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 CIGNA Medicare Rx Plan One | $30.80 | $295 | No Gap Coverage | Yes | S5617 -033 | $2.50 | $30.00 | $83.00 | 25% | 17,269 members | |||||
Plan changed to S5617-216 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Aetna Medicare Rx - Costco Plus Plan | $53.20 | $0 | Some Generics | No | S5810 -143 | $0.00 | $5.00 | $35.00 | $90.00 | 1,246 members | |||||
Plan changed to S5810-211 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 First Health Part D-Secure | $14.30 | $175 | No Gap Coverage | No | S5768 -089 | $4.00 | $20.00 | $48.00 | 28% | 3,695 members | |||||
2010 First Health Part D-Secure (PDP) | $16.30 | $175 | No Gap Coverage | No | $4.00 | 20% | 53% | 28% | tbd members | ||||||
2009 Prescriba Rx Bronze | $28.00 | $295 | No Gap Coverage | Yes | S5597 -241 | 25% | 25% | 25% | 1,950 members | ||||||
2010 PrescribaRx Bronze (PDP) | $26.30 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 Moved From Plan S5617-33 | S5617 -216 | members | |||||||||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $28.30 | $310 | No Gap Coverage | Yes | $3.00 | $29.00 | $88.00 | 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 Community CCRx Basic | $30.30 | $295 | No Gap Coverage | Yes | S5803 -076 | $0.00 | 30% | 45% | 20,569 members | ||||||
2010 Community CCRx Basic (PDP) | $28.70 | $310 | No Gap Coverage | Yes | $0.00 | 30% | 55% | tbd members | |||||||
2009 AARP MedicareRx Saver | $27.10 | $295 | No Gap Coverage | Yes | S5921 -101 | $5.00 | $22.00 | $62.00 | 25% | 27,057 members | |||||
2010 AARP MedicareRx Saver (PDP) | $30.40 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $83.00 | 25% | tbd members | ||||||
2009 First Health Part D-Premier | $28.10 | $0 | No Gap Coverage | Yes | S5768 -010 | $6.00 | $27.00 | $62.00 | 33% | 14,963 members | |||||
2010 First Health Part D-Premier (PDP) | $32.20 | $150 | No Gap Coverage | Yes | $7.00 | 11% | 45% | 29% | tbd members | ||||||
2009 HealthSpring Prescription Drug Plan -Reg 7 | $29.00 | $295 | No Gap Coverage | Yes | S5932 -007 | 25% | 25% | 5,914 members | |||||||
2010 HealthSpring Prescription Drug Plan -Reg 7 (PDP) | $32.30 | $310 | No Gap Coverage | Yes | 25% | 25% | tbd members | ||||||||
2009 Moved From Plan S5810-143 | S5810 -211 | members | |||||||||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $32.70 | $0 | No Gap Coverage | No | $2.00 | $28.00 | $34.00 | $80.00 | tbd members | ||||||
2009 Aetna Medicare Rx Essentials | $32.30 | $200 | No Gap Coverage | No | S5810 -041 | $0.00 | $14.00 | $27.00 | $67.00 | 2,865 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $32.80 | $310 | No Gap Coverage | Yes | $2.00 | $25.00 | $26.00 | $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 - Value | $26.80 | $295 | No Gap Coverage | Yes | S5660 -109 | 23% | 23% | 53% | 25% | 4,875 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $33.00 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 WellCare Classic | $32.20 | $295 | No Gap Coverage | No | S5967 -144 | $0.00 | $34.00 | $80.00 | 25% | 8,687 members | |||||
2010 WellCare Classic (PDP) | $33.20 | $310 | No Gap Coverage | -- | $4.00 | $34.00 | $68.00 | 25% | tbd members | ||||||
2009 Health Net Orange Option 1 | $28.40 | $295 | No Gap Coverage | Yes | S5678 -020 | $2.00 | $42.00 | $90.00 | 25% | 6,223 members | |||||
2010 Health Net Orange Option 1 (PDP) | $33.30 | $310 | No Gap Coverage | Yes | $4.00 | $37.00 | $95.00 | 25% | tbd members | ||||||
2009 Prescriba Rx Gold | $34.00 | $0 | No Gap Coverage | No | S5597 -039 | $6.00 | $44.00 | 33% | 3,115 members | ||||||
2010 PrescribaRx Gold (PDP) | $33.30 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
2009 AdvantraRx Value | $22.20 | $0 | No Gap Coverage | No | S5670 -039 | $8.00 | $24.00 | $55.00 | 33% | 19,977 members | |||||
2010 AdvantraRx Value (PDP) | $33.70 | $100 | No Gap Coverage | No | $6.00 | 19% | 64% | 30% | tbd members | ||||||
