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 | $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 Aetna Medicare Rx Plus | $61.60 | $0 | Some Generics | No | S5810 -152 | $0.00 | $10.00 | $36.00 | $77.00 | 932 members | |||||
Plan changed to S5810-220 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 First Health Part D-Secure | $13.70 | $175 | No Gap Coverage | No | S5768 -098 | $4.00 | $20.00 | $49.00 | 28% | 4,735 members | |||||
2010 First Health Part D-Secure (PDP) | $16.80 | $175 | No Gap Coverage | No | $4.00 | 20% | 53% | 28% | tbd members | ||||||
2009 AdvantraRx Value | $23.10 | $0 | No Gap Coverage | No | S5670 -081 | $8.00 | $24.00 | $55.00 | 33% | 19,131 members | |||||
2010 AdvantraRx Value (PDP) | $30.60 | $100 | No Gap Coverage | No | $6.00 | 19% | 65% | 30% | tbd members | ||||||
2009 AARP MedicareRx Saver | $28.70 | $295 | No Gap Coverage | Yes | S5921 -071 | $5.00 | $22.00 | $76.50 | 25% | 9,148 members | |||||
2010 AARP MedicareRx Saver (PDP) | $33.50 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $85.25 | 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 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 Prescriba Rx Gold | $34.90 | $0 | No Gap Coverage | No | S5597 -048 | $6.00 | $44.00 | 33% | 1,725 members | ||||||
2010 PrescribaRx Gold (PDP) | $34.70 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
2009 Prescriba Rx Bronze | $31.30 | $295 | No Gap Coverage | Yes | S5597 -250 | 25% | 25% | 25% | 10,109 members | ||||||
2010 PrescribaRx Bronze (PDP) | $34.90 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 Aetna Medicare Rx Essentials | $34.60 | $200 | No Gap Coverage | Yes | S5810 -050 | $0.00 | $12.00 | $30.00 | $71.00 | 7,976 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $35.40 | $310 | No Gap Coverage | Yes | $3.00 | $27.00 | $28.00 | $70.00 | tbd members | ||||||
2009 Moved From Plan S5810-152 | S5810 -220 | members | |||||||||||||
2010 Aetna Medicare Rx Plus (PDP) | $35.40 | $0 | No Gap Coverage | No | $5.00 | $32.00 | $36.00 | $80.00 | tbd members | ||||||
2009 Community CCRx Choice | $37.10 | $0 | No Gap Coverage | No | S5803 -153 | $5.00 | $30.00 | $60.00 | 33% | 1,817 members | |||||
2010 Community CCRx Choice (PDP) | $36.80 | $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 First Health Part D-Premier | $31.10 | $0 | No Gap Coverage | Yes | S5768 -083 | $7.00 | $27.00 | $52.00 | 33% | 5,361 members | |||||
2010 First Health Part D-Premier (PDP) | $36.90 | $150 | No Gap Coverage | Yes | $7.00 | 10% | 41% | 29% | tbd members | ||||||
2009 Community CCRx Basic | $31.00 | $295 | No Gap Coverage | Yes | S5803 -085 | $0.00 | 30% | 45% | 18,735 members | ||||||
2010 Community CCRx Basic (PDP) | $37.10 | $310 | No Gap Coverage | Yes | $0.00 | 30% | 55% | tbd members | |||||||
2009 Health Net Orange Option 1 | $35.00 | $295 | No Gap Coverage | Yes | S5678 -038 | $2.00 | $44.00 | $90.00 | 25% | 6,221 members | |||||
2010 Health Net Orange Option 1 (PDP) | $37.90 | $310 | No Gap Coverage | Yes | $4.00 | $41.00 | $95.00 | 25% | tbd members | ||||||
2009 HealthSpring Prescription Drug Plan-Reg 16 | $36.30 | $295 | No Gap Coverage | Yes | S5932 -015 | 25% | 25% | 6,341 members | |||||||
2010 HealthSpring Prescription Drug Plan-Reg 16 (PDP) | $38.00 | $310 | No Gap Coverage | Yes | 25% | 25% | tbd members | ||||||||
2009 SilverScript Value | $35.10 | $295 | No Gap Coverage | Yes | S5601 -032 | $8.00 | $37.50 | $98.00 | 25% | 14,599 members | |||||
2010 SilverScript Value (PDP) | $38.00 | $310 | No Gap Coverage | Yes | $8.00 | $21.25 | $95.00 | 25% | tbd members | ||||||
2009 BravoRx | $35.00 | $295 | No Gap Coverage | Yes | S5998 -022 | 25% | 25% | 25% | 2,455 members | ||||||
2010 BravoRx (PDP) | $38.20 | $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 Advantage Star Plan by RxAmerica | $33.60 | $295 | No Gap Coverage | Yes | S5644 -191 | $6.25 | 25% | 25% | 45% | 5,719 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $38.40 | $310 | No Gap Coverage | No | $4.75 | 25% | 25% | 45% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Value | $36.60 | $295 | No Gap Coverage | Yes | S5660 -118 | 23% | 23% | 53% | 25% | 2,591 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $38.50 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 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 Humana PDP Enhanced S5884-014 | $35.70 | $0 | No Gap Coverage | No | S5884 -014 | $7.00 | $40.00 | $70.00 | 33% | 30,978 members | |||||
