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 Aetna Medicare Rx Essentials | $32.20 | $230 | No Gap Coverage | No | S5810 -064 | $0.00 | $15.00 | $27.00 | $67.00 | 1,421 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $26.20 | $310 | No Gap Coverage | Yes | $2.00 | $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 Prescriba Rx Bronze | $30.60 | $295 | No Gap Coverage | Yes | S5597 -264 | 25% | 25% | 25% | 6,297 members | ||||||
2010 PrescribaRx Bronze (PDP) | $28.10 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 HealthSpring Prescription Drug Plan-Reg 30 | $24.30 | $295 | No Gap Coverage | Yes | S5932 -029 | 25% | 25% | 17,981 members | |||||||
2010 HealthSpring Prescription Drug Plan-Reg 30 (PDP) | $28.30 | $310 | No Gap Coverage | Yes | 25% | 25% | tbd members | ||||||||
2009 AARP MedicareRx Saver | $26.70 | $295 | No Gap Coverage | Yes | S5921 -021 | $5.00 | $22.00 | $61.10 | 25% | 42,312 members | |||||
2010 AARP MedicareRx Saver (PDP) | $29.80 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $78.50 | 25% | tbd members | ||||||
2009 AdvantraRx Value | $21.60 | $0 | No Gap Coverage | No | S5674 -044 | $8.00 | $20.00 | $50.00 | 33% | 26,487 members | |||||
2010 AdvantraRx Value (PDP) | $29.90 | $100 | No Gap Coverage | No | $6.00 | 18% | 65% | 30% | tbd members | ||||||
2009 Prescriba Rx Gold | $31.40 | $0 | No Gap Coverage | No | S5597 -062 | $6.00 | $44.00 | 33% | 1,556 members | ||||||
2010 PrescribaRx Gold (PDP) | $32.50 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
2009 Medco Medicare Prescription Plan - Value | $29.50 | $295 | No Gap Coverage | Yes | S5660 -132 | 23% | 23% | 53% | 25% | 15,732 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $32.60 | $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 Community CCRx Basic | $31.00 | $295 | No Gap Coverage | Yes | S5803 -099 | $0.00 | 30% | 45% | 34,885 members | ||||||
2010 Community CCRx Basic (PDP) | $32.80 | $310 | No Gap Coverage | Yes | $0.00 | 30% | 55% | tbd members | |||||||
2009 First Health Part D-Premier | $30.00 | $0 | No Gap Coverage | Yes | S5768 -123 | $7.00 | $26.00 | $58.00 | 33% | 13,048 members | |||||
2010 First Health Part D-Premier (PDP) | $33.40 | $150 | No Gap Coverage | Yes | $7.00 | 11% | 45% | 29% | tbd members | ||||||
2009 Health Net Orange Option 1 | $32.30 | $295 | No Gap Coverage | No | S5678 -006 | $2.00 | $44.00 | $90.00 | 25% | 4,469 members | |||||
2010 Health Net Orange Option 1 (PDP) | $33.60 | $310 | No Gap Coverage | Yes | $4.00 | $39.00 | $95.00 | 25% | tbd members | ||||||
2009 SilverScript Value | $29.90 | $295 | No Gap Coverage | Yes | S5601 -060 | $8.00 | $32.50 | $98.00 | 25% | 43,415 members | |||||
2010 SilverScript Value (PDP) | $34.60 | $310 | No Gap Coverage | Yes | $8.00 | $22.25 | $95.00 | 25% | tbd members | ||||||
2009 Moved From Plan S5810-166 | S5810 -234 | members | |||||||||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $36.50 | $0 | No Gap Coverage | No | $2.00 | $28.00 | $33.00 | $80.00 | tbd members | ||||||
2009 Community CCRx Choice | $41.70 | $0 | No Gap Coverage | No | S5803 -167 | $5.00 | $30.00 | $60.00 | 33% | 2,946 members | |||||
2010 Community CCRx Choice (PDP) | $37.80 | $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 WellCare Classic | $34.40 | $295 | No Gap Coverage | No | S5967 -167 | $0.00 | $33.00 | $87.00 | 25% | 8,411 members | |||||
2010 WellCare Classic (PDP) | $39.20 | $310 | No Gap Coverage | -- | $4.00 | $35.00 | $75.00 | 25% | tbd members | ||||||
2009 Humana PDP Enhanced S5884-028 | $36.50 | $0 | No Gap Coverage | No | S5884 -028 | $7.00 | $40.00 | $70.00 | 33% | 43,582 members | |||||
