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 Plus | $63.50 | $0 | Some Generics | No | S5810 -161 | $0.00 | $10.00 | $36.00 | $77.00 | 1,010 members | |||||
Plan changed to S5810-229 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 First Health Part D-Secure | $15.20 | $175 | No Gap Coverage | No | S5768 -107 | $4.00 | $20.00 | $50.00 | 28% | 23,874 members | |||||
2010 First Health Part D-Secure (PDP) | $22.80 | $175 | No Gap Coverage | No | $4.00 | 20% | 49% | 28% | tbd members | ||||||
2009 Aetna Medicare Rx Essentials | $31.20 | $180 | No Gap Coverage | Yes | S5810 -059 | $2.00 | $10.00 | $22.00 | $62.00 | 16,456 members | |||||
2010 Aetna Medicare Rx Essentials (PDP) | $28.30 | $310 | No Gap Coverage | Yes | $3.00 | $28.00 | $30.00 | $79.00 | tbd members | ||||||
2009 AARP MedicareRx Saver | $26.50 | $295 | No Gap Coverage | Yes | S5921 -247 | $5.00 | $22.00 | $71.55 | 25% | 45,244 members | |||||
2010 AARP MedicareRx Saver (PDP) | $31.20 | $310 | No Gap Coverage | Yes | $6.00 | $25.00 | $95.00 | 25% | tbd members | ||||||
2009 HealthSpring Prescription Drug Plan-Reg 25 | $27.70 | $295 | No Gap Coverage | Yes | S5932 -024 | 25% | 25% | 14,125 members | |||||||
2010 HealthSpring Prescription Drug Plan-Reg 25 (PDP) | $32.00 | $310 | No Gap Coverage | Yes | 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 S5810-161 | S5810 -229 | members | |||||||||||||
2010 Aetna Medicare Rx Plus (PDP) | $33.40 | $0 | No Gap Coverage | No | $5.00 | $32.00 | $38.00 | $80.00 | tbd members | ||||||
2009 Humana PDP Enhanced S5884-023 | $29.80 | $0 | No Gap Coverage | No | S5884 -023 | $7.00 | $40.00 | $70.00 | 33% | 173,513 members | |||||
2010 Humana Enhanced S5884-023 (PDP) | $33.50 | $0 | No Gap Coverage | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 Community CCRx Basic | $31.00 | $295 | No Gap Coverage | Yes | S5803 -094 | $0.00 | 30% | 50% | 67,595 members | ||||||
2010 Community CCRx Basic (PDP) | $33.80 | $310 | No Gap Coverage | Yes | $0.00 | 30% | 60% | tbd members | |||||||
2009 Prescriba Rx Bronze | $30.70 | $295 | No Gap Coverage | Yes | S5597 -259 | 25% | 25% | 25% | 18,868 members | ||||||
2010 PrescribaRx Bronze (PDP) | $34.50 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 AdvantraRx Value | $24.60 | $0 | No Gap Coverage | No | S5674 -032 | $8.00 | $24.00 | $55.00 | 33% | 42,300 members | |||||
2010 AdvantraRx Value (PDP) | $34.70 | $100 | No Gap Coverage | No | $6.00 | 18% | 61% | 30% | tbd members | ||||||
2009 BravoRx | $37.60 | $295 | No Gap Coverage | No | S5998 -029 | 25% | 25% | 25% | 54 members | ||||||
2010 BravoRx (PDP) | $36.10 | $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 First Health Part D-Premier | $30.60 | $0 | No Gap Coverage | Yes | S5768 -122 | $7.00 | $25.00 | $54.00 | 33% | 9,897 members | |||||
2010 First Health Part D-Premier (PDP) | $37.20 | $150 | No Gap Coverage | Yes | $7.00 | 11% | 46% | 29% | tbd members | ||||||
2009 MedicareBlue Rx Option 2 | $65.60 | $0 | No Gap Coverage | No | S5743 -003 | $4.00 | $32.00 | 50% | 33% | 31,542 members | |||||
2010 MedicareBlue Rx Enhanced (PDP) | $37.20 | $165 | No Gap Coverage | No | $4.00 | $35.00 | 50% | 28% | tbd members | ||||||
2009 SilverScript Value | $31.80 | $295 | No Gap Coverage | Yes | S5601 -050 | $8.00 | $34.75 | $98.00 | 25% | 34,247 members | |||||
2010 SilverScript Value (PDP) | $37.30 | $310 | No Gap Coverage | Yes | $8.00 | $21.50 | $95.00 | 25% | tbd members | ||||||
2009 MedicareRx Rewards Standard | $31.60 | $295 | No Gap Coverage | Yes | S5960 -131 | 25% | 25% | 25% | 25% | 13,880 members | |||||
2010 MedicareRx Rewards Standard (PDP) | $37.70 | $310 | No Gap Coverage | No | $6.50 | 25% | 25% | 25% | tbd members | ||||||
2009 Prescriba Rx Gold | $38.40 | $0 | No Gap Coverage | No | S5597 -057 | $6.00 | $44.00 | 33% | 634 members | ||||||
2010 PrescribaRx Gold (PDP) | $37.80 | $150 | No Gap Coverage | No | $6.00 | $43.00 | 29% | tbd members | |||||||
2009 Health Net Orange Option 1 | $41.60 | $295 | No Gap Coverage | No | S5678 -056 | $2.00 | $44.00 | $90.00 | 25% | 793 members | |||||
