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 | $64.70 | $0 | Some Generics | No | S5810 -167 | $0.00 | $5.00 | $35.00 | $90.00 | 339 members | |||||
Plan changed to S5810-235 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 First Health Part D-Secure | $18.50 | $175 | No Gap Coverage | No | S5768 -113 | $4.00 | $20.00 | $45.00 | 28% | 2,949 members | |||||
2010 First Health Part D-Secure (PDP) | $18.70 | $175 | No Gap Coverage | No | $4.00 | 20% | 50% | 28% | tbd members | ||||||
2009 HealthSpring Prescription Drug Plan-Reg 31 | $30.70 | $295 | No Gap Coverage | Yes | S5932 -030 | 25% | 25% | 4,251 members | |||||||
2010 HealthSpring Prescription Drug Plan-Reg 31 (PDP) | $33.00 | $310 | No Gap Coverage | Yes | 25% | 25% | tbd members | ||||||||
2009 SierraRx | $36.80 | $0 | No Gap Coverage | Yes | S5917 -007 | $9.75 | $45.00 | 33% | 2,838 members | ||||||
2010 UnitedHealthcare MedicareRx (PDP) | $33.90 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $80.00 | 25% | tbd members | ||||||
2009 Prescriba Rx Bronze | $32.80 | $295 | No Gap Coverage | Yes | S5597 -265 | 25% | 25% | 25% | 4,686 members | ||||||
2010 PrescribaRx Bronze (PDP) | $34.90 | $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 AdvantraRx Value | $27.20 | $0 | No Gap Coverage | No | S5674 -050 | $8.00 | $24.00 | $55.00 | 33% | 9,995 members | |||||
2010 AdvantraRx Value (PDP) | $36.80 | $100 | No Gap Coverage | No | $6.00 | 18% | 64% | 30% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Value | $31.90 | $295 | No Gap Coverage | Yes | S5660 -133 | 23% | 23% | 53% | 25% | 3,442 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $38.40 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan One | $38.50 | $295 | No Gap Coverage | No | S5617 -153 | $3.00 | $33.00 | $91.00 | 25% | 1,578 members | |||||
2010 CIGNA Medicare Rx Plan One (PDP) | $38.50 | $310 | No Gap Coverage | Yes | $3.00 | $33.00 | $92.00 | 25% | tbd members | ||||||
2009 Community CCRx Basic | $39.40 | $295 | No Gap Coverage | No | S5803 -100 | $0.00 | 25% | 55% | 4,353 members | ||||||
2010 Community CCRx Basic (PDP) | $40.10 | $310 | No Gap Coverage | Yes | $0.00 | 30% | 50% | tbd members | |||||||
2009 SilverScript Value | $32.20 | $295 | No Gap Coverage | Yes | S5601 -062 | $8.00 | $36.00 | $98.00 | 25% | 11,086 members | |||||
2010 SilverScript Value (PDP) | $40.30 | $310 | No Gap Coverage | Yes | $8.00 | $25.25 | $95.00 | 25% | tbd members | ||||||
2009 BravoRx | $36.50 | $295 | No Gap Coverage | Yes | S5998 -034 | 25% | 25% | 25% | 2,273 members | ||||||
2010 BravoRx (PDP) | $40.50 | $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 Prescriba Rx Gold | $39.50 | $0 | No Gap Coverage | No | S5597 -063 | $6.00 | $44.00 | 33% | 255 members | ||||||
2010 PrescribaRx Gold (PDP) | $40.50 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
2009 Health Net Orange Option 1 | $40.20 | $295 | No Gap Coverage | No | S5678 -064 | $2.00 | $44.00 | $90.00 | 25% | 332 members | |||||
2010 Health Net Orange Option 1 (PDP) | $40.80 | $310 | No Gap Coverage | Yes | $4.00 | $42.00 | $95.00 | 25% | tbd members | ||||||
2009 MedicareRx Rewards Standard | $33.60 | $295 | No Gap Coverage | Yes | S5960 -137 | 25% | 25% | 25% | 25% | 3,251 members | |||||
2010 MedicareRx Rewards Standard (PDP) | $41.10 | $310 | No Gap Coverage | No | $6.50 | 25% | 25% | 25% | tbd members | ||||||
2009 First Health Part D-Premier | $32.60 | $0 | No Gap Coverage | Yes | S5768 -118 | $7.00 | $25.00 | $53.00 | 33% | 2,701 members | |||||
2010 First Health Part D-Premier (PDP) | $41.70 | $150 | No Gap Coverage | No | $7.00 | 12% | 44% | 29% | tbd members | ||||||
-- This plan not offered in 2009 -- | S5960 -160 | ||||||||||||||
2010 MedicareRx Rewards Plus (PDP) | $41.80 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 EnvisionRxPlus Silver | $38.30 | $295 | No Gap Coverage | No | S7694 -031 | $4.00 | $31.00 | $21.00 | $75.00 | 26 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $42.20 | $310 | No Gap Coverage | No | 25% | 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 Moved From Plan S5810-167 | S5810 -235 | members | |||||||||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $42.50 | $0 | No Gap Coverage | No | $2.00 | $27.00 | $32.00 | $80.00 | tbd members | ||||||
