and White Health Plan Texas Rx Basic (PDP) | $46.40 | $0 | No Gap Coverage | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 First Health Part D-Secure | $18.70 | $175 | No Gap Coverage | No | S5768 -104 | $4.00 | $20.00 | $50.00 | 28% | 1,887 members | |||||
2010 First Health Part D-Secure (PDP) | $47.20 | $175 | No Gap Coverage | No | $4.00 | 20% | 53% | 28% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Value | $38.90 | $295 | No Gap Coverage | No | S5660 -124 | 23% | 23% | 53% | 25% | 323 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $47.70 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Choice | $45.10 | $0 | No Gap Coverage | No | S5660 -022 | $6.00 | $38.00 | 75% | 33% | 4,376 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $49.80 | $100 | No Gap Coverage | No | $6.00 | $39.00 | 75% | 30% | 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 | $47.00 | $0 | No Gap Coverage | No | S5755 -025 | $7.00 | $33.00 | $66.00 | 33% | 6,671 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $50.70 | $0 | No Gap Coverage | No | $9.00 | $38.00 | $76.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier | $43.00 | $0 | No Gap Coverage | No | S5670 -118 | $5.00 | $30.00 | $69.00 | 33% | 11,626 members | |||||
2010 AdvantraRx Premier (PDP) | $51.90 | $0 | No Gap Coverage | No | $12.00 | 16% | 52% | 33% | tbd members | ||||||
2009 Advantage Freedom Plan by RxAmerica | $41.50 | $0 | No Gap Coverage | No | S5644 -058 | $4.75 | 35% | 33% | 45% | 1,315 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $54.30 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 SilverScript Plus | $54.40 | $50 | Many Generics | No | S5601 -045 | $4.00 | $9.00 | $30.00 | $35.00 | 1,966 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $60.70 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 Sterling Rx | $40.40 | $295 | No Gap Coverage | No | S4802 -013 | $7.00 | $25.00 | $55.00 | 25% | 1,089 members | |||||
2010 Sterling Rx (PDP) | $61.40 | $310 | No Gap Coverage | No | $9.00 | $29.00 | 25% | tbd members | |||||||
2009 EnvisionRxPlus Gold | $68.70 | $0 | No Gap Coverage | No | S7694 -056 | $0.00 | $45.00 | $40.00 | $75.00 | 381 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $63.40 | $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 Health Net Orange Option 2 | $48.00 | $0 | No Gap Coverage | No | S5678 -049 | $5.00 | $30.00 | $90.00 | 33% | 3,392 members | |||||
2010 Health Net Orange Option 2 (PDP) | $66.40 | $0 | No Gap Coverage | No | $5.00 | $35.00 | $95.00 | 33% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $66.50 | $0 | Some Generics | No | S5617 -192 | $6.00 | $35.00 | $60.00 | 33% | 843 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $66.50 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 Blue Medicare Rx - Plus | $70.50 | $0 | All Generics | No | S5715 -006 | $5.00 | $38.00 | $60.00 | 30% | 15,171 members | |||||
2010 Blue MedicareRx - Plus (PDP) | $67.50 | $0 | Many Generics | No | $5.00 | $38.00 | $75.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier Plus | $59.90 | $0 | Many Generics | No | S5670 -120 | $4.00 | $30.00 | $75.00 | 33% | 5,810 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $68.80 | $0 | Many Generics | No | $5.00 | $25.00 | 18% | 75% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $80.50 | $0 | Many Generics | No | S5810 -192 | $0.00 | $10.00 | $30.00 | $65.00 | 10,892 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $74.80 | $0 | Many Generics | No | $5.00 | $34.00 | $35.00 | $81.00 | tbd members | ||||||
2009 Community CCRx Gold | $64.70 | $0 | All Generics | No | S5803 -239 | $5.00 | $30.00 | $60.00 | 33% | 5,269 members | |||||
2010 Community CCRx Gold (PDP) | $75.70 | $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 AARP MedicareRx Enhanced | $71.60 | $0 | Many Generics | No | S5921 -193 | $7.00 | $39.00 | $93.00 | 33% | 9,404 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $76.20 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 SilverScript Complete | $75.70 | $0 | Many Generics | No | S5601 -093 | $2.50 | $7.50 | $39.00 | $98.00 | 589 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $81.90 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $79.60 | $0 | All Generics | No | S5660 -192 | $6.00 | $35.00 | 75% | 33% | 1,104 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $86.00 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 Humana PDP Complete S5884-050 | $90.10 | $0 | Many Generics | No | S5884 -050 | $7.00 | $40.00 | $70.00 | 33% | 12,459 members | |||||
2010 Humana Complete S5884-050 (PDP) | $94.90 | $0 | Many Generics | No | $7.00 | $40.00 | $75.00 | 33% | tbd members | ||||||
2009 Scott and White Health PlanTexas Rx Enhanced | $97.10 | $0 | Many Generics | No | S5915 -002 | $0.00 | $35.00 | $65.00 | 33% | 397 members | |||||
2010 Scott and White Health PlanTexas Rx Enhanced (PDP) | $113.40 | $0 | Many Generics | No | $0.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 UnitedHealth Rx Basic | $40.50 | $0 | No Gap Coverage | No | S5921 -192 | $7.00 | $35.00 | $96.00 | 33% | 7,810 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 | $67.20 | $0 | All Generics | No | S5597 -219 | $6.00 | $44.00 | 33% | 1,300 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 MedicareRx Rewards Value | $28.20 | $130 | No Gap Coverage | No | S5960 -022 | $10.00 | $42.00 | $85.00 | 29% | 5,284 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 SierraRx Basic | $65.40 | $295 | No Gap Coverage | No | S5917 -026 | 25% | 25% | 25% | 660 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
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