2007 Medicare Part D Plan Information Click here to jump to the Chart Legend & Search Tips | ||||||||
---|---|---|---|---|---|---|---|---|
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 |
||||||
Humana PDP Standard S5884-077 - S5884-077 Benefit Details |
$13.90 | $265 | None | Yes | cost-sharing data not available. | 41,994 | ||
WellCare Classic - S5967-156 Benefit Details |
$15.30 | $265 | None | Yes | cost-sharing data not available. | 279 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Windsor Rx - S2505-003 Benefit Details |
$17.00 | $0 | None | Yes | cost-sharing data not available. | 431 | ||
Humana PDP Enhanced S5884-017 - S5884-017 Benefit Details |
$20.00 | $0 | None | cost-sharing data not available. | 27,041 | |||
WellCare Signature - S5967-053 Benefit Details |
$23.20 | $0 | None | Yes | cost-sharing data not available. | 9,563 | ||
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 - S5644-194 Benefit Details |
$23.30 | $265 | None | Yes | cost-sharing data not available. | 143 | ||
AARP MedicareRx Plan - Saver - S5921-311 Benefit Details |
$23.80 | $265 | None | Yes | cost-sharing data not available. | 8,420 | ||
AARP MedicareRx Plan - S5820-036 Benefit Details |
$24.40 | $0 | None | cost-sharing data not available. | 79 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
CIGNATURE Rx Value Plan - S5617-093 Benefit Details |
$24.60 | $265 | None | Yes | cost-sharing data not available. | 8,308 | ||
Prescription Pathway Gold Plan Reg 19 - S5597-051 Benefit Details |
$24.60 | $0 | None | cost-sharing data not available. | 373 | |||
AARP MedicareRx Plan - Saver - S5820-149 Benefit Details |
$25.60 | $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 | ||||||
AdvantraRx Value - S5670-099 Benefit Details |
$25.80 | $0 | None | cost-sharing data not available. | 1,067 | |||
First Health Premier - S5768-043 Benefit Details |
$26.00 | $0 | None | Yes | cost-sharing data not available. | 331 | ||
HealthSpring Prescription Drug Plan-Reg 19 - S5932-018 Benefit Details |
$26.00 | $265 | None | Yes | cost-sharing data not available. | 262 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Medi-Pak Rx Basic - S5795-003 Benefit Details |
$26.10 | $75 | None | Yes | cost-sharing data not available. | 10,723 | ||
Prescription Pathway Bronze Plan Reg 19 - S5597-084 Benefit Details |
$26.40 | $265 | None | Yes | cost-sharing data not available. | 4,527 | ||
SilverScript - S5601-038 Benefit Details |
$26.80 | $265 | None | Yes | cost-sharing data not available. | 5,974 | ||
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 - S5644-180 Benefit Details |
$28.10 | $265 | None | Yes | cost-sharing data not available. | 140 | ||
Health Net Orange Option 1 - S5678-044 Benefit Details |
$28.20 | $265 | None | Yes | cost-sharing data not available. | 277 | ||
Windsor Rx Plus - S2505-004 Benefit Details |
$29.00 | $0 | Generics | cost-sharing data not available. | 150 | |||
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 - S5810-053 Benefit Details |
$29.70 | $210 | None | Yes | cost-sharing data not available. | 562 | ||
Fox Rx Care Choice Plan - S5557-006 Benefit Details |
$30.00 | $210 | None | Yes | cost-sharing data not available. | 238 | ||
UA Medicare Part D Rx Covg - Silver Plan - S5755-057 Benefit Details |
$30.30 | $265 | None | Yes | cost-sharing data not available. | 4,577 | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
MedicareRx Rewards Value - S5960-019 Benefit Details |
$30.50 | $265 | None | Yes | cost-sharing data not available. | 5,700 | ||
Health Net Orange Option 2 - S5678-043 Benefit Details |
$31.20 | $0 | None | cost-sharing data not available. | 29 | |||
Medco YOURx PLAN - S5660-019 Benefit Details |
$31.40 | $100 | None | cost-sharing data not available. | 6,070 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Community Care Rx BASIC - S5803-088 Benefit Details |
$31.60 | $265 | None | cost-sharing data not available. | 36,970 | |||
NMHC Medicare PDP Gold - S8841-019 Benefit Details |
$31.60 | $0 | None | cost-sharing data not available. | 14 | |||
AARP MedicareRx Plan - S5820-018 Benefit Details |
$31.80 | $0 | None | cost-sharing data not available. | 29,510 | |||
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 - S5617-095 Benefit Details |
