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 | $30.00 | $295 | No Gap Coverage | No | S5617 -028 | $2.50 | $30.00 | $94.00 | 25% | 4,440 members | |||||
Plan changed to S5617-215 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Aetna Medicare Rx Plus | $63.90 | $0 | Some Generics | No | S5810 -142 | $0.00 | $10.00 | $40.00 | $86.00 | 1,436 members | |||||
Plan changed to S5810-210 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Humana PDP Standard S5884-064 | $39.50 | $295 | No Gap Coverage | No | S5884 -064 | 15% | 25% | 46% | 28,920 members | ||||||
Plan changed to S5884-104 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 First Health Part D-Secure | $13.70 | $175 | No Gap Coverage | No | S5768 -088 | $4.00 | $20.00 | $48.00 | 28% | 6,595 members | |||||
2010 First Health Part D-Secure (PDP) | $16.70 | $175 | No Gap Coverage | No | $4.00 | 20% | 52% | 28% | tbd members | ||||||
2009 Community CCRx Basic | $25.40 | $295 | No Gap Coverage | Yes | S5803 -075 | $0.00 | 30% | 45% | 82,947 members | ||||||
2010 Community CCRx Basic (PDP) | $20.60 | $310 | No Gap Coverage | Yes | $0.00 | 30% | 65% | 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 | $28.80 | $295 | No Gap Coverage | Yes | S5597 -240 | 25% | 25% | 25% | 22,372 members | ||||||
2010 PrescribaRx Bronze (PDP) | $24.30 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 Moved From Plan S5884-64 | S5884 -104 | members | |||||||||||||
2010 Humana Value S5884-104 (PDP) | $26.70 | $150 | No Gap Coverage | No | $5.00 | $35.00 | 36% | tbd members | |||||||
2009 AARP MedicareRx Saver | $22.40 | $295 | No Gap Coverage | Yes | S5921 -091 | $5.00 | $22.00 | $60.05 | 25% | 120,159 members | |||||
2010 AARP MedicareRx Saver (PDP) | $27.10 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $82.75 | 25% | tbd members | ||||||
2009 Moved From Plan S5617-28 | S5617 -215 | members | |||||||||||||
2010 CIGNA Medicare Rx Plan One (PDP) | $28.10 | $310 | No Gap Coverage | Yes | $3.00 | $30.00 | $90.00 | 25% | tbd members | ||||||
2009 AdvantraRx Value | $22.20 | $0 | No Gap Coverage | No | S5670 -033 | $8.00 | $24.00 | $55.00 | 33% | 32,662 members | |||||
2010 AdvantraRx Value (PDP) | $29.20 | $100 | No Gap Coverage | No | $6.00 | 20% | 65% | 30% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Value | $28.50 | $295 | No Gap Coverage | Yes | S5660 -108 | 23% | 23% | 52% | 25% | 19,113 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $29.90 | $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 AmeriHealth Advantage Rx Option I | $28.60 | $295 | No Gap Coverage | Yes | S2770 -001 | 25% | 25% | 25% | 25% | 43,387 members | |||||
2010 AmeriHealth Advantage (PDP) | $30.10 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 BravoRx | $31.60 | $295 | No Gap Coverage | No | S5998 -005 | 25% | 25% | 25% | 528 members | ||||||
2010 BravoRx (PDP) | $30.70 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
-- This plan not offered in 2009 -- | S5557 -036 | ||||||||||||||
2010 Fox Value Plan (PDP) | $30.90 | $310 | No Gap Coverage | Yes | tbd | tbd members | |||||||||
2009 Health Net Orange Option 1 | $35.30 | $295 | No Gap Coverage | No | S5678 -018 | $2.00 | $43.00 | $90.00 | 25% | 532 members | |||||
2010 Health Net Orange Option 1 (PDP) | $30.90 | $310 | No Gap Coverage | Yes | $4.00 | $39.00 | $95.00 | 25% | tbd members | ||||||
2009 SilverScript Value | $28.70 | $295 | No Gap Coverage | Yes | S5601 -012 | $8.00 | $31.00 | $98.00 | 25% | 34,480 members | |||||
2010 SilverScript Value (PDP) | $31.60 | $310 | No Gap Coverage | Yes | $8.00 | $21.00 | $95.00 | 25% | tbd members | ||||||
