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 Standard S5884-093 - S5884-093 Benefit Details |
$10.80 | $265 | None | Yes | cost-sharing data not available. | 584 | ||
WellCare Classic - S5967-170 Benefit Details |
$17.30 | $265 | None | Yes | cost-sharing data not available. | 368 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Plan - Saver - S5921-041 Benefit Details |
$17.80 | $265 | None | Yes | cost-sharing data not available. | 214 | ||
Advantage Star Plan by RxAmerica - S5644-085 Benefit Details |
$19.70 | $265 | None | Yes | cost-sharing data not available. | 3,523 | ||
Health Net Orange Option 1 - S5678-066 Benefit Details |
$20.50 | $265 | None | Yes | cost-sharing data not available. | 401 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
CIGNATURE Rx Value Plan - S5617-163 Benefit Details |
$20.80 | $265 | None | Yes | cost-sharing data not available. | 491 | ||
MedicareRx Rewards Value - S5960-033 Benefit Details |
$21.40 | $265 | None | Yes | cost-sharing data not available. | 3,844 | ||
HealthSpring Prescription Drug Plan-Reg 33 - S5932-032 Benefit Details |
$22.00 | $265 | None | Yes | cost-sharing data not available. | 336 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Enhanced S5884-096 - S5884-096 Benefit Details |
$23.30 | $0 | None | cost-sharing data not available. | 43 | |||
AdvantraRx Value - S5674-062 Benefit Details |
$23.40 | $0 | None | cost-sharing data not available. | 162 | |||
Community Care Rx BASIC - S5803-102 Benefit Details |
$23.50 | $265 | None | Yes | cost-sharing data not available. | 4,639 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
UnitedHealth Rx Basic - S5921-042 Benefit Details |
$24.40 | $0 | None | Yes | cost-sharing data not available. | 3,268 | ||
Advantage Freedom Plan by RxAmerica - S5644-065 Benefit Details |
$24.60 | $265 | None | Yes | cost-sharing data not available. | 478 | ||
AARP MedicareRx Plan - S5820-032 Benefit Details |
$25.20 | $0 | None | Yes | cost-sharing data not available. | 10,199 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SilverScript - S5601-066 Benefit Details |
$25.20 | $265 | None | Yes | cost-sharing data not available. | 367 | ||
Sterling Rx - S4802-031 Benefit Details |
$26.40 | $100 | None | cost-sharing data not available. | < 10 | |||
UA Medicare Part D Rx Covg - Silver Plan - S5755-071 Benefit Details |
$26.60 | $265 | None | cost-sharing data not available. | < 10 | |||
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 - S5678-065 Benefit Details |
$27.00 | $0 | None | cost-sharing data not available. | 124 | |||
Aetna Medicare Rx Essentials - S5810-067 Benefit Details |
$27.10 | $180 | None | cost-sharing data not available. | 22 | |||
WellCare Signature - S5967-067 Benefit Details |
$27.10 | $0 | None | cost-sharing data not available. | 4,092 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Plus - S5960-069 Benefit Details |
$27.60 | $0 | None | cost-sharing data not available. | 98 | |||
NMHC Medicare PDP Gold - S8841-033 Benefit Details |
$28.70 | $0 | None | cost-sharing data not available. | < 10 | |||
CIGNATURE Rx Plus Plan - S5617-165 Benefit Details |
$28.80 | $0 | None | cost-sharing data not available. | 93 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SRx - S3994-001 Benefit Details |
$29.00 | $265 | None | cost-sharing data not available. | 26 | |||
Community Care Rx CHOICE - S5803-170 Benefit Details |
$31.50 | $0 | None | cost-sharing data not available. | 87 | |||
Medco YOURx PLAN - S5660-033 Benefit Details |
$31.70 | $100 | None | cost-sharing data not available. | 655 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Premier - S5674-063 Benefit Details |
$34.20 | $0 | None | cost-sharing data not available. | 76 | |||
First Health Select - S5768-080 Benefit Details |
$35.30 | $0 | None | cost-sharing data not available. | < 10 | |||
UA Medicare Part D Prescription Drug Cov - S5755-038 Benefit Details |
$35.60 | $0 | None | cost-sharing data not available. | 53 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SilverScript Plus - S5601-067 Benefit Details |
$36.00 | $0 | None | cost-sharing data not available. | 221 | |||
Health Net Orange Option 3 - S5678-102 Benefit Details |
$37.60 | $0 | Generics | cost-sharing data not available. | 107 | |||
Community Care Rx GOLD - S5803-250 Benefit Details |
$37.80 | $0 | Generics | cost-sharing data not available. | 91 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
CIGNATURE Rx Complete Plan - S5617-203 Benefit Details |
$38.50 | $0 | Generics | cost-sharing data not available. | 39 | |||
UnitedHealth Rx Extended - S5820-136 Benefit Details |
$38.60 | $0 | None | cost-sharing data not available. | 178 | |||
AARP MedicareRx Plan - Enhanced - S5921-043 Benefit Details |
$39.00 | $0 | Generics | cost-sharing data not available. | 188 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Premier - S5960-103 Benefit Details |
$41.20 | $0 | Generics | cost-sharing data not available. | 48 | |||
SilverScript Complete - S5601-104 Benefit Details |
$41.30 | $0 | Generics | cost-sharing data not available. | < 10 | |||
Aetna Medicare Rx Plus - S5810-169 Benefit Details |
$42.50 | $0 | None | cost-sharing data not available. | 17 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
WellCare Complete - S5967-102 Benefit Details |
$42.60 | $0 | Generics | cost-sharing data not available. | 126 | |||
SAMAScript - S7950-033 Benefit Details |
$43.40 | $265 | None | cost-sharing data not available. | < 10 | |||
AdvantraRx Premier Plus - S5674-065 Benefit Details |
$44.40 | $0 | Generics | cost-sharing data not available. | 74 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
EnvisionRxPlus Standard - S7694-033 Benefit Details |
$45.50 | $265 | None | cost-sharing data not available. | < 10 | |||
Sterling Rx Plus - S4802-065 Benefit Details |
$50.00 | $100 | Generics | cost-sharing data not available. | < 10 | |||
EnvisionRxPlus Gold - S7694-067 Benefit Details |
$65.00 | $0 | Generics | cost-sharing data not available. | 19 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Aetna Medicare Rx Premier - S5810-203 Benefit Details |
$71.40 | $0 | Generics | cost-sharing data not available. | 54 | |||
Humana PDP Complete S5884-099 - S5884-099 Benefit Details |
$74.90 | $0 | Generics | cost-sharing data not available. | < 10 | |||
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