2007 Medicare Part D Plan Information Click here to jump to the Chart Legend & Search Tips | ||||||||
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Plan Name | Monthly Prem. |
Deduct- ible |
(Donut Hole) Gap Coverage |
$0 Prem. with Full LIS? |
Preferred Pharmacy Copay/ Coinsurance 30-Day Supply |
Members In This State | ||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
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Humana PDP Enhanced S5884-004 - S5884-004 Benefit Details |
$20.10 | $0 | None | cost-sharing data not available. | 21,743 | |||
WellCare Signature - S5967-039 Benefit Details |
$20.40 | $0 | None | Yes | cost-sharing data not available. | 16,054 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Prescription Pathway Gold Plan Reg 5 - S5597-037 Benefit Details |
$22.90 | $0 | None | cost-sharing data not available. | 777 | |||
First Health Premier - S5768-008 Benefit Details |
$24.70 | $0 | None | Yes | cost-sharing data not available. | 10,247 | ||
AdvantraRx Value - S5670-027 Benefit Details |
$25.70 | $0 | None | cost-sharing data not available. | 875 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Plan - S5820-004 Benefit Details |
$26.40 | $0 | None | Yes | cost-sharing data not available. | 83,006 | ||
CIGNATURE Rx Plus Plan - S5617-025 Benefit Details |
$26.70 | $0 | None | cost-sharing data not available. | 1,215 | |||
UnitedHealth Rx Basic - S5921-238 Benefit Details |
$28.10 | $0 | None | Yes | cost-sharing data not available. | 11,805 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Health Net Orange Option 2 - S5678-015 Benefit Details |
$29.00 | $0 | None | Yes | cost-sharing data not available. | 533 | ||
Bravo Rx I - S5822-004 Benefit Details |
$31.10 | $0 | None | cost-sharing data not available. | 22 | |||
NMHC Medicare PDP Gold - S8841-005 Benefit Details |
$32.80 | $0 | None | cost-sharing data not available. | 28 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Blue Rx Standard - S5766-002 Benefit Details |
$34.20 | $0 | None | cost-sharing data not available. | 30,779 | |||
CIGNATURE Rx Complete Plan - S5617-175 Benefit Details |
$36.10 | $0 | Generics | cost-sharing data not available. | 564 | |||
AdvantraRx Premier - S5670-028 Benefit Details |
$36.90 | $0 | None | cost-sharing data not available. | 1,627 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
WellCare Complete - S5967-073 Benefit Details |
$37.20 | $0 | Generics | cost-sharing data not available. | 1,195 | |||
MedicareRx Rewards Plus - S5960-041 Benefit Details |
$37.60 | $0 | None | cost-sharing data not available. | 223 | |||
SilverScript Plus - S5601-011 Benefit Details |
$38.10 | $0 | None | cost-sharing data not available. | 190 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Community Care Rx CHOICE - S5803-142 Benefit Details |
$38.60 | $0 | None | cost-sharing data not available. | 387 | |||
UnitedHealth Rx Extended - S5820-108 Benefit Details |
$41.20 | $0 | None | cost-sharing data not available. | 2,141 | |||
UA Medicare Part D Prescription Drug Cov - S5755-008 Benefit Details |
$41.60 | $0 | None | cost-sharing data not available. | 8,936 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Aetna Medicare Rx Plus - S5810-141 Benefit Details |
$41.70 | $0 | None | cost-sharing data not available. | 878 | |||
Blue Rx Enhanced - S5766-003 Benefit Details |
$42.20 | $0 | Generics | cost-sharing data not available. | 3,154 | |||
First Health Select - S5768-052 Benefit Details |
$42.90 | $0 | Generics | cost-sharing data not available. | 85 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Prescription Pathway Platinum Plan Reg 5 - S5597-202 Benefit Details |
$43.50 | $0 | Generics | cost-sharing data not available. | 365 | |||
AARP MedicareRx Plan - Enhanced - S5921-239 Benefit Details |
$43.70 | $0 | Generics | cost-sharing data not available. | 2,923 | |||
Health Net Orange Option 3 - S5678-077 Benefit Details |
$44.10 | $0 | Generics | cost-sharing data not available. | 23 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SilverScript Complete - S5601-076 Benefit Details |
$44.10 | $0 | Generics | cost-sharing data not available. | 45 | |||
Community Care Rx GOLD - S5803-222 Benefit Details |
$47.10 | $0 | Generics | cost-sharing data not available. | 328 | |||
AdvantraRx Premier Plus - S5670-030 Benefit Details |
$49.50 | $0 | Generics | cost-sharing data not available. | 2,217 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Premier - S5960-075 Benefit Details |
$52.80 | $0 | Generics | cost-sharing data not available. | 126 | |||
EnvisionRxPlus Gold - S7694-039 Benefit Details |
$62.00 | $0 | Generics | cost-sharing data not available. | 439 | |||
Aetna Medicare Rx Premier - S5810-175 Benefit Details |
$69.80 | $0 | Generics | cost-sharing data not available. | 2,580 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Complete S5884-033 - S5884-033 Benefit Details |
$74.40 | $0 | Generics | cost-sharing data not available. | 5,635 | |||
SierraRx Plus - S5917-035 Benefit Details |
$103.20 | $0 | All Formulary Drugs | cost-sharing data not available. | 970 | |||
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