2007 Medicare Part D Plan Information Click here to jump to the Chart Legend & Search Tips | ||||||||
---|---|---|---|---|---|---|---|---|
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 |
||||||
Humana PDP Standard S5884-089 - S5884-089 Benefit Details ![]() |
$13.30 | $265 | None | Yes | cost-sharing data not available. | 33,907 | ||
![]() |
![]() |
|||||||
Humana PDP Enhanced S5884-029 - S5884-029 Benefit Details ![]() |
$19.10 | $0 | None | cost-sharing data not available. | 24,513 | |||
![]() |
![]() |
|||||||
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 - S5921-031 Benefit Details ![]() |
$22.10 | $265 | None | Yes | cost-sharing data not available. | 444 | ||
![]() |
![]() |
|||||||
WellCare Classic - S5967-168 Benefit Details ![]() |
$24.00 | $265 | None | Yes | cost-sharing data not available. | 195 | ||
![]() |
![]() |
|||||||
Prescription Pathway Gold Plan Reg 31 - S5597-063 Benefit Details ![]() |
$24.50 | $0 | None | cost-sharing data not available. | 316 | |||
![]() |
![]() |
|||||||
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 1 - S5678-064 Benefit Details ![]() |
$25.40 | $265 | None | Yes | cost-sharing data not available. | 317 | ||
![]() |
![]() |
|||||||
AdvantraRx Value - S5674-050 Benefit Details ![]() |
$26.10 | $0 | None | cost-sharing data not available. | 827 | |||
![]() |
![]() |
|||||||
HealthSpring Prescription Drug Plan-Reg 31 - S5932-030 Benefit Details ![]() |
$26.20 | $265 | None | Yes | cost-sharing data not available. | 343 | ||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Value - S5960-031 Benefit Details ![]() |
$26.20 | $265 | None | Yes | cost-sharing data not available. | 3,695 | ||
![]() |
![]() |
|||||||
Prescription Pathway Bronze Plan Reg 31 - S5597-096 Benefit Details ![]() |
$26.40 | $265 | None | Yes | cost-sharing data not available. | 3,503 | ||
![]() |
![]() |
|||||||
Health Net Orange Option 2 - S5678-063 Benefit Details ![]() |
$27.90 | $0 | None | Yes | cost-sharing data not available. | 224 | ||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Aetna Medicare Rx Essentials - S5810-065 Benefit Details ![]() |
$28.10 | $190 | None | Yes | cost-sharing data not available. | 524 | ||
![]() |
![]() |
|||||||
Community Care Rx BASIC - S5803-100 Benefit Details ![]() |
$28.80 | $265 | None | Yes | cost-sharing data not available. | 8,026 | ||
![]() |
![]() |
|||||||
SierraRx - S5917-007 Benefit Details ![]() |
$28.80 | $265 | None | Yes | cost-sharing data not available. | 3,845 | ||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SilverScript - S5601-062 Benefit Details ![]() |
$29.10 | $265 | None | Yes | cost-sharing data not available. | 3,894 | ||
![]() |
![]() |
|||||||
AARP MedicareRx Plan - S5820-030 Benefit Details ![]() |
$29.30 | $0 | None | Yes | cost-sharing data not available. | 23,476 | ||
![]() |
![]() |
|||||||
WellCare Signature - S5967-065 Benefit Details ![]() |
$30.00 | $0 | None | Yes | cost-sharing data not available. | 5,042 | ||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Advantage Star Plan by RxAmerica - S5644-087 Benefit Details ![]() |
$30.70 | $265 | None | Yes | cost-sharing data not available. | 3,211 | ||
![]() |
![]() |
|||||||
UnitedHealth Rx Basic - S5921-032 Benefit Details ![]() |
$31.10 | $0 | None | Yes | cost-sharing data not available. | 4,605 | ||
![]() |
![]() |
|||||||
CIGNATURE Rx Value Plan - S5617-153 Benefit Details ![]() |
$31.30 | $265 | None | Yes | cost-sharing data not available. | 4,768 | ||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SierraRx Basic - S5917-032 Benefit Details ![]() |
$31.40 | $265 | None | Yes | cost-sharing data not available. | 207 | ||
![]() |
![]() |
|||||||
Educators Rx Basic - S5877-004 Benefit Details ![]() |
$32.10 | $265 | None | cost-sharing data not available. | 514 | |||
![]() |
![]() |
|||||||
NMHC Medicare PDP Gold - S8841-031 Benefit Details ![]() |
$32.40 | $0 | 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 | ||||||
MedicareRx Rewards Plus - S5960-067 Benefit Details ![]() |
$32.90 | $0 | None | cost-sharing data not available. | 426 | |||
![]() |
![]() |
|||||||
UA Medicare Part D Rx Covg - Silver Plan - S5755-069 Benefit Details ![]() |
$34.80 | $265 | None | cost-sharing data not available. | < 10 | |||
![]() |
![]() |
|||||||
Advantage Freedom Plan by RxAmerica - S5644-063 Benefit Details ![]() |
$35.60 | $265 | None | cost-sharing data not available. | 2,189 | |||
![]() |
![]() |
|||||||
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 - S5803-168 Benefit Details ![]() |
$37.00 | $0 | None | cost-sharing data not available. | 851 | |||
![]() |
![]() |
|||||||
