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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First Health Part D-Secure - S5768-085 Benefit Details |
$14.60 | $175 | No Gap Coverage | No | cost-sharing data not available. | |||
HealthSpring Prescription Drug Plan -Reg 2 - S5932-003 Benefit Details |
$18.80 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 1,122 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SilverScript - S5601-004 Benefit Details |
$21.00 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 38,983 | ||
UnitedHealth Rx Value - S5820-106 Benefit Details |
$21.20 | $275 | No Gap Coverage | No | cost-sharing data not available. | 2,861 | ||
Advantage Star Plan by RxAmerica - S5644-068 Benefit Details |
$21.30 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 1,341 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Value - S5674-008 Benefit Details |
$21.70 | $0 | No Gap Coverage | No | cost-sharing data not available. | 2,484 | ||
Community CCRx Basic - S5803-071 Benefit Details |
$22.80 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 6,158 | ||
Prescription Pathway Bronze Plan Reg 2 - S5597-068 Benefit Details |
$23.70 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 38,816 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Standard S5884-061 - S5884-061 Benefit Details |
$24.00 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 93,504 | ||
MedicareRx Rewards Standard - S5960-108 Benefit Details |
$24.60 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | |||
Humana PDP Enhanced S5884-002 - S5884-002 Benefit Details |
$25.00 | $0 | No Gap Coverage | No | cost-sharing data not available. | 30,902 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Medco Medicare Prescription Plan - Value - S5660-105 Benefit Details |
$25.20 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | |||
Health Net Orange Option 1 - S5678-004 Benefit Details |
$25.40 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 21,995 | ||
Aetna Medicare Rx Essentials - S5810-036 Benefit Details |
$25.50 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 268 | ||
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-Premier - S5768-038 Benefit Details |
$27.00 | $0 | No Gap Coverage | Yes | cost-sharing data not available. | 108 | ||
MedicareRx Rewards Value - S5960-002 Benefit Details |
$27.10 | $0 | No Gap Coverage | Yes | cost-sharing data not available. | 30,920 | ||
Advantage Freedom Plan by RxAmerica - S5644-047 Benefit Details |
$27.30 | $0 | No Gap Coverage | No | cost-sharing data not available. | 1,779 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
WellCare Classic - S5967-139 Benefit Details |
$27.60 | $250 | No Gap Coverage | Yes | cost-sharing data not available. | 1,963 | ||
Prescription Pathway Gold Plan Reg 2 - S5597-035 Benefit Details |
$29.00 | $0 | No Gap Coverage | No | cost-sharing data not available. | 1,397 | ||
Sterling Rx - S4802-023 Benefit Details |
$29.30 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 40 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Saver - S5921-181 Benefit Details |
$31.00 | $275 | No Gap Coverage | No | cost-sharing data not available. | 2,441 | ||
Blue MedicareRx Value - S2893-014 Benefit Details |
$31.40 | $275 | No Gap Coverage | No | cost-sharing data not available. | 36,836 | ||
WellCare Signature - S5967-036 Benefit Details |
$31.50 | $0 | No Gap Coverage | No | cost-sharing data not available. | 49,146 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
CIGNA Medicare Rx Plan One - S5617-008 Benefit Details |
$32.90 | $275 | No Gap Coverage | No | cost-sharing data not available. | 4,147 | ||
AARP MedicareRx Preferred - S5820-002 Benefit Details |
$34.00 | $0 | No Gap Coverage | No | cost-sharing data not available. | 159,360 | ||
CIGNA Medicare Rx Plan Two - S5617-010 Benefit Details |