2009 EnvisionRxPlus Silver | $31.40 | $295 | No Gap Coverage | Yes | S7694 -007 | $4.00 | $32.00 | $22.00 | $75.00 | 3,289 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $34.00 | $310 | No Gap Coverage | Yes | 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 BravoRx | $29.00 | $295 | No Gap Coverage | Yes | S5998 -016 | 25% | 25% | 25% | 3,430 members | ||||||
2010 BravoRx (PDP) | $34.70 | $310 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | |||||||
2009 CIGNA Medicare Rx Plan Two | $39.80 | $0 | No Gap Coverage | No | S5617 -035 | $0.00 | $6.00 | $38.00 | $80.00 | 1,613 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $34.70 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $37.00 | $77.00 | tbd members | ||||||
2009 Advantage Star Plan by RxAmerica | $31.20 | $295 | No Gap Coverage | Yes | S5644 -073 | $5.00 | 25% | 25% | 45% | 14,226 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $35.50 | $310 | No Gap Coverage | No | $3.75 | 25% | 25% | 45% | tbd members | ||||||
2009 SilverScript Value | $26.90 | $295 | No Gap Coverage | Yes | S5601 -014 | $8.00 | $34.75 | $98.00 | 25% | 24,455 members | |||||
2010 SilverScript Value (PDP) | $35.50 | $310 | No Gap Coverage | No | $7.00 | $22.00 | $95.00 | 25% | tbd members | ||||||
2009 Community CCRx Choice | $44.10 | $0 | No Gap Coverage | No | S5803 -144 | $5.00 | $30.00 | $60.00 | 33% | 1,709 members | |||||
2010 Community CCRx Choice (PDP) | $35.60 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | tbd members | ||||||
2009 Blue MedicareRx Value | $35.30 | $130 | No Gap Coverage | No | S5596 -005 | $8.50 | $44.50 | $85.00 | 29% | 8,072 members | |||||
2010 Blue MedicareRx Standard (PDP) | $35.80 | $310 | No Gap Coverage | No | $6.50 | 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 Humana PDP Enhanced S5884-006 | $35.70 | $0 | No Gap Coverage | No | S5884 -006 | $7.00 | $40.00 | $70.00 | 33% | 40,143 members | |||||
2010 Humana Enhanced S5884-006 (PDP) | $39.80 | $0 | No Gap Coverage | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $39.40 | $150 | No Gap Coverage | No | S5755 -045 | $4.00 | $40.00 | $80.00 | 25% | 283 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $39.80 | $175 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 25% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $38.20 | $0 | No Gap Coverage | No | S5820 -006 | $7.00 | $38.00 | $80.30 | 33% | 75,107 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $40.80 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $74.50 | 33% | tbd members | ||||||
2009 AdvantraRx Premier | $37.30 | $0 | No Gap Coverage | No | S5670 -040 | $5.00 | $31.00 | $74.00 | 33% | 4,365 members | |||||
2010 AdvantraRx Premier (PDP) | $41.10 | $0 | No Gap Coverage | No | $12.00 | 16% | 52% | 33% | tbd members | ||||||
2009 WellCare Signature | $36.70 | $0 | No Gap Coverage | No | S5967 -041 | $0.00 | $39.00 | $79.00 | 33% | 5,492 members | |||||
2010 WellCare Signature (PDP) | $41.30 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Choice | $36.20 | $0 | No Gap Coverage | No | S5660 -006 | $6.00 | $35.00 | 75% | 33% | 3,939 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $42.10 | $100 | No Gap Coverage | No | $6.00 | $38.00 | 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 Humana PDP Standard S5884-065 | $38.90 | $295 | No Gap Coverage | No | S5884 -065 | 15% | 25% | 45% | 19,351 members | ||||||
2010 Humana Standard S5884-065 (PDP) | $42.70 | $310 | No Gap Coverage | No | 15% | 25% | 43% | tbd members | |||||||
2009 Advantage Freedom Plan by RxAmerica | $33.60 | $0 | No Gap Coverage | No | S5644 -052 | $5.00 | 35% | 33% | 45% | 1,184 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $46.60 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 Health Net Value Orange Option 2 | $40.90 | $0 | No Gap Coverage | No | S5678 -019 | $0.00 | $39.00 | $75.00 | 33% | 1,891 members | |||||
