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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HIP Standard Part D New York - S5741-001 Benefit Details |
$9.50 | $265 | None | Yes | cost-sharing data not available. | 34,806 | ||
Humana PDP Standard S5552-003 - S5552-003 Benefit Details |
$14.80 | $265 | None | Yes | cost-sharing data not available. | 110,347 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
WellCare Classic - S5967-140 Benefit Details |
$14.90 | $265 | None | Yes | cost-sharing data not available. | 2,270 | ||
AARP MedicareRx Plan - Saver - S5921-203 Benefit Details |
$16.40 | $265 | None | Yes | cost-sharing data not available. | 146,271 | ||
CIGNATURE Rx Value Plan - S5617-013 Benefit Details |
$17.40 | $265 | None | Yes | cost-sharing data not available. | 9,919 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Bravo Rx II - S5998-001 Benefit Details |
$20.80 | $265 | None | Yes | cost-sharing data not available. | 4,094 | ||
Prescription Pathway Gold Plan Reg 3 - S5825-017 Benefit Details |
$21.30 | $0 | None | cost-sharing data not available. | 4,286 | |||
MedicareRx Rewards Value - S5960-003 Benefit Details |
$21.40 | $265 | None | Yes | cost-sharing data not available. | 46,063 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Rx 1 - S3521-001 Benefit Details |
$22.40 | $265 | None | Yes | cost-sharing data not available. | 42,475 | ||
Prescription Pathway Bronze Plan Reg 3 - S5825-045 Benefit Details |
$22.60 | $265 | None | Yes | cost-sharing data not available. | 51,682 | ||
WellCare Signature - S5967-037 Benefit Details |
$22.70 | $0 | None | Yes | cost-sharing data not available. | 54,935 | ||
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 - S5644-004 Benefit Details |
$23.00 | $265 | None | Yes | cost-sharing data not available. | 4,407 | ||
AdvantraRx Value - S0197-002 Benefit Details |
$23.20 | $0 | None | cost-sharing data not available. | 901 | |||
Sterling Rx - S4802-024 Benefit Details |
$23.20 | $100 | None | Yes | cost-sharing data not available. | 130 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
HealthSpring Prescription Drug Plan -Reg 3 - S5932-004 Benefit Details |
$23.50 | $265 | None | Yes | cost-sharing data not available. | 3,988 | ||
First Health Premier - S5569-003 Benefit Details |
$24.60 | $0 | None | cost-sharing data not available. | 42,331 | |||
Community Care Rx BASIC - S5803-072 Benefit Details |
$24.80 | $265 | None | cost-sharing data not available. | 14,841 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
CIGNATURE Rx Plus Plan - S5617-015 Benefit Details |
$25.20 | $0 | None | cost-sharing data not available. | 1,662 | |||
Health Net Orange Option 1 - S5678-003 Benefit Details |
$25.40 | $265 | None | cost-sharing data not available. | 36,495 | |||
SilverScript - S5601-006 Benefit Details |
$26.80 | $265 | None | cost-sharing data not available. | 16,660 | |||
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 - S5810-037 Benefit Details |
$27.10 | $200 | None | cost-sharing data not available. | 450 | |||
AARP MedicareRx Plan - S5805-001 Benefit Details |
$27.40 | $0 | None | cost-sharing data not available. | 119,961 | |||
GHI Medicare Prescription Drug Plan - S5966-001 Benefit Details |
$27.50 | $265 | None | cost-sharing data not available. | 2,212 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Plus - S5960-039 Benefit Details |
$27.60 | $0 | None | cost-sharing data not available. | 594 | |||
Bravo Rx I - S5998-002 Benefit Details |
$27.70 | $0 | None | cost-sharing data not available. | 21 | |||
Advantage Freedom Plan by RxAmerica - S5644-048 Benefit Details |
$27.80 | $265 | None | cost-sharing data not available. | 1,259 | |||
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 - S5678-009 Benefit Details |
$27.90 | $0 | None | cost-sharing data not available. | 5,936 | |||
CDPHP Medicare RxCare - S9176-002 Benefit Details |
$28.10 | $0 | None | cost-sharing data not available. | 17 | |||
CDPHP Medicare Basic RxCare - S9176-001 Benefit Details |
$28.40 | $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 | ||||||
First UA Medicare Part D Rx Covg - Silver - S5580-004 Benefit Details |
$28.70 | $265 | None | cost-sharing data not available. | 136 | |||
UnitedHealth Rx Basic - S5921-207 Benefit Details |
$29.10 | $0 | None | cost-sharing data not available. | 3,625 | |||
Humana PDP Enhanced S5552-001 - S5552-001 Benefit Details |
$29.60 | $0 | None | cost-sharing data not available. | 20,931 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
NMHC Medicare PDP Gold - S8841-003 Benefit Details |
$31.40 | $0 | None | cost-sharing data not available. | 12 | |||
Community Care Rx CHOICE - S5803-140 Benefit Details |
$31.90 | $0 | None | cost-sharing data not available. | 1,237 | |||
AdvantraRx Premier - S0197-003 Benefit Details |
$34.20 | $0 | None | cost-sharing data not available. | 1,095 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Medco YOURx PLAN - S5983-001 Benefit Details |
$34.70 | $100 | None | cost-sharing data not available. | 1,668 | |||
SilverScript Plus - S5601-007 Benefit Details |
$35.30 | $0 | None | cost-sharing data not available. | 2,500 | |||
SmartHealth RX - S5585-001 Benefit Details |
$36.00 | $0 | None | cost-sharing data not available. | 33 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
First UA Medicare Part D Prescription Drug - S5580-003 Benefit Details |
$37.90 | $0 | None | cost-sharing data not available. | 8,279 | |||
Rx 3 - S3521-003 Benefit Details |
$38.40 | $0 | None | cost-sharing data not available. | 1,311 | |||
EnvisionRxPlus Standard - S7694-003 Benefit Details |
$40.50 | $265 | None | cost-sharing data not available. | 25 | |||
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 - S5810-139 Benefit Details |
$41.60 | $0 | None | cost-sharing data not available. | 435 | |||
UnitedHealth Rx Extended - S5805-004 Benefit Details |
$41.70 | $0 | None | cost-sharing data not available. | 1,197 | |||
SAMAScript - S7950-003 Benefit Details |
$44.60 | $265 | None | cost-sharing data not available. | < 10 | |||
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