$34.60 | $0 | No Gap Coverage | No | cost-sharing data not available. | 1,198 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Premier - S5674-009 Benefit Details |
$35.00 | $0 | No Gap Coverage | No | cost-sharing data not available. | 4,402 | ||
UA Medicare Part D Rx Covg - Silver Plan - S5755-041 Benefit Details |
$35.10 | $150 | No Gap Coverage | No | cost-sharing data not available. | 86 | ||
Health Net Orange Option 2 - S5678-010 Benefit Details |
$38.00 | $0 | No Gap Coverage | No | cost-sharing data not available. | 21,989 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
UnitedHealth Rx Basic - S5921-182 Benefit Details |
$38.50 | $0 | No Gap Coverage | No | cost-sharing data not available. | 36,806 | ||
Blue MedicareRx Value Plus - S2893-001 Benefit Details |
$38.60 | $0 | No Gap Coverage | No | cost-sharing data not available. | 43,637 | ||
UA Medicare Part D Prescription Drug Cov - S5755-006 Benefit Details |
$39.70 | $0 | No Gap Coverage | No | cost-sharing data not available. | 4,195 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Medco Medicare Prescription Plan - Choice - S5660-003 Benefit Details |
$41.00 | $0 | No Gap Coverage | No | cost-sharing data not available. | 3,761 | ||
SilverScript Plus - S5601-005 Benefit Details |
$41.70 | $0 | All Generics | No | cost-sharing data not available. | 511 | ||
First Health Part D-Select - S5768-050 Benefit Details |
$42.60 | $0 | All Preferred Generics | No | cost-sharing data not available. | 147 | ||
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 - S5810-138 Benefit Details |
$42.70 | $0 | No Gap Coverage | No | cost-sharing data not available. | 341 | ||
Community CCRx Choice - S5803-139 Benefit Details |
$43.70 | $0 | No Gap Coverage | No | cost-sharing data not available. | 1,608 | ||
Advantage Allegiance Plan by RxAmerica - S5644-287 Benefit Details |
$43.80 | $0 | All Preferred Generics | No | cost-sharing data not available. | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Community CCRx Gold - S5803-219 Benefit Details |
$44.80 | $0 | All Generics | No | cost-sharing data not available. | 675 | ||
AdvantraRx Premier Plus - S5674-011 Benefit Details |
$47.50 | $0 | All Preferred Generics | No | cost-sharing data not available. | 6,423 | ||
SilverScript Complete - S5601-073 Benefit Details |
$54.50 | $0 | All Generics | No | cost-sharing data not available. | 230 | ||
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 2 - S5597-200 Benefit Details |
$63.10 | $0 | All Generics | No | cost-sharing data not available. | 343 | ||
AARP MedicareRx Enhanced - S5921-183 Benefit Details |
$63.40 | $0 | All Preferred Generics | No | cost-sharing data not available. | 3,697 | ||
EnvisionRxPlus Standard - S7694-002 Benefit Details |
$64.50 | $275 | No Gap Coverage | No | cost-sharing data not available. | 66 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Medco Medicare Prescription Plan - Access - S5660-173 Benefit Details |
$68.60 | $0 | All Generics | No | cost-sharing data not available. | |||
Sterling Rx Plus - S4802-035 Benefit Details |
$72.50 | $100 | All Generics | No | cost-sharing data not available. | 138 | ||
Blue MedicareRx Premier - S2893-003 Benefit Details |
$73.00 | $0 | Some Generics | No | cost-sharing data not available. | 26,178 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
CIGNA Medicare Rx Plan Three - S5617-172 Benefit Details |
$78.60 | $0 | Some Generics | No | cost-sharing data not available. | 651 | ||
Aetna Medicare Rx Premier - S5810-172 Benefit Details |
$93.30 | $0 | All Generics | No | cost-sharing data not available. | 1,157 | ||
Humana PDP Complete S5884-031 - S5884-031 Benefit Details |
$95.10 | $0 | All Preferred Generics | No | cost-sharing data not available. | 7,722 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
EnvisionRxPlus Gold - S7694-036 Benefit Details |
$99.50 | $0 | All Preferred Generics | No | cost-sharing data not available. | 779 | ||
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