Information about healthspring prescription drug plan





 

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2010 Medicare Part D Stand-Alone Prescription Drug Plans
========================================================

Data as of September 17, 2009. Includes all contracts/plans regardless
of 2010 approval status. Employer sponsored plans (800 series) are
excluded. Plans under sanction are not shown.
Notes: Data are subject to change as contracts are finalized. Gap
coverage descriptions for the 2010 benefit year have been revised. The
percentage of &“Generic” products and the percentage of “Brand”
products covered in the gap are each separately calculated and the
following descriptions are added: “All”: 100% of drugs are covered
through the gap, “Many”: ≥65% to <100% of drugs are covered through
the gap, “Some”: ≥10% to <65 % of drugs are covered through the gap,
“Few”: >0% to <10% of drugs are covered through the gap (and must also
be >15 products covered through the gap), “No Gap Coverage”: 0% of
drugs are covered through the gap (or ≤15 products covered through the
gap). A label of “All Formulary Drugs” is applied for plans that cover
100% of “Generic” and 100% of “Brand” products (either by covering all
drug products in the gap or by having no initial coverage limit).

Company NameExisting Benchmark PlanNew Benchmark PlanFormer Benchmark
Plan
Plan Name

Benefit Type
$0 Premium
with
Full Low-
Income
Subsidy?

Monthly Drug Premium
Annual
Drug Deductible

Type of
Extra
Coverage
Offered in
the Gap
Contract ID

Plan ID
Aetna Medicare

Aetna Medicare Rx Costco Plus Plan 
Enhanced

$42.00
$0

No Gap Coverage
S5810

207
Aetna Medicare

Aetna Medicare Rx Essentials 
Basic

$50.00
$310

No Gap Coverage
S5810

037
Aetna Medicare

Aetna Medicare Rx Premier 
Enhanced

$117.50
$0

Many
Generics
S5810

173
American Progressive Life & Health Ins Co of NY (See Universal
American)

Prescriba Rx Bronze
S5825

045
American Progressive Life & Health Ins Co of NY (See Universal
American)

Prescriba Rx Gold 
S5825

017
American Progressive Life & Health Ins Co of NY (See Universal
American)

Prescriba Rx Platinum 
S5825

085
Bravo Health Insurance Company

BravoRx 
Basic

•
$30.60

$310
No Gap Coverage

S5998
001

CIGNA Medicare Rx
CIGNA Medicare Rx Plan One

Basic
•

$27.70
$310

No Gap Coverage
S5617

013
CIGNA Medicare Rx

CIGNA Medicare Rx Plan Three 
Enhanced

$71.00
$0

Many Generics,
Few Brand
S5617

173
CIGNA Medicare Rx

CIGNA Medicare Rx Plan Two
Basic

$40.80
$100

No Gap Coverage
S5617

015
Coventry AdvantraRx

AdvantraRx Premier 
Basic

$57.40
$0

No Gap Coverage
S0197

003
Coventry AdvantraRx

AdvantraRx Premier Plus 
Enhanced

$67.20
$0

Many Generics
S0197

005
Coventry AdvantraRx

AdvantraRx Value
Enhanced

$47.10
$100

No Gap Coverage
S0197

002
EnvisionRx Plus

EnvisionRxPlus Gold 
Enhanced

$51.10
$150

No Gap Coverage
S7694

037
EnvisionRx Plus

EnvisionRxPlus Silver
Basic

•
$31.20

$310
No Gap Coverage

S7694
003

First Health Part D
First Health Part D-Premier 

Basic
$38.20

$150
No Gap Coverage

S5569
003

First Health Part D
First Health Part D-Secure 

Enhanced
$19.50

$175
No Gap Coverage

S5569
005

First United American Life Insurance Company
First UA Medicare Part D Prescription Drug

Enhanced
$46.00

$0
No Gap Coverage

S5580
003

First United American Life Insurance Company
First UA Medicare Part D Rx Covg - Silver 