2009 Advantage Star Plan by RxAmerica | $27.80 | $295 | No Gap Coverage | Yes | S5644 -072 | $5.50 | 25% | 25% | 45% | 38,291 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $31.70 | $310 | No Gap Coverage | Yes | $4.00 | 25% | 25% | 45% | 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 | $32.10 | $0 | No Gap Coverage | No | S5597 -038 | $6.00 | $44.00 | 33% | 2,941 members | ||||||
2010 PrescribaRx Gold (PDP) | $32.10 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
2009 HealthSpring Prescription Drug Plan -Reg 6 | $29.90 | $295 | No Gap Coverage | No | S5932 -006 | 25% | 25% | 1,223 members | |||||||
2010 HealthSpring Prescription Drug Plan -Reg 6 (PDP) | $32.50 | $310 | No Gap Coverage | No | 25% | 25% | tbd members | ||||||||
2009 MedicareRx Rewards Standard | $28.10 | $295 | No Gap Coverage | Yes | S5960 -112 | 25% | 25% | 25% | 25% | 14,818 members | |||||
2010 MedicareRx Rewards Standard (PDP) | $32.80 | $310 | No Gap Coverage | No | $6.50 | 25% | 25% | 25% | tbd members | ||||||
2009 EnvisionRxPlus Silver | $32.00 | $295 | No Gap Coverage | No | S7694 -006 | $4.00 | $32.00 | $22.00 | $75.00 | 65 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $33.00 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Two | $39.50 | $0 | No Gap Coverage | No | S5617 -030 | $0.00 | $6.00 | $40.00 | $83.00 | 1,493 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $33.60 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $39.00 | $82.00 | tbd members | ||||||
-- This plan not offered in 2009 -- | S5960 -144 | ||||||||||||||
2010 MedicareRx Rewards Plus (PDP) | $33.90 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 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 Community CCRx Choice | $42.60 | $0 | No Gap Coverage | No | S5803 -143 | $5.00 | $30.00 | $60.00 | 33% | 2,094 members | |||||
2010 Community CCRx Choice (PDP) | $35.40 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | tbd members | ||||||
2009 Moved From Plan S5810-142 | S5810 -210 | members | |||||||||||||
2010 Aetna Medicare Rx Plus (PDP) | $36.70 | $0 | No Gap Coverage | No | $5.00 | $32.00 | $35.00 | $80.00 | tbd members | ||||||
2009 WellCare Classic | $31.40 | $295 | No Gap Coverage | No | S5967 -143 | $0.00 | $31.00 | $78.00 | 25% | 9,587 members | |||||
2010 WellCare Classic (PDP) | $37.30 | $310 | No Gap Coverage | -- | $4.00 | $34.00 | $70.00 | 25% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $34.80 | $0 | No Gap Coverage | No | S5820 -005 | $7.00 | $38.00 | $91.50 | 33% | 112,683 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $37.40 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 WellCare Signature | $33.90 | $0 | No Gap Coverage | No | S5967 -040 | $0.00 | $39.00 | $79.00 | 33% | 7,175 members | |||||
2010 WellCare Signature (PDP) | $38.30 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Choice | $32.60 | $0 | No Gap Coverage | No | S5660 -005 | $6.00 | $35.00 | 75% | 33% | 6,305 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $38.90 | $100 | No Gap Coverage | No | $6.00 | $39.00 | 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 First Health Part D-Premier | $28.70 | $0 | No Gap Coverage | Yes | S5768 -009 | $7.00 | $27.00 | $52.00 | 33% | 24,512 members | |||||
2010 First Health Part D-Premier (PDP) | $40.00 | $150 | No Gap Coverage | No | $7.00 | 11% | 43% | 29% | tbd members | ||||||
2009 AdvantraRx Premier | $36.90 | $0 | No Gap Coverage | No | S5670 -034 | $5.00 | $31.00 | $76.00 | 33% | 9,065 members | |||||
2010 AdvantraRx Premier (PDP) | $41.00 | $0 | No Gap Coverage | No | $12.00 | 19% | 52% | 33% | tbd members | ||||||