2010 Humana Enhanced S5884-014 (PDP) | $39.40 | $0 | No Gap Coverage | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 Blue MedicareRx Value | $36.60 | $130 | No Gap Coverage | Yes | S5596 -021 | $10.00 | $42.00 | $85.00 | 29% | 13,129 members | |||||
2010 Blue MedicareRx Standard (PDP) | $39.70 | $310 | No Gap Coverage | No | $6.00 | 25% | 25% | 25% | tbd members | ||||||
2009 EnvisionRxPlus Silver | $36.20 | $295 | No Gap Coverage | Yes | S7694 -016 | $4.00 | $31.00 | $21.00 | $75.00 | 2,330 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $40.80 | $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 AdvantraRx Premier | $39.30 | $0 | No Gap Coverage | No | S5670 -082 | $7.00 | $30.00 | $62.00 | 33% | 2,199 members | |||||
2010 AdvantraRx Premier (PDP) | $41.60 | $0 | No Gap Coverage | No | $12.00 | 17% | 56% | 33% | tbd members | ||||||
2009 WPS MedicareRx Standard Plan | $39.30 | $295 | No Gap Coverage | No | S5753 -012 | 25% | 25% | 25% | 25% | 576 members | |||||
2010 WPS MedicareRx Standard Plan (PDP) | $41.80 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Choice | $34.40 | $0 | No Gap Coverage | No | S5660 -016 | $6.00 | $38.00 | 75% | 33% | 2,100 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $41.90 | $100 | No Gap Coverage | No | $6.00 | $40.00 | 75% | 30% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $39.40 | $0 | No Gap Coverage | No | S5820 -015 | $7.00 | $38.00 | $97.75 | 33% | 27,520 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $42.10 | $0 | No Gap Coverage | No | $7.00 | $44.00 | $90.00 | 33% | tbd members | ||||||
2009 DeanCare Rx Value | $39.90 | $0 | No Gap Coverage | No | S5954 -007 | $4.00 | $28.00 | $78.00 | 33% | 8,606 members | |||||
2010 DeanCare Rx Value (PDP) | $42.60 | $0 | No Gap Coverage | No | $6.00 | $34.00 | $84.00 | 33% | tbd members | ||||||
2009 SilverScript Plus | $52.80 | $50 | Many Generics | No | S5601 -033 | $4.00 | $9.00 | $30.00 | $35.00 | 307 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $43.40 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | 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 WPS MedicareRx Enhanced Plan 1 | $43.90 | $0 | No Gap Coverage | No | S5753 -006 | $7.00 | $37.00 | $57.00 | 33% | 18,219 members | |||||
2010 WPS MedicareRx Enhanced Plan 1 (PDP) | $43.60 | $0 | No Gap Coverage | No | $6.00 | $13.00 | $39.00 | $68.00 | tbd members | ||||||
2009 EnvisionRxPlus Gold | $51.00 | $0 | No Gap Coverage | No | S7694 -050 | $0.00 | $45.00 | $40.00 | $75.00 | 129 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $43.80 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
2009 Blue MedicareRx Plus | $40.40 | $0 | No Gap Coverage | No | S5596 -022 | $9.00 | $35.00 | $75.00 | 33% | 5,804 members | |||||
2010 Blue MedicareRx Plus (PDP) | $45.90 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 Humana PDP Standard S5884-074 | $43.80 | $295 | No Gap Coverage | No | S5884 -074 | 15% | 25% | 45% | 7,896 members | ||||||
2010 Humana Standard S5884-074 (PDP) | $47.50 | $310 | No Gap Coverage | No | 15% | 25% | 44% | tbd members | |||||||
2009 Advantage Freedom Plan by RxAmerica | $49.50 | $0 | No Gap Coverage | No | S5644 -177 | $4.25 | 35% | 33% | 45% | 144 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $50.00 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 UA Medicare Part D Prescription Drug Cov | $45.10 | $0 | No Gap Coverage | No | S5755 -019 | $6.00 | $32.00 | $64.00 | 33% | 660 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $50.10 | $0 | No Gap Coverage | No | $10.00 | $39.00 | $78.00 | 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 UA Medicare Part D Rx Covg - Silver Plan | $43.30 | $130 | No Gap Coverage | No | S5755 -054 | $4.00 | $40.00 | $80.00 | 25% | 278 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $55.00 | $245 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 25% | tbd members | ||||||