2010 Humana Enhanced S5884-028 (PDP) | $40.10 | $0 | No Gap Coverage | No | $7.00 | $45.00 | $85.00 | 33% | tbd members | ||||||
2009 MedicareRx Rewards Standard | $32.20 | $295 | No Gap Coverage | No | S5960 -136 | 25% | 25% | 25% | 25% | 414 members | |||||
2010 MedicareRx Rewards Standard (PDP) | $40.20 | $310 | No Gap Coverage | No | $7.00 | 25% | 25% | 25% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $38.40 | $0 | No Gap Coverage | No | S5820 -029 | $7.00 | $38.00 | $81.20 | 33% | 90,064 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $40.80 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $73.00 | 33% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan One | $36.30 | $295 | No Gap Coverage | No | S5617 -148 | $2.50 | $33.00 | $82.00 | 25% | 1,404 members | |||||
2010 CIGNA Medicare Rx Plan One (PDP) | $43.10 | $310 | No Gap Coverage | No | $3.00 | $31.00 | $78.00 | 25% | tbd members | ||||||
2009 EnvisionRxPlus Silver | $34.40 | $295 | No Gap Coverage | No | S7694 -030 | $4.00 | $31.00 | $21.00 | $75.00 | 71 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $43.10 | $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 UA Medicare Part D Rx Covg - Silver Plan | $42.00 | $130 | No Gap Coverage | No | S5755 -068 | $4.00 | $40.00 | $80.00 | 25% | 162 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $45.50 | $130 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 25% | tbd members | ||||||
2009 WellCare Signature | $41.50 | $0 | No Gap Coverage | No | S5967 -064 | $0.00 | $39.00 | $79.00 | 33% | 3,207 members | |||||
2010 WellCare Signature (PDP) | $45.50 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 Advantage Star Plan by RxAmerica | $34.80 | $295 | No Gap Coverage | No | S5644 -083 | $5.25 | 25% | 25% | 45% | 4,128 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $45.90 | $310 | No Gap Coverage | No | $3.75 | 25% | 25% | 45% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Two | $49.80 | $0 | No Gap Coverage | No | S5617 -150 | $0.00 | $6.00 | $38.00 | $83.00 | 681 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $47.10 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $38.00 | $89.00 | tbd members | ||||||
2009 AdvantraRx Premier | $44.20 | $0 | No Gap Coverage | No | S5674 -045 | $6.00 | $27.00 | $71.00 | 33% | 2,987 members | |||||
2010 AdvantraRx Premier (PDP) | $47.20 | $0 | No Gap Coverage | No | $12.00 | 16% | 53% | 33% | tbd members | ||||||
2009 Sterling Rx | $37.90 | $295 | No Gap Coverage | No | S4802 -020 | $7.00 | $25.00 | $58.00 | 25% | 4,174 members | |||||
2010 Sterling Rx (PDP) | $47.20 | $310 | No Gap Coverage | No | $9.00 | $30.00 | 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 UA Medicare Part D Prescription Drug Cov | $45.40 | $0 | No Gap Coverage | No | S5755 -033 | $7.00 | $33.00 | $66.00 | 33% | 2,265 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $48.30 | $0 | No Gap Coverage | No | $8.00 | $37.00 | $74.00 | 33% | tbd members | ||||||
-- This plan not offered in 2009 -- | S5960 -159 | ||||||||||||||
2010 MedicareRx Rewards Plus (PDP) | $48.50 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 SilverScript Plus | $56.80 | $50 | Many Generics | No | S5601 -061 | $4.00 | $9.00 | $30.00 | $35.00 | 632 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $49.70 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Choice | $47.70 | $0 | No Gap Coverage | No | S5660 -030 | $6.00 | $38.00 | 75% | 33% | 1,524 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $54.40 | $100 | No Gap Coverage | No | $6.00 | $40.00 | 75% | 30% | tbd members | ||||||
