2008 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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MedicareRx Rewards Standard - S5960-134 Benefit Details |
$9.80 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | |||
Health Net Orange Option 1 - S5678-001 Benefit Details |
$12.10 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 11,780 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
First Health Part D-Secure - S5768-110 Benefit Details |
$13.00 | $175 | No Gap Coverage | No | cost-sharing data not available. | |||
MedicareRx Rewards Value - S5960-028 Benefit Details |
$14.30 | $0 | No Gap Coverage | Yes | cost-sharing data not available. | 11,666 | ||
SierraRx Basic - S5917-029 Benefit Details |
$14.40 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 7,235 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Standard S5884-086 - S5884-086 Benefit Details |
$15.10 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 28,661 | ||
SierraRx - S5917-004 Benefit Details |
$15.40 | $0 | No Gap Coverage | Yes | cost-sharing data not available. | 2,968 | ||
WellCare Classic - S5967-165 Benefit Details |
$16.20 | $250 | No Gap Coverage | Yes | cost-sharing data not available. | 723 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SilverScript - S5601-056 Benefit Details |
$17.90 | $275 | No Gap Coverage | No | cost-sharing data not available. | 619 | ||
Advantage Star Plan by RxAmerica - S5644-081 Benefit Details |
$18.00 | $275 | No Gap Coverage | No | cost-sharing data not available. | 103 | ||
CIGNA Medicare Rx Plan One - S5617-138 Benefit Details |
$18.20 | $275 | No Gap Coverage | No | cost-sharing data not available. | 1,467 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
UnitedHealth Rx Value - S5820-131 Benefit Details |
$19.20 | $275 | No Gap Coverage | No | cost-sharing data not available. | 732 | ||
HealthSpring Prescription Drug Plan-Reg 28 - S5932-027 Benefit Details |
$19.30 | $275 | No Gap Coverage | No | cost-sharing data not available. | 19 | ||
AdvantraRx Value - S5670-141 Benefit Details |
$19.80 | $0 | No Gap Coverage | No | cost-sharing data not available. | 889 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
WellCare Signature - S5967-062 Benefit Details |
$19.90 | $0 | No Gap Coverage | No | cost-sharing data not available. | 2,164 | ||
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