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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WellCare Signature - S5967-056 Benefit Details |
$19.40 | $0 | None | Yes | cost-sharing data not available. | 43,560 | ||
Humana PDP Enhanced S5884-020 - S5884-020 Benefit Details |
$19.80 | $0 | None | cost-sharing data not available. | 116,377 | |||
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 22 - S5597-054 Benefit Details |
$22.20 | $0 | None | cost-sharing data not available. | 3,576 | |||
First Health Premier - S5768-045 Benefit Details |
$25.50 | $0 | None | Yes | cost-sharing data not available. | 4,374 | ||
CIGNATURE Rx Plus Plan - S5617-110 Benefit Details |
$26.20 | $0 | None | cost-sharing data not available. | 3,467 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Value - S5670-117 Benefit Details |
$26.70 | $0 | None | cost-sharing data not available. | 3,538 | |||
Health Net Orange Option 2 - S5678-049 Benefit Details |
$27.90 | $0 | None | cost-sharing data not available. | 1,009 | |||
AARP MedicareRx Plan - S5820-021 Benefit Details |
$28.60 | $0 | None | cost-sharing data not available. | 214,806 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Blue Medicare Rx - Value - S5715-005 Benefit Details |
$29.60 | $0 | None | cost-sharing data not available. | 32,255 | |||
UnitedHealth Rx Basic - S5921-192 Benefit Details |
$30.20 | $0 | None | cost-sharing data not available. | 9,897 | |||
MedicareRx Rewards Plus - S5960-058 Benefit Details |
$30.50 | $0 | None | cost-sharing data not available. | 1,728 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Bravo Rx I - S1566-002 Benefit Details |
$32.70 | $0 | None | cost-sharing data not available. | 58 | |||
NMHC Medicare PDP Gold - S8841-022 Benefit Details |
$32.90 | $0 | None | cost-sharing data not available. | 27 | |||
Scott & White Health Plan Texas Rx Basic - S5915-001 Benefit Details |
$33.40 | $0 | None | cost-sharing data not available. | 516 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
WellCare Complete - S5967-090 Benefit Details |
$33.60 | $0 | Generics | cost-sharing data not available. | 3,196 | |||
Community Care Rx CHOICE - S5803-159 Benefit Details |
$34.30 | $0 | None | cost-sharing data not available. | 12,558 | |||
CIGNATURE Rx Complete Plan - S5617-192 Benefit Details |
$35.10 | $0 | Generics | cost-sharing data not available. | 1,803 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Premier - S5670-118 Benefit Details |
$38.10 | $0 | None | cost-sharing data not available. | 13,255 | |||
SilverScript Plus - S5601-045 Benefit Details |
$40.40 | $0 | None | cost-sharing data not available. | 386 | |||
UA Medicare Part D Prescription Drug Cov - S5755-025 Benefit Details |
$40.90 | $0 | None | cost-sharing data not available. | 9,491 | |||
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 - S5810-158 Benefit Details |
$41.60 | $0 | None | cost-sharing data not available. | 6,250 | |||
Prescription Pathway Platinum Plan Reg 22 - S5597-219 Benefit Details |
$41.90 | $0 | Generics | cost-sharing data not available. | 1,858 | |||
Community Care Rx GOLD - S5803-239 Benefit Details |
$42.60 | $0 | Generics | cost-sharing data not available. | 4,879 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
UnitedHealth Rx Extended - S5820-125 Benefit Details |
$43.00 | $0 | None | cost-sharing data not available. | 3,890 | |||
Health Net Orange Option 3 - S5678-094 Benefit Details |
$43.10 | $0 | Generics | cost-sharing data not available. | 128 | |||
First Health Select - S5768-069 Benefit Details |
$44.10 | $0 | Generics | cost-sharing data not available. | 143 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Premier - S5960-092 Benefit Details |
$44.50 | $0 | Generics | cost-sharing data not available. | 1,190 | |||
AARP MedicareRx Plan - Enhanced - S5921-193 Benefit Details |
$46.40 | $0 | Generics | cost-sharing data not available. | 7,839 | |||
SilverScript Complete - S5601-093 Benefit Details |
$47.20 | $0 | Generics | cost-sharing data not available. | 281 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Premier Plus - S5670-120 Benefit Details |
$49.00 | $0 | Generics | cost-sharing data not available. | 5,298 | |||
Blue Medicare Rx - Plus - S5715-006 Benefit Details |
$55.60 | $0 | Generics | cost-sharing data not available. | 18,966 | |||
EnvisionRxPlus Gold - S7694-056 Benefit Details |
$64.00 | $0 | Generics | cost-sharing data not available. | 817 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Scott & White Health PlanTexas Rx Enhanced - S5915-002 Benefit Details |
$67.70 | $0 | Generics | cost-sharing data not available. | 332 | |||
Aetna Medicare Rx Premier - S5810-192 Benefit Details |
$69.70 | $0 | Generics | cost-sharing data not available. | 19,522 | |||
Humana PDP Complete S5884-050 - S5884-050 Benefit Details |
$76.60 | $0 | Generics | cost-sharing data not available. | 22,929 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SierraRx Plus - S5917-051 Benefit Details |
$96.50 | $0 | All Formulary Drugs | cost-sharing data not available. | 4,808 | |||
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