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 - S5768-088 Benefit Details |
$15.40 | $175 | No Gap Coverage | No | cost-sharing data not available. | |||
Advantage Star Plan by RxAmerica - S5644-072 Benefit Details |
$20.40 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 15,516 | ||
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 6 - S5932-006 Benefit Details |
$20.50 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 1,759 | ||
MedicareRx Rewards Standard - S5960-112 Benefit Details |
$20.90 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | |||
SilverScript - S5601-012 Benefit Details |
$21.60 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 15,573 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
UnitedHealth Rx Value - S5820-109 Benefit Details |
$22.60 | $275 | No Gap Coverage | No | cost-sharing data not available. | 2,455 | ||
AdvantraRx Value - S5670-033 Benefit Details |
$22.90 | $0 | No Gap Coverage | No | cost-sharing data not available. | 4,195 | ||
Secure Rx - Option 4 - S8067-004 Benefit Details |
$23.80 | $275 | No Gap Coverage | Yes | 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 | ||||||
Prescription Pathway Bronze Plan Reg 6 - S5597-071 Benefit Details |
$24.50 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 17,015 | ||
BravoRx - S5998-005 Benefit Details |
$24.70 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 2,063 | ||
Medco Medicare Prescription Plan - Value - S5660-108 Benefit Details |
$24.90 | $275 | No Gap Coverage | Yes | 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 | ||||||
AARP MedicareRx Saver - S5921-091 Benefit Details |
$25.20 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 30,286 | ||
Humana PDP Enhanced S5884-005 - S5884-005 Benefit Details |
$25.20 | $0 | No Gap Coverage | No | cost-sharing data not available. | 67,309 | ||
Community CCRx Basic - S5803-075 Benefit Details |
$25.50 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 42,522 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
BlueRx Value - S5593-004 Benefit Details |
$25.60 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 3,680 | ||
Humana PDP Standard S5884-064 - S5884-064 Benefit Details |
$26.20 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 79,262 | ||
MedicareRx Rewards Value - S5960-006 Benefit Details |
$26.40 | $0 | No Gap Coverage | Yes | cost-sharing data not available. | 18,030 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Advantage Freedom Plan by RxAmerica - S5644-051 Benefit Details |
$26.50 | $0 | No Gap Coverage | No | cost-sharing data not available. | 2,168 | ||
AmeriHealth Advantage Rx Option I - S2770-001 Benefit Details |
$26.50 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 41,702 | ||
Health Net Orange Option 1 - S5678-018 Benefit Details |
$26.80 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 991 | ||
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 - S5617-028 Benefit Details |
$27.00 | $275 | No Gap Coverage | Yes | cost-sharing data not available. | 6,825 | ||
WellCare Classic - S5967-143 Benefit Details |
$27.40 | $250 | No Gap Coverage | Yes | cost-sharing data not available. | 990 | ||
UPMC for Life Prescription Drug Plan - S3389-005 Benefit Details |
$27.50 | $0 | No Gap Coverage | Yes | cost-sharing data not available. | 2,027 | ||
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 - S5810-040 Benefit Details |
$27.70 | $275 | No Gap Coverage | No | cost-sharing data not available. | 15,278 | ||
BlueRx Plus - S5593-002 Benefit Details |
$27.70 | $0 | No Gap Coverage | No | cost-sharing data not available. | 92,820 | ||
Prescription Pathway Gold Plan Reg 6 - S5597-038 Benefit Details |
$28.10 | $0 | No Gap Coverage | No | cost-sharing data not available. | 2,286 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Health Net Value Orange Option 2 - S5678-017 Benefit Details |
$28.40 | $0 | No Gap Coverage | No | cost-sharing data not available. | 1,020 | ||
SecureRx - Option 3 - S8067-001 Benefit Details |
$28.50 | $0 | No Gap Coverage | No | cost-sharing data not available. | 6,944 | ||
Geisinger Gold Rx 2 - S4248-002 Benefit Details |
$28.60 | $175 | No Gap Coverage | No | cost-sharing data not available. | 1,090 | ||
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 - S5768-009 Benefit Details |
$28.80 | $0 | No Gap Coverage | No | cost-sharing data not available. | 25,147 | ||
AARP MedicareRx Preferred - S5820-005 Benefit Details |
$29.70 | $0 | No Gap Coverage | No | cost-sharing data not available. | 133,424 | ||
Medco Medicare Prescription Plan - Choice - S5660-005 Benefit Details |
$29.70 | $0 | No Gap Coverage | No | cost-sharing data not available. | 4,571 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
