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 Aetna Medicare Rx - Costco Plus Plan | $69.50 | $0 | Some Generics | No | S5810 -139 | $0.00 | $5.00 | $35.00 | $90.00 | 585 members | |||||
Plan changed to S5810-207 for 2010 | --- | tbd | tbd members | ||||||||||||
2009 Advantage Freedom Plan by RxAmerica | $29.30 | $0 | No Gap Coverage | No | S5644 -048 | $4.00 | 35% | 33% | 45% | 4,291 members | |||||
2010 Advantage Freedom Plan by RxAmerica (PDP) | $35.70 | $0 | No Gap Coverage | No | $2.50 | $5.00 | 33% | 33% | tbd members | ||||||
2009 AARP MedicareRx Preferred | $34.80 | $0 | No Gap Coverage | No | S5805 -001 | $7.00 | $38.00 | $80.75 | 33% | 142,332 members | |||||
2010 AARP MedicareRx Preferred (PDP) | $37.40 | $0 | No Gap Coverage | No | $7.00 | $42.00 | $71.25 | 33% | tbd members | ||||||
2009 WellCare Signature | $37.60 | $0 | No Gap Coverage | No | S5967 -037 | $0.00 | $39.00 | $79.00 | 33% | 5,933 members | |||||
2010 WellCare Signature (PDP) | $41.60 | $0 | No Gap Coverage | -- | $0.00 | $42.00 | $85.00 | 33% | tbd members | ||||||
2009 Moved From Plan S5810-139 | S5810 -207 | members | |||||||||||||
2010 Aetna Medicare Rx Costco Plus Plan (PDP) | $42.00 | $0 | No Gap Coverage | No | $2.00 | $29.00 | $32.00 | $80.00 | 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 Humana PDP Enhanced S5552-001 | $36.00 | $0 | No Gap Coverage | No | S5552 -001 | $7.00 | $40.00 | $70.00 | 33% | 26,378 members | |||||
2010 Humana Enhanced S5552-001 (PDP) | $42.70 | $0 | No Gap Coverage | No | $8.00 | $45.00 | 41% | tbd members | |||||||
2009 First UA Medicare Part D Prescription Drug | $40.70 | $0 | No Gap Coverage | No | S5580 -003 | $9.00 | $35.00 | $70.00 | 33% | 6,399 members | |||||
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2010 First UA Medicare Part D Prescription Drug (PDP) | $46.00 | $0 | No Gap Coverage | No | $10.00 | $39.00 | $78.00 | 33% | tbd members | ||||||
-- This plan not offered in 2009 -- | S5960 -141 | ||||||||||||||
2010 MedicareRx Rewards Plus (PDP) | $51.40 | $0 | No Gap Coverage | No | $7.00 | $43.00 | $85.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier | $48.20 | $0 | No Gap Coverage | No | S0197 -003 | $5.00 | $30.00 | $72.00 | 33% | 999 members | |||||
2010 AdvantraRx Premier (PDP) | $57.40 | $0 | No Gap Coverage | No | $13.00 | 19% | 50% | 33% | tbd members | ||||||
2009 Health Net Orange Option 2 | $48.40 | $0 | No Gap Coverage | No | S5678 -009 | $5.00 | $30.00 | $90.00 | 33% | 3,897 members | |||||
2010 Health Net Orange Option 2 (PDP) | $65.80 | $0 | No Gap Coverage | No | $5.00 | $35.00 | $95.00 | 33% | tbd members | ||||||
2009 AdvantraRx Premier Plus | $65.90 | $0 | Many Generics | No | S0197 -005 | $4.00 | $30.00 | $75.00 | 33% | 1,364 members | |||||
2010 AdvantraRx Premier Plus (PDP) | $67.20 | $0 | Many Generics | No | $5.00 | $25.00 | 20% | 75% | 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 HIP Enhanced Part D New York | $39.00 | $0 | Many Generics | No | S5741 -003 | $5.00 | $25.00 | 50% | 25% | 2,013 members | |||||
2010 HIP Enhanced Part D New York (PDP) | $68.60 | $0 | Many Generics | No | $5.00 | $25.00 | 40% | 25% | tbd members | ||||||
2009 CIGNA Medicare Rx Plan Three | $78.70 | $0 | Some Generics | No | S5617 -173 | $6.00 | $35.00 | $60.00 | 33% | 324 members | |||||
2010 CIGNA Medicare Rx Plan Three (PDP) | $71.00 | $0 | Many Generics, Few Brands |
No | $6.00 | $35.00 | $60.00 | 33% | tbd members | ||||||
2009 SilverScript Complete | $68.10 | $0 | Many Generics | No | S5601 -074 | $2.50 | $7.50 | $39.00 | $98.00 | 744 members | |||||
2010 SilverScript CVS Caremark Complete (PDP) | $76.70 | $0 | Many Generics | No | $2.50 | $7.50 | $39.00 | $98.00 | tbd members | ||||||
2009 Medco Medicare Prescription Plan - Access | $69.20 | $0 | All Generics | No | S5983 -005 | $6.00 | $35.00 | 75% | 33% | 552 members | |||||
2010 Medco Medicare Prescription Plan - Access (PDP) | $77.80 | $0 | Many Generics | No | $6.00 | $40.00 | 75% | 33% | tbd members | ||||||
2009 AARP MedicareRx Enhanced | $75.50 | $0 | Many Generics | No | S5921 -213 | $7.00 | $39.00 | $95.00 | 33% | 6,289 members | |||||
2010 AARP MedicareRx Enhanced (PDP) | $80.10 | $0 | Many Generics | No | $7.00 | $42.00 | $90.00 | 33% | tbd members | ||||||
2009 Prescriba Rx Platinum | $69.70 | $0 | All Generics | No | S5825 -085 | $6.00 | $44.00 | 33% | 460 members | ||||||
2010 Community CCRx Gold (PDP) | $81.00 | $0 | All Generics | No | $6.00 | $35.00 | $65.00 | 33% | 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 Humana PDP Complete S5552-002 | $100.80 | $0 | Many Generics | No | S5552 -002 | $7.00 | $40.00 | $70.00 | 33% | 2,724 members | |||||
2010 Humana Complete S5552-002 (PDP) | $105.50 | $0 | Many Generics | No | $7.00 | $45.00 | $75.00 | 33% | tbd members | ||||||
2009 Aetna Medicare Rx Premier | $136.80 | $0 | Many Generics | No | S5810 -173 | $0.00 | $10.00 | $30.00 | $65.00 | 652 members | |||||
2010 Aetna Medicare Rx Premier (PDP) | $117.50 | $0 | Many Generics | No | $8.00 | $37.00 | $38.00 | $88.00 | tbd members | ||||||
2009 UnitedHealth Rx Basic | $45.20 | $0 | No Gap Coverage | No | S5921 -207 | $7.00 | $35.00 | $98.00 | 33% | 2,307 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 MedicareRx Rewards Value | $37.60 | $130 | No Gap Coverage | No | S5960 -003 | $9.50 | $45.00 | $85.00 | 29% | 7,696 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
2009 Community CCRx Gold | $84.50 | $0 | All Generics | No | S5803 -220 | $5.00 | $30.00 | $60.00 | 33% | 727 members | |||||
-- This plan not offered in 2010 -- | |||||||||||||||
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