2009 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 |
Total Formulary Drugs | ||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
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AARP MedicareRx Saver - S5921-247 Benefit Details |
$26.50 | $295 | No Gap Coverage | Yes | Tier 1 - Preferred Generic: $5.00 Tier 2 - Generic and Preferred Brand: $22.00 Tier 3 - Other Non Preferred (Generic, Brand): $71.55 Tier 4 - Specialty (Generic, Brand): 25% | 4,548 Browse Formulary | ||
HealthSpring Prescription Drug Plan-Reg 25 - S5932-024 Benefit Details |
$27.70 | $295 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% | 3,420 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
MedicareBlue Rx Option 1 - S5743-001 Benefit Details |
$29.70 | $295 | No Gap Coverage | Yes | Level 1: Covered Generic: 10% Level 2: Covered Preferred Brand: 22% Level 3: Covered Brand: 50% Covered Specialty: 25% | 3,061 Browse Formulary | ||
First Health Part D-Premier - S5768-122 Benefit Details |
$30.60 | $0 | No Gap Coverage | Yes | Preferred Generic: $7.00 Preferred Brand: $25.00 Non-Preferred Generic/Non-Preferred Brand: $54.00 Specialty-Generic and Brand: 33% | 3,393 Browse Formulary | ||
Prescriba Rx Bronze - S5597-259 Benefit Details |
$30.70 | $295 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 3,223 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Community CCRx Basic - S5803-094 Benefit Details |
$31.00 | $295 | No Gap Coverage | Yes | Generic: $0.00 Preferred Brand: 30% Non-Preferred Brand: 50% | 3,285 Browse Formulary | ||
Aetna Medicare Rx Essentials - S5810-059 Benefit Details |
$31.20 | $180 | No Gap Coverage | Yes | Tier 1 - Preferred Generic: $2.00 Tier 2 - Non-Preferred Generic: $10.00 Tier 3 - Preferred Brand: $22.00 Tier 4 - Non-Preferred Brand: $62.00 Tier 5 - Specialty: 25% | 5,374 Browse Formulary | ||
MedicareRx Rewards Standard - S5960-131 Sanctioned Plan |
$31.60 | $295 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5.: 25% | 41 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
SilverScript Value - S5601-050 Benefit Details |
$31.80 | $295 | No Gap Coverage | Yes | Generic: $8.00 Preferred Brand: $34.75 Non-Preferred Brand: $98.00 Specialty: 25% | 5,320 Browse Formulary | ||
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