WellCare Signature - S5967-040 Benefit Details |
$30.50 | $0 | No Gap Coverage | No | cost-sharing data not available. | 25,595 | ||
Geisinger Gold Rx 1 - S4248-001 Benefit Details |
$31.20 | $275 | No Gap Coverage | No | cost-sharing data not available. | 836 | ||
Sterling Rx - S4802-003 Benefit Details |
$31.20 | $275 | No Gap Coverage | No | 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 | ||||||
CIGNA Medicare Rx Plan Two - S5617-030 Benefit Details |
$31.40 | $0 | No Gap Coverage | No | cost-sharing data not available. | 1,459 | ||
AdvantraRx Premier - S5670-034 Benefit Details |
$36.00 | $0 | No Gap Coverage | No | cost-sharing data not available. | 9,400 | ||
SilverScript Plus - S5601-013 Benefit Details |
$36.90 | $0 | All Generics | No | cost-sharing data not available. | 205 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
UA Medicare Part D Rx Covg - Silver Plan - S5755-044 Benefit Details |
$38.30 | $140 | No Gap Coverage | No | cost-sharing data not available. | 54 | ||
SierraRx Basic - S5917-011 Benefit Details |
$39.20 | $275 | No Gap Coverage | No | cost-sharing data not available. | 31 | ||
AmeriHealth Rx Option I - S2321-001 Benefit Details |
$39.80 | $275 | No Gap Coverage | No | cost-sharing data not available. | 3,769 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Community CCRx Choice - S5803-143 Benefit Details |
$42.10 | $0 | No Gap Coverage | No | cost-sharing data not available. | 1,512 | ||
Aetna Medicare Rx Plus - S5810-142 Benefit Details |
$42.30 | $0 | No Gap Coverage | No | cost-sharing data not available. | 958 | ||
UA Medicare Part D Prescription Drug Cov - S5755-009 Benefit Details |
$43.20 | $0 | No Gap Coverage | No | cost-sharing data not available. | 5,447 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
UnitedHealth Rx Basic - S5921-092 Benefit Details |
$43.50 | $0 | No Gap Coverage | No | cost-sharing data not available. | 17,366 | ||
First Health Part D-Select - S5768-053 Benefit Details |
$44.10 | $0 | All Preferred Generics | No | cost-sharing data not available. | 87 | ||
SilverScript Complete - S5601-077 Benefit Details |
$45.40 | $0 | All Generics | No | cost-sharing data not available. | 184 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
UPMC for Life PDP Enhanced - S3389-006 Benefit Details |
$45.50 | $0 | All Generics | No | cost-sharing data not available. | 202 | ||
Advantage Allegiance Plan by RxAmerica - S5644-291 Benefit Details |
$47.30 | $0 | All Preferred Generics | No | cost-sharing data not available. | |||
Community CCRx Gold - S5803-223 Benefit Details |
$48.10 | $0 | All Generics | No | cost-sharing data not available. | 1,278 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Premier Plus - S5670-036 Benefit Details |
$48.80 | $0 | All Preferred Generics | No | cost-sharing data not available. | 7,653 | ||
AmeriHealth Rx Option II - S2321-002 Benefit Details |
$51.50 | $0 | No Gap Coverage | No | cost-sharing data not available. | 1,420 | ||
SecureRx - Option 1 - S8067-003 Benefit Details |
$55.80 | $0 | All Generics | No | cost-sharing data not available. | 2,396 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
BlueRx Complete - S5593-003 Benefit Details |
$59.00 | $0 | All Generics | No | cost-sharing data not available. | 28,119 | ||
Prescription Pathway Platinum Plan Reg 6 - S5597-203 Benefit Details |
$59.50 | $0 | All Generics | No | cost-sharing data not available. | 1,060 | ||
EnvisionRxPlus Standard - S7694-006 Benefit Details |
$63.00 | $275 | No Gap Coverage | No | cost-sharing data not available. | 51 | ||
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 - S5617-176 Benefit Details |
$63.10 | $0 | Some Generics | No | cost-sharing data not available. | 614 | ||
AARP MedicareRx Enhanced - S5921-093 Benefit Details |
$63.30 | $0 | All Preferred Generics | No | cost-sharing data not available. | 4,346 | ||
Medco Medicare Prescription Plan - Access - S5660-176 Benefit Details |
$63.50 | $0 | All 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 | ||||||
Aetna Medicare Rx Premier - S5810-176 Benefit Details |
$77.20 | $0 | All Generics | No | cost-sharing data not available. | 3,395 | ||
Sterling Rx Plus - S4802-039 Benefit Details |
$78.70 | $100 | All Generics | No | cost-sharing data not available. | 127 | ||
Humana PDP Complete S5884-034 - S5884-034 Benefit Details |
$91.00 | $0 | All Preferred Generics | No | cost-sharing data not available. | 10,386 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
EnvisionRxPlus Gold - S7694-040 Benefit Details |
$99.00 | $0 | All Preferred Generics | No | cost-sharing data not available. | 557 | ||
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