2010 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 |
Total Formulary Drugs | ||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
||||||
GHI Medicare Prescription Drug Plan (PDP) - S5966-001 Benefit Details |
$27.60 | $310 | No Gap Coverage | Yes | Tier #1: $5.00 Tier #2: 25% Tier #3: 40% Tier #4: 25% | 4,852 Browse Formulary | ||
CIGNA Medicare Rx Plan One (PDP) - S5617-013 Benefit Details |
$27.70 | $310 | No Gap Coverage | Yes | Tier 1: $3.00 Tier 2: $30.00 Tier 3: $74.00 Tier 4: 25% | 3,458 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Medco Medicare Prescription Plan - Value (PDP) - S5983-004 Benefit Details |
$28.00 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 3,061 Browse Formulary | ||
PrescribaRx Bronze (PDP) - S5825-045 Benefit Details |
$28.30 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,852 Browse Formulary | ||
Advantage Star Plan by RxAmerica (PDP) - S5644-004 Benefit Details |
$28.80 | $310 | No Gap Coverage | Yes | Preferred Generic: $5.00 Preferred Brand: 25% Specialty: 25% Non-Preferred: 45% | 2,629 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
Fox Value Plan (PDP) - S5557-034 Sanctioned Plan |
$29.30 | $310 | No Gap Coverage | Yes | Tier 1: 0% Tier 2: 50% Tier 3: 35% Tier 4: 60% Tier 5: 25% | 2,857 Browse Formulary | ||
BravoRx (PDP) - S5998-001 Benefit Details |
$30.60 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 2,912 Browse Formulary | ||
HIP Part D New York (PDP) - S5741-001 Benefit Details |
$30.60 | $310 | No Gap Coverage | Yes | Tier #1: $4.00 Tier #2: 25% Tier #3: 40% Tier #4: 25% | 4,852 Browse Formulary | ||
Plan Name | Monthly Prem. |
Deduct- ible |
Gap Coverage |
$0 Prem LIS? |
Preferred Pharmacy Copay/ Coinsurance |
Total Drugs | ||
Service | Exper. | Cost Info | ||||||
EnvisionRxPlus Silver (PDP) - S7694-003 Benefit Details |
$31.20 | $310 | No Gap Coverage | Yes | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25% | 2,318 Browse Formulary | ||
SilverScript Value (PDP) - S5601-006 Benefit Details |
$31.60 | $310 | No Gap Coverage | Yes | Generic Tier: $8.00 Preferred Brand Tier: $23.50 Non-Preferred Brand Tier: $95.00 Specialty Tier: 25% | 3,178 Browse Formulary | ||
|