2009 Humana PDP Standard S5884-089 | $38.90 | $295 | No Gap Coverage | No | S5884 -089 | 15% | 25% | 43% | 14,858 members | ||||||
2010 Humana Standard S5884-089 (PDP) | $42.60 | $310 | No Gap Coverage | No | 15% | 25% | 43% | tbd members | |||||||
2009 AARP MedicareRx Saver | $40.00 | $295 | No Gap Coverage | No | S5921 -031 | $5.00 | $22.00 | $66.30 | 25% | 1,961 members | |||||
2010 AARP MedicareRx Saver (PDP) | $42.80 | $310 | No Gap Coverage | No | $6.00 | $25.00 | $83.00 | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Two | $44.10 | $0 | No Gap Coverage | No | S5617 -155 | $0.00 | $6.00 | $38.00 | $80.00 | 340 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $42.90 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $37.00 | $86.00 | tbd members | ||||||
2009 Humana PDP Enhanced S5884-029 | $40.00 | $0 | No Gap Coverage | No | S5884 -029 | $7.00 | $40.00 | $70.00 | 33% | 20,465 members | |||||
2010 Humana Enhanced S5884-029 (PDP) | $43.80 | $0 | No Gap Coverage | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 WellCare Classic | $41.60 | $295 | No Gap Coverage | No | S5967 -168 | $0.00 | $30.00 | $67.00 | 25% | 2,271 members | |||||
2010 WellCare Classic (PDP) | $44.50 | $310 | No Gap Coverage | -- | $4.00 | $37.00 | $75.00 | 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 SilverScript Plus | $65.70 | $50 | Many Generics | No | S5601 -063 | $4.00 | $9.00 | $30.00 | $35.00 | 152 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $45.00 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 AdvantraRx Premier | $43.20 | $0 | No Gap Coverage | No | S5674 -051 | $6.00 | $31.00 | $75.00 | 33% | 1,490 members | |||||
2010 AdvantraRx Premier (PDP) | $45.30 | $0 | No Gap Coverage | No | $12.00 | 17% | 54% | 33% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $42.90 | $0 | No Gap Coverage | No | S5820 -030 | $7.00 | $38.00 | $76.85 | 33% | 18,297 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $45.50 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $75.00 | 33% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $47.90 | $0 | No Gap Coverage | No | S5755 -034 | $7.00 | $33.00 | $66.00 | 33% | 903 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $49.60 | $0 | No Gap Coverage | No | $9.00 | $38.00 | $76.00 | 33% | tbd members | ||||||
2009 Advantage Freedom Plan by RxAmerica | $44.00 | $0 | No Gap Coverage | No | S5644 -063 | $5.00 | 35% | 33% | 45% | 405 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $49.70 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Essentials | $33.20 | $195 | No Gap Coverage | Yes | S5810 -065 | $0.00 | $12.00 | $26.00 | $67.00 | 5,317 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $50.80 | $310 | No Gap Coverage | No | $3.00 | $28.00 | $30.00 | $70.00 | 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 EnvisionRxPlus Gold | $61.80 | $0 | No Gap Coverage | No | S7694 -065 | $0.00 | $45.00 | $40.00 | $75.00 | 99 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $50.80 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
2009 Community CCRx Choice | $64.70 | $0 | No Gap Coverage | No | S5803 -168 | $5.00 | $30.00 | $60.00 | 33% | 601 members | |||||
2010 Community CCRx Choice (PDP) | $51.40 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | tbd members | ||||||
2009 WellCare Signature | $47.20 | $0 | No Gap Coverage | No | S5967 -065 | $0.00 | $39.00 | $79.00 | 33% | 812 members | |||||
2010 WellCare Signature (PDP) | $51.50 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 Health Net Value Orange Option 2 | $48.90 | $0 | No Gap Coverage | No | S5678 -063 | $0.00 | $39.00 | $75.00 | 33% | 625 members | |||||
2010 Health Net Value Orange Option 2 (PDP) | $52.10 | $0 | No Gap Coverage | No | $0.00 | $42.00 | $95.00 | 33% | tbd members | ||||||
2009 Advantage Star Plan by RxAmerica | $37.70 | $295 | No Gap Coverage | No | S5644 -087 | $5.25 | 25% | 25% | 45% | 1,899 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $53.20 | $310 | No Gap Coverage | No | $3.50 | 25% | 25% | 45% | tbd members | ||||||
2009 Educators Rx Basic | $47.10 | $295 | No Gap Coverage | No | S5877 -004 | $2.50 | $30.00 | $50.00 | $50.00 | 388 members | |||||
