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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2009 GHI Medicare Prescription Drug Plan | $19.60 | $295 | No Gap Coverage | Yes | S5966 -001 | 25% | 25% | 25% | 25% | 54,000 members | |||||
2010 GHI Medicare Prescription Drug Plan (PDP) | $27.60 | $310 | No Gap Coverage | Yes | $5.00 | 25% | 40% | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan One | $27.30 | $295 | No Gap Coverage | Yes | S5617 -013 | $2.00 | $25.00 | $72.50 | 25% | 77,928 members | |||||
2010 CIGNA Medicare Rx Plan One (PDP) | $27.70 | $310 | No Gap Coverage | Yes | $3.00 | $30.00 | $74.00 | 25% | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Value | $25.90 | $295 | No Gap Coverage | Yes | S5983 -004 | 23% | 23% | 53% | 25% | 39,773 members | |||||
2010 Medco Medicare Prescription Plan - Value (PDP) | $28.00 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 Prescriba Rx Bronze | $25.30 | $295 | No Gap Coverage | Yes | S5825 -045 | 25% | 25% | 25% | 98,779 members | ||||||
2010 PrescribaRx Bronze (PDP) | $28.30 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 Advantage Star Plan by RxAmerica | $25.30 | $295 | No Gap Coverage | Yes | S5644 -004 | $5.50 | 25% | 25% | 45% | 56,386 members | |||||
2010 Advantage Star Plan by RxAmerica (PDP) | $28.80 | $310 | No Gap Coverage | Yes | $5.00 | 25% | 25% | 45% | 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 | |||||||||
-- This plan not offered in 2009 -- | S5557 -034 | ||||||||||||||
2010 Fox Value Plan (PDP) | $29.30 | $310 | No Gap Coverage | Yes | tbd | tbd members | |||||||||
2009 BravoRx | $27.50 | $295 | No Gap Coverage | Yes | S5998 -001 | 25% | 25% | 25% | 45,953 members | ||||||
2010 BravoRx (PDP) | $30.60 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | tbd members | |||||||
2009 HIP Part D New York | $21.00 | $295 | No Gap Coverage | Yes | S5741 -001 | $5.00 | 25% | 40% | 25% | 23,691 members | |||||
2010 HIP Part D New York (PDP) | $30.60 | $310 | No Gap Coverage | Yes | $4.00 | 25% | 40% | 25% | tbd members | ||||||
2009 EnvisionRxPlus Silver | $32.00 | $295 | No Gap Coverage | No | S7694 -003 | $4.00 | $30.00 | $20.00 | $75.00 | 52 members | |||||
2010 EnvisionRxPlus Silver (PDP) | $31.20 | $310 | No Gap Coverage | Yes | 25% | 25% | 25% | 25% | tbd members | ||||||
2009 SilverScript Value | $26.10 | $295 | No Gap Coverage | Yes | S5601 -006 | $8.00 | $33.75 | $98.00 | 25% | 81,381 members | |||||
2010 SilverScript Value (PDP) | $31.60 | $310 | No Gap Coverage | Yes | $8.00 | $23.50 | $95.00 | 25% | tbd members | ||||||
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