2010 Health Net Orange Option 1 (PDP) | $37.90 | $310 | No Gap Coverage | No | $4.00 | $40.00 | $95.00 | 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 | |||||||||
-- This plan not offered in 2009 -- | S5960 -156 | ||||||||||||||
2010 MedicareRx Rewards Plus (PDP) | $38.60 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Choice | $33.50 | $0 | No Gap Coverage | No | S5660 -025 | $6.00 | $35.00 | 75% | 33% | 5,154 members | |||||
2010 Medco Medicare Prescription Plan - Choice (PDP) | $39.80 | $100 | No Gap Coverage | No | $6.00 | $39.00 | 75% | 30% | tbd members | ||||||
2009 Community CCRx Choice | $46.60 | $0 | No Gap Coverage | No | S5803 -162 | $5.00 | $30.00 | $60.00 | 33% | 5,437 members | |||||
2010 Community CCRx Choice (PDP) | $40.10 | $150 | No Gap Coverage | No | $5.00 | $35.00 | $65.00 | 29% | tbd members | ||||||
2009 WellCare Classic | $36.90 | $295 | No Gap Coverage | No | S5967 -162 | $0.00 | $33.00 | $82.00 | 25% | 11,264 members | |||||
2010 WellCare Classic (PDP) | $40.90 | $310 | No Gap Coverage | -- | $4.00 | $36.00 | $77.00 | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Two | $45.90 | $0 | No Gap Coverage | No | S5617 -125 | $0.00 | $6.00 | $38.00 | $85.00 | 782 members | |||||
2010 CIGNA Medicare Rx Plan Two (PDP) | $41.70 | $100 | No Gap Coverage | No | $0.00 | $8.00 | $38.00 | $88.00 | tbd members | ||||||
2009 EnvisionRxPlus Silver | $38.20 | $295 | No Gap Coverage | No | S7694 -025 | $4.00 | $30.00 | $20.00 | $75.00 | 121 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $42.20 | $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 AARP MedicareRx Preferred | $40.80 | $0 | No Gap Coverage | No | S5820 -024 | $7.00 | $38.00 | $76.20 | 33% | 52,370 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $43.30 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $69.00 | 33% | tbd members | ||||||
2009 MedicareBlue Rx Option 1 | $29.70 | $295 | No Gap Coverage | Yes | S5743 -001 | 10% | 22% | 50% | 25% | 245,731 members | |||||
2010 MedicareBlue Rx Standard (PDP) | $43.70 | $310 | No Gap Coverage | No | 10% | 22% | 50% | 25% | tbd members | ||||||
2009 Humana PDP Standard S5884-083 | $40.60 | $295 | No Gap Coverage | No | S5884 -083 | 15% | 25% | 48% | 49,810 members | ||||||
2010 Humana Standard S5884-083 (PDP) | $44.30 | $310 | No Gap Coverage | No | 15% | 25% | 43% | tbd members | |||||||
2009 AdvantraRx Premier | $42.20 | $0 | No Gap Coverage | No | S5674 -033 | $6.00 | $28.00 | $65.00 | 33% | 4,447 members | |||||
2010 AdvantraRx Premier (PDP) | $47.20 | $0 | No Gap Coverage | No | $11.00 | 18% | 51% | 33% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Value | $35.20 | $295 | No Gap Coverage | No | S5660 -127 | 23% | 23% | 53% | 25% | 319 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $47.70 | $310 | No Gap Coverage | No | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 Advantage Freedom Plan by RxAmerica | $33.90 | $0 | No Gap Coverage | No | S5644 -059 | $5.00 | 35% | 33% | 45% | 3,594 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $48.50 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 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 | $45.60 | $100 | No Gap Coverage | No | S5755 -063 | $4.00 | $40.00 | $80.00 | 25% | 161 members | |||||
2010 UA Medicare Part D Rx Covg - Silver Plan (PDP) | $49.50 | $105 | No Gap Coverage | No | $4.00 | $45.00 | $90.00 | 25% | tbd members | ||||||
2009 WellCare Signature | $45.50 | $0 | No Gap Coverage | No | S5967 -059 | $0.00 | $39.00 | $79.00 | 33% | 4,250 members | |||||
2010 WellCare Signature (PDP) | $49.70 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 EnvisionRxPlus Gold | $63.60 | $0 | No Gap Coverage | No | S7694 -059 | $0.00 | $45.00 | $40.00 | $75.00 | 160 members | |||||
2010 EnvisionRxPlus Gold (PDP) | $50.00 | $150 | No Gap Coverage | No | $4.00 | $30.00 | $25.00 | 25% | tbd members | ||||||
2009 Sterling Rx | $47.40 | $295 | No Gap Coverage | No | S4802 -030 | $7.00 | $25.00 | $57.00 | 25% | 911 members | |||||
2010 Sterling Rx (PDP) | $50.40 | $310 | No Gap Coverage | No | $9.00 | $31.00 | 25% | tbd members | |||||||