-- | |||||||||||||||
2010 Educators Rx Basic (PDP) | $53.50 | $310 | No Gap Coverage | No | $3.00 | $35.00 | $50.00 | $70.00 | 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 Medco Medicare Prescription Plan - Choice | $49.80 | $0 | No Gap Coverage | No | S5660 -031 | $6.00 | $38.00 | 75% | 33% | 448 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $55.60 | $100 | No Gap Coverage | No | $6.00 | $40.00 | 75% | 30% | tbd members | ||||||
2009 Sterling Rx | $44.00 | $295 | No Gap Coverage | No | S4802 -021 | $7.00 | $25.00 | $57.00 | 25% | 690 members | |||||
2010 Sterling Rx (PDP) | $56.30 | $310 | No Gap Coverage | No | $9.00 | $32.00 | 25% | tbd members | |||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $47.70 | $110 | No Gap Coverage | No | S5755 -069 | $4.00 | $40.00 | $80.00 | 25% | 57 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $56.50 | $125 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 25% | tbd members | ||||||
2009 Educators Rx Advantage | $60.70 | $50 | No Gap Coverage | No | S5877 -007 | 20% | 25% | 50% | 30% | 880 members | |||||
-- | |||||||||||||||
2010 Educators Rx Advantage (PDP) | $68.20 | $50 | No Gap Coverage | No | 20% | 25% | 50% | 30% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $73.20 | $0 | Some Generics | No | S5617 -201 | $6.00 | $35.00 | $60.00 | 33% | 92 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $69.90 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 Regence Medicare Script | $66.50 | $295 | No Gap Coverage | No | S5916 -001 | $4.00 | $20.00 | $40.00 | 25% | 6,805 members | |||||
2010 Regence Medicare Script (PDP) | $76.50 | $200 | No Gap Coverage | No | $4.00 | $30.00 | $61.00 | 27% | 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 Community CCRx Gold | $85.20 | $0 | All Generics | No | S5803 -248 | $5.00 | $30.00 | $60.00 | 33% | 565 members | |||||
2010 Community CCRx Gold (PDP) | $80.40 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $72.90 | $0 | Many Generics | No | S5921 -033 | $7.00 | $39.00 | $95.00 | 33% | 960 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $82.00 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier Plus | $61.30 | $0 | Many Generics | No | S5674 -053 | $4.00 | $30.00 | $75.00 | 33% | 2,093 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $83.10 | $0 | Many Generics | No | $5.00 | $25.00 | 20% | 75% | tbd members | ||||||
2009 SilverScript Complete | $84.60 | $0 | Many Generics | No | S5601 -102 | $2.50 | $7.50 | $39.00 | $98.00 | 113 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $87.90 | $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 -201 | $6.00 | $35.00 | 75% | 33% | 132 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $91.00 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 Regence Medicare Script Enhanced | $83.50 | $0 | Many Generics | No | S5916 -002 | $4.00 | $25.00 | $50.00 | 25% | 1,367 members | |||||
2010 Regence Medicare Script Enhanced (PDP) | $94.50 | $100 | Many Generics | No | $4.00 | $30.00 | $56.00 | 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 Humana PDP Complete S5884-059 | $98.30 | $0 | Many Generics | No | S5884 -059 | $7.00 | $40.00 | $70.00 | 33% | 1,888 members | |||||
2010 Humana Complete S5884-059 (PDP) | $103.10 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $113.70 | $0 | Many Generics | No | S5810 -201 | $0.00 | $10.00 | $30.00 | $65.00 | 205 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $106.20 | $0 | Many Generics | No | $7.00 | $31.00 | $34.00 | $85.00 | tbd members | ||||||
2009 UnitedHealth Rx Basic | $48.70 | $0 | No Gap Coverage | No | S5921 -032 | $7.00 | $35.00 | $94.00 | 33% | 1,416 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 Prescriba Rx Platinum | $74.00 | $0 | All Generics | No | S5597 -228 | $6.00 | $44.00 | 33% | 66 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 MedicareRx Rewards Value | $37.70 | $130 | No Gap Coverage | No | S5960 -031 | $9.50 | $45.50 | $85.00 | 29% | 1,342 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 SierraRx Basic | $78.00 | $295 | No Gap Coverage | No | S5917 -032 | 25% | 25% | 25% | 188 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
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