2009 Humana PDP Enhanced S5884-005 | $44.90 | $0 | No Gap Coverage | No | S5884 -005 | $7.00 | $40.00 | $70.00 | 33% | 31,470 members | |||||
2010 Humana Enhanced S5884-005 (PDP) | $41.20 | $0 | No Gap Coverage | No | $8.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 UA Medicare Part D Rx Covg - Silver Plan | $39.00 | $150 | No Gap Coverage | No | S5755 -044 | $4.00 | $40.00 | $80.00 | 25% | 285 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $41.90 | $170 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 25% | tbd members | ||||||
2009 Sterling Rx | $42.10 | $295 | No Gap Coverage | No | S4802 -003 | $7.00 | $25.00 | $57.00 | 25% | 264 members | |||||
2010 Sterling Rx (PDP) | $45.20 | $310 | No Gap Coverage | No | $10.00 | $29.00 | 25% | tbd members | |||||||
2009 SilverScript Plus | $51.50 | $50 | Many Generics | No | S5601 -013 | $4.00 | $9.00 | $30.00 | $35.00 | 1,042 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $45.40 | $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 UA Medicare Part D Prescription Drug Cov | $42.40 | $0 | No Gap Coverage | No | S5755 -009 | $5.00 | $31.00 | $62.00 | 33% | 4,013 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $46.10 | $0 | No Gap Coverage | No | $9.00 | $38.00 | $76.00 | 33% | tbd members | ||||||
2009 SecureRx - Option 4 | $43.00 | $295 | No Gap Coverage | No | S8067 -004 | 25% | 25% | 25% | 272 members | ||||||
2010 SecureRx - Option 4 (PDP) | $47.30 | $310 | No Gap Coverage | No | 25% | 25% | 25% | tbd members | |||||||
2009 Advantage Freedom Plan by RxAmerica | $38.30 | $0 | No Gap Coverage | No | S5644 -051 | $5.00 | 35% | 33% | 45% | 1,086 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $49.00 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Essentials | $33.40 | $195 | No Gap Coverage | No | S5810 -040 | $0.00 | $11.00 | $29.00 | $69.00 | 3,522 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $49.00 | $310 | No Gap Coverage | No | $3.00 | $25.00 | $26.00 | $68.00 | tbd members | ||||||
2009 SecureRx - Option 3 | $44.60 | $0 | No Gap Coverage | No | S8067 -001 | $9.00 | $50.00 | 30% | 4,831 members | ||||||
2010 SecureRx - Option 3 (PDP) | $49.00 | $0 | No Gap Coverage | No | $9.00 | $45.00 | 33% | tbd members | |||||||
2009 Geisinger Gold Rx 1 | $44.50 | $295 | No Gap Coverage | No | S4248 -001 | 25% | 25% | 203 members | |||||||
2010 Geisinger Gold Rx 1 (PDP) | $50.40 | $310 | No Gap Coverage | No | 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 BlueRx Plus | $49.10 | $0 | No Gap Coverage | No | S5593 -002 | $5.00 | $35.00 | $65.00 | 33% | 42,593 members | |||||
2010 BlueRx Plus (PDP) | $51.30 | $0 | No Gap Coverage | No | $7.00 | $40.00 | $90.00 | 33% | tbd members | ||||||
2009 Health Net Value Orange Option 2 | $46.60 | $0 | No Gap Coverage | No | S5678 -017 | $0.00 | $39.00 | $75.00 | 33% | 1,315 members | |||||
2010 Health Net Value Orange Option 2 (PDP) | $51.70 | $0 | No Gap Coverage | No | $0.00 | $42.00 | $95.00 | 33% | tbd members | ||||||
2009 UPMC for Life Prescription Drug Plan | $44.10 | $0 | No Gap Coverage | No | S3389 -005 | $5.00 | $32.00 | $80.00 | 33% | 765 members | |||||
-- | -- | ||||||||||||||
2010 UPMC for Life (PDP) | $52.30 | $0 | No Gap Coverage | No | $5.00 | $32.00 | $80.00 | 33% | tbd members | ||||||
2009 EnvisionRxPlus Gold | $66.60 | $0 | No Gap Coverage | No | S7694 -040 | $0.00 | $45.00 | $40.00 | $75.00 | 265 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $54.80 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
2009 BlueRx Value | $33.10 | $295 | No Gap Coverage | No | S5593 -004 | $4.00 | $32.00 | $62.00 | 25% | 6,268 members | |||||