Basic
$38.20

$160
No Gap Coverage

S5580
004

Fox Insurance Company
Fox Value Plan 

Basic
•

$29.30
$310

No Gap Coverage
S5557

034
GHI Medicare PDP

GHI Medicare Prescription Drug Plan 
Basic

•
$27.60

$310
No Gap Coverage

S5966
001

Health Net
Health Net Orange Option 1 

Basic
$37.10

$310
No Gap Coverage

S5678
003

Health Net
Health Net Orange Option 2 

Enhanced
$65.80

$0
No Gap Coverage

S5678
009

HealthNow New York Inc.
SmartHealth RX PDP 

Basic
$35.50

$100
No Gap Coverage

S5585
001

HealthSpring Prescription Drug Plan
HealthSpring Prescription Drug Plan -Reg 3 

Basic
$41.10

$310
No Gap Coverage

S5932
004

HIP Medicare PDP
HIP Enhanced Part D New York 

Enhanced
$68.60

$0
Many Generics

S5741
003

HIP Medicare PDP
HIP Part D New York 

Basic
•

$30.60
$310

No Gap Coverage
S5741

001
Humana Insurance Company of New York

Humana Complete S5552-002
Enhanced

$105.50
$0

Many Generics
S5552

002
Humana Insurance Company of New York

Humana Enhanced S5552-001 
Enhanced

$42.70
$0

No Gap Coverage
S5552

001
Humana Insurance Company of New York

Humana Standard S5552-003
Basic

$59.90
$310

No Gap Coverage
S5552

003
Medco Medicare Prescription Plan

Medco Medicare Prescription Plan - Access 
Enhanced

$77.80
$0

Many Generics
S5983

005
Medco Medicare Prescription Plan

Medco Medicare Prescription Plan - Choice 
Enhanced

$47.20
$100

No Gap Coverage
S5983

001
Medco Medicare Prescription Plan

Medco Medicare Prescription Plan - Value 
Basic

•
$28.00

$310
No Gap Coverage

S5983
004

RxAmerica
Advantage Freedom Plan by RxAmerica

Enhanced
$35.70

$0
No Gap Coverage

S5644
048

RxAmerica
Advantage Star Plan by RxAmerica 

Basic
•

$28.80
$310

No Gap Coverage
S5644

004
SilverScript Insurance Company

CVS Caremark Complete 
Enhanced

$76.70
$0

Many Generics
S5601

074
SilverScript Insurance Company

CVS Caremark Plus 
Enhanced

$51.40
$50

No Gap Coverage
S5601

007
SilverScript Insurance Company

SilverScript Value 
Basic

•
$31.60

$310
No Gap Coverage

S5601
006

Simply Prescriptions
Rx 1 

Basic
$43.70

$310
No Gap Coverage

S3521
001

Simply Prescriptions
Rx 3 

Enhanced
$57.00

$100
No Gap Coverage

S3521
003

Sterling Life Insurance Company
Sterling Rx 

Basic
$64.90

$310
No Gap Coverage

S4802
024

UniCare
MedicareRx Rewards Plus 

Enhanced
$51.40

$0
No Gap Coverage

S5960
141

UniCare
MedicareRx Rewards Standard 

Basic
$38.70

$310
No Gap Coverage

S5960
109

UnitedHealthcare
AARP MedicareRx Enhanced 

Enhanced
$80.10

$0
Many Generics

S5921
213

UnitedHealthcare
AARP MedicareRx Preferred 

Basic
$37.40

$0
No Gap Coverage

S5805
001

UnitedHealthcare
AARP MedicareRx Saver 

Basic
$36.40

$310
No Gap Coverage

S5921
203

UnitedHealthcare
UnitedHealth Rx Basic

Discontinued
S5921

207
Universal American

Community CCRx Basic 
Basic

$33.40
$310

No Gap Coverage
S5803

072
Universal American

Community CCRx Choice 
Enhanced

$36.20
$150

No Gap Coverage
S5803

140
Universal American (formerly American Progressive Life)

Community CCRx Gold 
Enhanced

$81.00
$0

All Generics
S5825

085
Universal American (formerly American Progressive Life)

PrescribaRx Bronze 
Basic

•
$28.30

$310
No Gap Coverage

S5825
045

Universal American (formerly American Progressive Life)
PrescribaRx Gold 

Enhanced
$37.60

$150
No Gap Coverage

S5825
017

Universal American (formerly MEMBERHEALTH)
Community CCRx Gold

Discontinued
S5803

220
WellCare

WellCare Classic
Discontinued

S5967
140

WellCare
WellCare Signature

Discontinued
S5967

037
Medicare Part D Home  Presentations

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