Medco YOURx PLAN - S5660-031 Benefit Details ![]() |
$37.10 | $100 | None | cost-sharing data not available. | 521 | |||
![]() |
![]() |
|||||||
AdvantraRx Premier - S5674-051 Benefit Details ![]() |
$37.70 | $0 | None | cost-sharing data not available. | 1,759 | |||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Regence Medicare Script - S5916-001 Benefit Details ![]() |
$37.90 | $265 | None | cost-sharing data not available. | 15,418 | |||
![]() |
![]() |
|||||||
SilverScript Plus - S5601-063 Benefit Details ![]() |
$38.60 | $0 | None | cost-sharing data not available. | 48 | |||
![]() |
![]() |
|||||||
First Health Select - S5768-078 Benefit Details ![]() |
$38.90 | $0 | 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 | ||||||
Sterling Rx - S4802-021 Benefit Details ![]() |
$40.70 | $100 | None | cost-sharing data not available. | 344 | |||
![]() |
![]() |
|||||||
CIGNATURE Rx Plus Plan - S5617-155 Benefit Details ![]() |
$40.80 | $0 | None | cost-sharing data not available. | 355 | |||
![]() |
![]() |
|||||||
Aetna Medicare Rx Plus - S5810-167 Benefit Details ![]() |
$42.50 | $0 | None | cost-sharing data not available. | 194 | |||
![]() |
![]() |
|||||||
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 3 - S5678-101 Benefit Details ![]() |
$43.10 | $0 | Generics | cost-sharing data not available. | 14 | |||
![]() |
![]() |
|||||||
UnitedHealth Rx Extended - S5820-134 Benefit Details ![]() |
$43.70 | $0 | None | cost-sharing data not available. | 666 | |||
![]() |
![]() |
|||||||
UA Medicare Part D Prescription Drug Cov - S5755-034 Benefit Details ![]() |
$44.60 | $0 | None | cost-sharing data not available. | 1,153 | |||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SilverScript Complete - S5601-102 Benefit Details ![]() |
$44.80 | $0 | Generics | cost-sharing data not available. | 37 | |||
![]() |
![]() |
|||||||
Educators Rx Advantage - S5877-007 Benefit Details ![]() |
$45.40 | $50 | None | cost-sharing data not available. | 916 | |||
![]() |
![]() |
|||||||
WellCare Complete - S5967-100 Benefit Details ![]() |
$45.60 | $0 | Generics | cost-sharing data not available. | 140 | |||
![]() |
![]() |
|||||||
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 31 - S5597-228 Benefit Details ![]() |
$45.70 | $0 | Generics | cost-sharing data not available. | 93 | |||
![]() |
![]() |
|||||||
Community Care Rx GOLD - S5803-248 Benefit Details ![]() |
$45.80 | $0 | Generics | cost-sharing data not available. | 708 | |||
![]() |
![]() |
|||||||
EnvisionRxPlus Standard - S7694-031 Benefit Details ![]() |
$47.00 | $265 | None | cost-sharing data not available. | 18 | |||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Premier - S5960-101 Benefit Details ![]() |
$47.40 | $0 | Generics | cost-sharing data not available. | 232 | |||
![]() |
![]() |
|||||||
Regence Medicare Script Enhanced - S5916-002 Benefit Details ![]() |
$48.10 | $0 | Generics | cost-sharing data not available. | 1,778 | |||
![]() |
![]() |
|||||||
AARP MedicareRx Plan - Enhanced - S5921-033 Benefit Details ![]() |
$48.30 | $0 | Generics | cost-sharing data not available. | 880 | |||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SAMAScript - S7950-031 Benefit Details ![]() |
$49.40 | $265 | None | cost-sharing data not available. | < 10 | |||
AdvantraRx Premier Plus - S5674-053 Benefit Details ![]() |
$50.00 | $0 | Generics | cost-sharing data not available. | 2,417 | |||
![]() |
![]() |
|||||||
CIGNATURE Rx Complete Plan - S5617-201 Benefit Details ![]() |
$53.00 | $0 | Generics | cost-sharing data not available. | 158 | |||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Educators Rx Complete - S5877-008 Benefit Details ![]() |
$56.40 | $0 | Generics | cost-sharing data not available. | 79 | |||
![]() |
![]() |
|||||||
Sterling Rx Plus - S4802-064 Benefit Details ![]() |
$69.00 | $100 | Generics | cost-sharing data not available. | 203 | |||
![]() |
![]() |
|||||||
Aetna Medicare Rx Premier - S5810-201 Benefit Details ![]() |
$71.80 | $0 | Generics | cost-sharing data not available. | 585 | |||
![]() |
![]() |
|||||||
Plan Name | Monthly Prem. |
Deduct- ible | Gap Coverage | $0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Complete S5884-059 - S5884-059 Benefit Details ![]() |
$73.20 | $0 | Generics | cost-sharing data not available. | 4,192 | |||
![]() |
![]() |
|||||||
SierraRx Plus - S5917-057 Benefit Details ![]() |
$73.50 | $0 | All Formulary Drugs | cost-sharing data not available. | 2,310 | |||
![]() |
![]() |
|||||||
EnvisionRxPlus Gold - S7694-065 Benefit Details ![]() |
$75.50 | $0 | Generics | cost-sharing data not available. | 139 | |||
![]() |
![]() |
|