2010 BlueRx Value (PDP) | $56.20 | $310 | No Gap Coverage | No | $4.00 | $33.00 | $63.00 | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $72.60 | $0 | Some Generics | No | S5617 -176 | $6.00 | $35.00 | $60.00 | 33% | 310 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $57.40 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 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 AdvantraRx Premier Plus | $52.80 | $0 | Many Generics | No | S5670 -036 | $4.00 | $29.00 | $74.00 | 33% | 8,567 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $61.20 | $0 | Many Generics | No | $5.00 | $25.00 | 20% | 75% | tbd members | ||||||
2009 AmeriHealth Rx Option I | $54.30 | $295 | No Gap Coverage | No | S2321 -001 | 25% | 25% | 25% | 25% | 1,983 members | |||||
2010 AmeriHealth Rx Option I (PDP) | $65.50 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 AmeriHealth Rx Option II | $58.90 | $0 | No Gap Coverage | No | S2321 -002 | $7.00 | $30.00 | $70.00 | 33% | 864 members | |||||
2010 AmeriHealth Rx Option II (PDP) | $66.70 | $100 | Many Generics | No | $7.00 | $15.00 | $35.00 | $70.00 | tbd members | ||||||
2009 SilverScript Complete | $69.10 | $0 | Many Generics | No | S5601 -077 | $2.50 | $7.50 | $39.00 | $98.00 | 445 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $66.90 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $68.30 | $0 | All Generics | No | S5660 -176 | $6.00 | $35.00 | 75% | 33% | 1,518 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $73.80 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 Community CCRx Gold | $75.10 | $0 | All Generics | No | S5803 -223 | $5.00 | $30.00 | $60.00 | 33% | 1,171 members | |||||
2010 Community CCRx Gold (PDP) | $77.30 | $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 AARP MedicareRx Enhanced | $76.40 | $0 | Many Generics | No | S5921 -093 | $7.00 | $39.00 | $95.00 | 33% | 4,699 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $81.10 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $99.90 | $0 | Many Generics | No | S5810 -176 | $0.00 | $10.00 | $30.00 | $65.00 | 1,671 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $83.70 | $0 | Many Generics | No | $7.00 | $33.00 | $36.00 | $86.00 | tbd members | ||||||
2009 BlueRx Complete | $108.00 | $0 | Many Generics | No | S5593 -003 | $5.00 | $25.00 | $55.00 | 33% | 19,131 members | |||||
2010 BlueRx Complete (PDP) | $93.90 | $0 | Many Generics | No | $7.00 | $35.00 | $70.00 | 33% | tbd members | ||||||
2009 Humana PDP Complete S5884-034 | $95.40 | $0 | Many Generics | No | S5884 -034 | $7.00 | $40.00 | $70.00 | 33% | 5,329 members | |||||
2010 Humana Complete S5884-034 (PDP) | $100.10 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 SecureRx - Option 1 | $86.90 | $0 | Many Generics | No | S8067 -003 | $7.00 | $35.00 | $85.00 | 30% | 2,752 members | |||||
2010 SecureRx - Option 1 (PDP) | $110.70 | $0 | Many Generics | No | $7.00 | $35.00 | $85.00 | 33% | tbd members | ||||||
2009 UnitedHealth Rx Basic | $43.10 | $0 | No Gap Coverage | No | S5921 -092 | $7.00 | $35.00 | $98.00 | 33% | 4,554 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 SierraRx Basic | $64.90 | $295 | No Gap Coverage | No | S5917 -011 | 25% | 25% | 25% | 264 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 Prescriba Rx Platinum | $65.00 | $0 | All Generics | No | S5597 -203 | $6.00 | $44.00 | 33% | 766 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 MedicareRx Rewards Value | $32.90 | $130 | No Gap Coverage | No | S5960 -006 | $10.00 | $40.50 | $85.00 | 29% | 5,631 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
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