2009 UA Medicare Part D Prescription Drug Cov | $50.70 | $0 | No Gap Coverage | No | S5755 -028 | $5.00 | $31.00 | $62.00 | 33% | 1,857 members | |||||
2010 UA Medicare Part D Prescription Drug Cov (PDP) | $53.20 | $0 | No Gap Coverage | No | $7.00 | $36.00 | $72.00 | 33% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan One | $51.70 | $295 | No Gap Coverage | No | S5617 -123 | $2.50 | $30.00 | $87.00 | 25% | 1,234 members | |||||
2010 CIGNA Medicare Rx Plan One (PDP) | $54.40 | $310 | No Gap Coverage | No | $3.00 | $29.00 | $90.00 | 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 Advantage Star Plan by RxAmerica | $36.00 | $295 | No Gap Coverage | No | S5644 -080 | $5.50 | 25% | 25% | 45% | 4,913 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $56.50 | $310 | No Gap Coverage | No | $3.50 | 25% | 25% | 45% | tbd members | ||||||
2009 SilverScript Plus | $61.30 | $50 | Many Generics | No | S5601 -051 | $4.00 | $9.00 | $30.00 | $35.00 | 581 members | |||||
2010 SilverScript CVS Caremark Plus (PDP) | $56.90 | $50 | No Gap Coverage | No | $2.50 | $7.50 | $25.00 | $30.00 | tbd members | ||||||
2009 Health Net Value Orange Option 2 | $51.40 | $0 | No Gap Coverage | No | S5678 -055 | $0.00 | $39.00 | $75.00 | 33% | 1,466 members | |||||
2010 Health Net Value Orange Option 2 (PDP) | $57.30 | $0 | No Gap Coverage | No | $0.00 | $42.00 | $95.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier Plus | $57.40 | $0 | Many Generics | No | S5674 -035 | $4.00 | $29.00 | $73.00 | 33% | 9,989 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $62.00 | $0 | Many Generics | No | $5.00 | $25.00 | 19% | 75% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $80.90 | $0 | Some Generics | No | S5617 -195 | $6.00 | $35.00 | $60.00 | 33% | 206 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $68.60 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $71.90 | $0 | Many Generics | No | S5921 -249 | $7.00 | $39.00 | $95.00 | 33% | 2,386 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $76.50 | $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 Medco Medicare Prescription Plan - Access | $69.60 | $0 | All Generics | No | S5660 -195 | $6.00 | $35.00 | 75% | 33% | 1,210 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $77.70 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 Community CCRx Gold | $69.20 | $0 | All Generics | No | S5803 -242 | $5.00 | $30.00 | $60.00 | 33% | 4,423 members | |||||
2010 Community CCRx Gold (PDP) | $79.50 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $106.70 | $0 | Many Generics | No | S5810 -195 | $0.00 | $10.00 | $30.00 | $65.00 | 764 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $82.90 | $0 | Many Generics | No | $6.00 | $36.00 | $37.00 | $81.00 | tbd members | ||||||
2009 SilverScript Complete | $83.40 | $0 | Many Generics | No | S5601 -096 | $2.50 | $7.50 | $39.00 | $98.00 | 341 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $83.60 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 MedicareBlue Rx Option 3 | $93.50 | $0 | Many Generics | No | S5743 -004 | $3.00 | $37.00 | 50% | 33% | 30,851 members | |||||
2010 MedicareBlue Rx Premier (PDP) | $96.20 | $0 | Many Generics | No | $4.00 | $38.00 | 50% | 33% | tbd members | ||||||
2009 Humana PDP Complete S5884-053 | $99.40 | $0 | Many Generics | No | S5884 -053 | $7.00 | $40.00 | $70.00 | 33% | 7,272 members | |||||
2010 Humana Complete S5884-053 (PDP) | $104.10 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 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 Prescriba Rx Platinum | $69.30 | $0 | All Generics | No | S5597 -222 | $6.00 | $44.00 | 33% | 100 members | ||||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 UnitedHealth Rx Basic | $44.30 | $0 | No Gap Coverage | No | S5921 -248 | $7.00 | $35.00 | $78.00 | 33% | 6,121 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 MedicareRx Rewards Value | $35.50 | $130 | No Gap Coverage | No | S5960 -025 | $10.00 | $41.50 | $85.00 | 29% | 6,042 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
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