$33.20 | $0 | None | cost-sharing data not available. | 636 | |||
Medi-Pak Rx Classic - S5795-006 Benefit Details |
$33.40 | $0 | None | cost-sharing data not available. | 6,818 | |||
UnitedHealth Rx Basic - S5921-312 Benefit Details |
$34.00 | $0 | None | cost-sharing data not available. | 847 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SierraRx Basic - S5917-021 Benefit Details |
$35.50 | $265 | None | cost-sharing data not available. | 11 | |||
Sterling Rx - S4802-011 Benefit Details |
$35.50 | $100 | None | cost-sharing data not available. | 129 | |||
WellCare Complete - S5967-087 Benefit Details |
$35.70 | $0 | Generics | cost-sharing data not available. | 790 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
SilverScript Plus - S5601-039 Benefit Details |
$36.70 | $0 | None | cost-sharing data not available. | 80 | |||
AdvantraRx Premier - S5670-100 Benefit Details |
$37.40 | $0 | None | cost-sharing data not available. | 3,174 | |||
MedicareRx Rewards Plus - S5960-055 Benefit Details |
$37.60 | $0 | None | cost-sharing data not available. | 152 | |||
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 Prescription Drug Cov - S5755-022 Benefit Details |
$39.60 | $0 | None | cost-sharing data not available. | 2,187 | |||
Community Care Rx CHOICE - S5803-156 Benefit Details |
$39.70 | $0 | None | cost-sharing data not available. | 7,822 | |||
SilverScript Complete - S5601-090 Benefit Details |
$42.20 | $0 | Generics | cost-sharing data not available. | 265 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AARP MedicareRx Plan - Enhanced - S5820-144 Benefit Details |
$42.50 | $0 | Generics | cost-sharing data not available. | < 10 | |||
First Health Select - S5768-066 Benefit Details |
$42.80 | $0 | Generics | cost-sharing data not available. | 73 | |||
Aetna Medicare Rx Plus - S5810-155 Benefit Details |
$42.90 | $0 | None | cost-sharing data not available. | 168 | |||
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 3 - S5678-091 Benefit Details |
$42.90 | $0 | Generics | cost-sharing data not available. | 41 | |||
EnvisionRxPlus Standard - S7694-019 Benefit Details |
$43.50 | $265 | None | cost-sharing data not available. | < 10 | |||
CIGNATURE Rx Complete Plan - S5617-189 Benefit Details |
$44.10 | $0 | Generics | cost-sharing data not available. | 294 | |||
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 19 - S5597-216 Benefit Details |
$45.80 | $0 | Generics | cost-sharing data not available. | 148 | |||
UnitedHealth Rx Extended - S5820-122 Benefit Details |
$46.10 | $0 | None | cost-sharing data not available. | 650 | |||
Community Care Rx GOLD - S5803-236 Benefit Details |
$48.40 | $0 | Generics | cost-sharing data not available. | 3,292 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
AdvantraRx Premier Plus - S5670-102 Benefit Details |
$48.60 | $0 | Generics | cost-sharing data not available. | 1,517 | |||
SAMAScript - S7950-019 Benefit Details |
$48.70 | $265 | None | cost-sharing data not available. | < 10 | |||
Fox Rx Care Comprehensive Plan - S5557-011 Benefit Details |
$50.30 | $0 | Generics | 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 | ||||||
AARP MedicareRx Plan - Enhanced - S5921-313 Benefit Details |
$50.40 | $0 | Generics | cost-sharing data not available. | 716 | |||
Medi-Pak Rx Premier - S5795-002 Benefit Details |
$50.40 | $0 | Generics | cost-sharing data not available. | 6,514 | |||
MedicareRx Rewards Premier - S5960-089 Benefit Details |
$52.80 | $0 | Generics | cost-sharing data not available. | 100 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Sterling Rx Plus - S4802-052 Benefit Details |
$64.50 | $100 | Generics | cost-sharing data not available. | 75 | |||
EnvisionRxPlus Gold - S7694-053 Benefit Details |
$68.00 | $0 | Generics | cost-sharing data not available. | 29 | |||
Aetna Medicare Rx Premier - S5810-189 Benefit Details |
$72.70 | $0 | Generics | cost-sharing data not available. | 748 | |||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
State Members | ||
Service | Exper. | Cost Info | ||||||
Humana PDP Complete S5884-047 - S5884-047 Benefit Details |
$76.40 | $0 | Generics | cost-sharing data not available. | 5,327 | |||
SierraRx Plus - S5917-046 Benefit Details |
$93.20 | $0 | All Formulary Drugs | cost-sharing data not available. | 1,146 | |||
|