2009 Health Net Value Orange Option 2 | $46.70 | $0 | No Gap Coverage | No | S5678 -037 | $0.00 | $39.00 | $75.00 | 33% | 659 members | |||||
2010 Health Net Value Orange Option 2 (PDP) | $55.60 | $0 | No Gap Coverage | No | $0.00 | $42.00 | $95.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier Plus | $54.60 | $0 | Many Generics | No | S5670 -084 | $4.00 | $30.00 | $72.00 | 33% | 5,286 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $60.20 | $0 | Many Generics | No | $5.00 | $25.00 | 20% | 75% | tbd members | ||||||
2009 Sterling Rx | $39.10 | $295 | No Gap Coverage | No | S4802 -027 | $7.00 | $25.00 | $57.00 | 25% | 219 members | |||||
2010 Sterling Rx (PDP) | $64.80 | $310 | No Gap Coverage | No | $9.00 | $32.00 | 25% | 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 | ||||||
2009 SilverScript Complete | $71.90 | $0 | Many Generics | No | S5601 -087 | $2.50 | $7.50 | $39.00 | $98.00 | 261 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $67.40 | $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 DeanCare Rx Classic | $64.00 | $295 | No Gap Coverage | No | S5954 -004 | $4.00 | $40.00 | 25% | 2,145 members | ||||||
2010 DeanCare Rx Classic (PDP) | $68.30 | $310 | No Gap Coverage | No | $4.00 | $47.00 | 25% | tbd members | |||||||
2009 Medco Medicare Prescription Plan - Access | $62.80 | $0 | All Generics | No | S5660 -186 | $6.00 | $35.00 | 75% | 33% | 343 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $71.20 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 WPS MedicareRx Enhanced Plan 2 | $75.00 | $0 | All Generics | No | S5753 -007 | $7.00 | $37.00 | $57.00 | 33% | 9,269 members | |||||
2010 WPS MedicareRx Enhanced Plan 2 (PDP) | $75.10 | $0 | Many Generics | No | $6.00 | $13.00 | $39.00 | $68.00 | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $102.70 | $0 | Many Generics | No | S5810 -186 | $0.00 | $10.00 | $30.00 | $65.00 | 689 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $78.40 | $0 | Many Generics | No | $6.00 | $35.00 | $36.00 | $83.00 | tbd members | ||||||
2009 Community CCRx Gold | $62.30 | $0 | All Generics | No | S5803 -233 | $5.00 | $30.00 | $60.00 | 33% | 495 members | |||||
2010 Community CCRx Gold (PDP) | $81.20 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $77.40 | $0 | Many Generics | No | S5921 -073 | $7.00 | $39.00 | $95.00 | 33% | 1,568 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $82.00 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 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 Blue MedicareRx Premier | $70.70 | $0 | Many Generics | No | S5596 -023 | $9.00 | $35.00 | $75.00 | 33% | 3,634 members | |||||
2010 Blue MedicareRx Premier (PDP) | $86.70 | $0 | Many Generics | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 DeanCare Rx Enhanced | $93.70 | $0 | Many Generics, Few Brands |
No | S5954 -005 | $3.00 | $35.00 | $70.00 | 33% | 1,628 members | |||||
2010 DeanCare Rx Enhanced (PDP) | $92.90 | $0 | Many Generics, Few Brands |
No | $5.00 | $37.00 | $72.00 | 33% | tbd members | ||||||
2009 Humana PDP Complete S5884-044 | $95.00 | $0 | Many Generics | No | S5884 -044 | $7.00 | $40.00 | $70.00 | 33% | 1,810 members | |||||
2010 Humana Complete S5884-044 (PDP) | $99.80 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 WellCare Signature | $39.10 | $0 | No Gap Coverage | No | S5967 -050 | $0.00 | $39.00 | $79.00 | 33% | 3,822 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 WellCare Classic | $37.80 | $295 | No Gap Coverage | Yes | S5967 -153 | $0.00 | $35.00 | $88.00 | 25% | 11,764 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 UnitedHealth Rx Basic | $41.90 | $0 | No Gap Coverage | No | S5921 -072 | $7.00 | $35.00 | $98.00 | 33% | 4,234 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 | $33.10 | $295 | No Gap Coverage | Yes | S5960 -122 | 25% | 25% | 25% | 25% | 1,052 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 Prescriba Rx Platinum | $73.60 | $0 | All Generics | No | S5597 -213 | $6.00 | $44.00 | 33% | 228 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
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