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 | $34.80 | $295 | No Gap Coverage | Yes | S5617 -078 | $3.00 | $33.00 | $87.00 | 25% | 7,326 members | |||||
Plan changed to S5617-223 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Moved From Plan S5617-78 | S5617 -223 | members | |||||||||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $33.70 | $310 | No Gap Coverage | Yes | $3.00 | $34.00 | $87.00 | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Two | $40.70 | $0 | No Gap Coverage | No | S5617 -080 | $0.00 | $6.00 | $35.00 | $85.00 | 920 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $38.80 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $41.00 | $92.00 | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $71.70 | $0 | Some Generics | No | S5617 -186 | $6.00 | $35.00 | $60.00 | 33% | 56 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $66.40 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
|