2009 Advantage Freedom Plan by RxAmerica | $34.40 | $0 | No Gap Coverage | No | S5644 -062 | $5.00 | 35% | 33% | 45% | 1,562 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $56.50 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 Community CCRx Gold | $46.40 | $0 | All Generics | No | S5803 -247 | $5.00 | $30.00 | $60.00 | 33% | 7,972 members | |||||
2010 Community CCRx Gold (PDP) | $56.60 | $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 EnvisionRxPlus Gold | $63.10 | $0 | No Gap Coverage | No | S7694 -064 | $0.00 | $45.00 | $40.00 | $75.00 | 282 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $57.30 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
2009 AdvantraRx Premier Plus | $59.50 | $0 | Many Generics | No | S5674 -047 | $4.00 | $30.00 | $74.00 | 33% | 8,282 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $67.10 | $0 | Many Generics | No | $5.00 | $25.00 | 19% | 75% | tbd members | ||||||
2009 Health Net Orange Option 2 | $48.20 | $0 | No Gap Coverage | No | S5678 -012 | $5.00 | $30.00 | $90.00 | 33% | 3,239 members | |||||
2010 Health Net Orange Option 2 (PDP) | $67.40 | $0 | No Gap Coverage | No | $5.00 | $35.00 | $95.00 | 33% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $80.10 | $0 | Some Generics | No | S5617 -200 | $6.00 | $35.00 | $60.00 | 33% | 225 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $69.80 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 Asuris Medicare Script | $64.50 | $295 | No Gap Coverage | No | S5609 -001 | $4.00 | $20.00 | $40.00 | 25% | 11,029 members | |||||
2010 Asuris Medicare Script (PDP) | $74.50 | $200 | No Gap Coverage | No | $4.00 | $30.00 | $61.00 | 27% | tbd members | ||||||
2009 SilverScript Complete | $79.40 | $0 | Many Generics | No | S5601 -101 | $2.50 | $7.50 | $39.00 | $98.00 | 604 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $78.30 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | 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 AARP MedicareRx Enhanced | $79.10 | $0 | Many Generics | No | S5921 -023 | $7.00 | $39.00 | $95.00 | 33% | 4,195 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $83.90 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $76.60 | $0 | All Generics | No | S5660 -200 | $6.00 | $35.00 | 75% | 33% | 538 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $85.40 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 Asuris Medicare Script Enhanced | $81.00 | $0 | Many Generics | No | S5609 -002 | $4.00 | $25.00 | $50.00 | 25% | 1,869 members | |||||
2010 Asuris Medicare Script Enhanced (PDP) | $92.50 | $100 | Many Generics | No | $4.00 | $30.00 | $56.00 | 30% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $120.60 | $0 | Many Generics | No | S5810 -200 | $0.00 | $10.00 | $30.00 | $65.00 | 667 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $106.40 | $0 | Many Generics | No | $7.00 | $32.00 | $35.00 | $91.00 | tbd members | ||||||
2009 Humana PDP Complete S5884-058 | $104.60 | $0 | Many Generics | No | S5884 -058 | $7.00 | $40.00 | $70.00 | 33% | 3,764 members | |||||
2010 Humana Complete S5884-058 (PDP) | $109.30 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
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 -- | |||||||||||||||
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 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 Prescriba Rx Platinum | $66.90 | $0 | All Generics | No | S5597 -227 | $6.00 | $44.00 | 33% | 270 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 SierraRx | $32.90 | $0 | No Gap Coverage | No | S5917 -006 | $9.25 | $45.00 | 33% | 1,564 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
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