2010 Health Net Value Orange Option 2 (PDP) | $47.90 | $0 | No Gap Coverage | No | $0.00 | $42.00 | $95.00 | 33% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $46.30 | $0 | No Gap Coverage | No | S5755 -010 | $5.00 | $31.00 | $62.00 | 33% | 4,477 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $48.80 | $0 | No Gap Coverage | No | $7.00 | $36.00 | $72.00 | 33% | tbd members | ||||||
2009 Blue MedicareRx Plus | $44.40 | $0 | No Gap Coverage | No | S5596 -006 | $9.00 | $35.00 | $75.00 | 33% | 19,053 members | |||||
2010 Blue MedicareRx Plus (PDP) | $50.10 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 EnvisionRxPlus Gold | $67.00 | $0 | No Gap Coverage | No | S7694 -041 | $0.00 | $45.00 | $40.00 | $75.00 | 276 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $56.30 | $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 SilverScript Plus | $59.00 | $50 | Many Generics | No | S5601 -015 | $4.00 | $9.00 | $30.00 | $35.00 | 798 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $58.30 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $61.70 | $0 | Some Generics | No | S5617 -177 | $6.00 | $35.00 | $60.00 | 33% | 395 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $60.50 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier Plus | $53.60 | $0 | Many Generics | No | S5670 -042 | $4.00 | $30.00 | $75.00 | 33% | 6,340 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $61.80 | $0 | Many Generics | No | $5.00 | $25.00 | 20% | 75% | tbd members | ||||||
2009 SilverScript Complete | $75.10 | $0 | Many Generics | No | S5601 -078 | $2.50 | $7.50 | $39.00 | $98.00 | 254 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $67.60 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 Sterling Rx | $40.10 | $295 | No Gap Coverage | No | S4802 -004 | $7.00 | $25.00 | $57.00 | 25% | 121 members | |||||
2010 Sterling Rx (PDP) | $69.00 | $310 | No Gap Coverage | No | $9.00 | $29.00 | 25% | tbd members | |||||||
2009 Medco Medicare Prescription Plan - Access | $67.40 | $0 | All Generics | No | S5660 -177 | $6.00 | $35.00 | 75% | 33% | 908 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $74.70 | $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 Community CCRx Gold | $64.20 | $0 | All Generics | No | S5803 -224 | $5.00 | $30.00 | $60.00 | 33% | 1,303 members | |||||
2010 Community CCRx Gold (PDP) | $76.70 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $72.60 | $0 | Many Generics | No | S5921 -103 | $7.00 | $39.00 | $95.00 | 33% | 3,647 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $79.10 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $107.10 | $0 | Many Generics | No | S5810 -177 | $0.00 | $10.00 | $30.00 | $65.00 | 974 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $88.90 | $0 | Many Generics | No | $7.00 | $35.00 | $36.00 | $86.00 | tbd members | ||||||
2009 Blue MedicareRx Premier | $82.80 | $0 | Many Generics | No | S5596 -007 | $9.00 | $35.00 | $75.00 | 33% | 12,322 members | |||||
2010 Blue MedicareRx Premier (PDP) | $93.30 | $0 | Many Generics | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 Humana PDP Complete S5884-035 | $93.20 | $0 | Many Generics | No | S5884 -035 | $7.00 | $40.00 | $70.00 | 33% | 4,645 members | |||||
2010 Humana Complete S5884-035 (PDP) | $97.90 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 UnitedHealth Rx Basic | $39.30 | $0 | No Gap Coverage | No | S5921 -102 | $7.00 | $35.00 | $97.00 | 33% | 6,257 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 MedicareRx Rewards Standard | $31.70 | $295 | No Gap Coverage | Yes | S5960 -113 | 25% | 25% | 25% | 25% | 9,039 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 SierraRx Basic | $67.70 | $295 | No Gap Coverage | No | S5917 -012 | 25% | 25% | 25% | 245 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 Prescriba Rx Platinum | $68.50 | $0 | All Generics | No | S5597 -204 | $6.00 | $44.00 | 33% | 611 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
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