2009 / 2010 Medicare Part D Plan Information Click here to jump to the Chart Legend | |||||||||||||||
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Plan Name | Monthly Premium |
Deduct- ible |
(Donut Hole) Gap Coverage |
$0 Prem. with Full LIS? |
Plan ID |
Cost-Sharing | Members In This Plan | ||||||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
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-- This plan not offered in 2009 -- | S5557 -054 | ||||||||||||||
2010 Fox Value Plan (PDP) | $27.10 | $310 | No Gap Coverage | Yes | tbd | tbd members | |||||||||
2009 First Health Part D-Premier | $21.10 | $0 | No Gap Coverage | Yes | S5768 -082 | $7.00 | $27.00 | $64.00 | 33% | 98,196 members | |||||
2010 First Health Part D-Premier (PDP) | $27.40 | $150 | No Gap Coverage | Yes | $7.00 | 12% | 42% | 29% | tbd members | ||||||
2009 Advantage Star Plan by RxAmerica | $19.80 | $295 | No Gap Coverage | Yes | S5644 -084 | $5.25 | 25% | 25% | 45% | 103,874 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $27.80 | $310 | No Gap Coverage | Yes | $4.00 | 25% | 25% | 45% | tbd members | ||||||
2009 Blue Cross MedicareRx Value | $28.90 | $130 | No Gap Coverage | No | S5596 -033 | $10.00 | $47.00 | $85.00 | 29% | 36,802 members | |||||
2010 Blue Cross MedicareRx Standard (PDP) | $28.40 | $310 | No Gap Coverage | Yes | $6.50 | 25% | 25% | 25% | tbd members | ||||||
2009 Health Net Orange Option 1 | $24.00 | $295 | No Gap Coverage | Yes | S5678 -002 | $2.00 | $37.00 | $90.00 | 25% | 206,680 members | |||||
2010 Health Net Orange Option 1 (PDP) | $28.40 | $310 | No Gap Coverage | Yes | $4.00 | $33.00 | $95.00 | 25% | tbd members | ||||||
Plan Name | Monthly Premium |
Deduct- ible |
Gap Coverage |
$0 Prem. Full LIS? |
Plan ID |
Cost-Sharing | Plan Members | ||||||||
Service | Exper. | Cost Info | Tier 1 | Tier 2 | Tier 3 | Tier 4 | |||||||||
2009 BravoRx | $24.10 | $295 | No Gap Coverage | Yes | S5998 -013 | 25% | 25% | 25% | 84,994 members | ||||||
2010 BravoRx (PDP) | $28.50 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
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