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BBBOnline


2008 California Medicare Part D Plans

California State Flag - Medicare Part D Providers California .
It's thought that the name California comes from a sixteenth century novel, Las Sergas de Esplandian by Garcia Ordonez de Montalvo. Spanish explorers Hernando Cortez and Ortuno Ximenez were familiar with the work of Montalvo and probably named the territory after the gold laden island described in the novel. (Source: Shearer, Benjamin F. and Barbara S. State Names, Seals, Flags and Symbols Greenwood Press, Westport, Connecticut - 2001)

2008 Medicare Part D Plans for Residents of California

California is CMS Region 32.

Below is a summary of the national Medicare Prescription Drug plans (PDP) for California.

: : Click here to view the 2008 California national and regional plan details
    (copays/ coinsurance, plan ratings, 2009 enrollment figures, etc. in a separate window)

: : Click here to compare 2008 California plan details with the 2007 plans
: : Click here to show 2008 Medicare Part D plans for a different state


2008 Medicare Part D - California Plan Information
:: Print Version     :: 2009 Plans     :: 2007 Plans     :: 2006 Plans
Plan Name Monthly
Premium
Deductible Qualifies
for $0
Premium
with Full
Low-Income
Subsidy?
Coverage Gap
(Donut Hole)
Coverage
Benefit Type
Available
Plan ID
Aetna Life Insurance Company
  :: Aetna Preferred Drug List (Formulary)
:: Summary of Benefits All Aetna Plans
:: Pharmacy List
Aetna Medicare Rx Essentials$26.60$275NoNo Gap CoverageBasicS5810-066
Aetna Medicare Rx Plus$43.00$0NoNo Gap CoverageEnhancedS5810-168
Aetna Medicare Rx Premier$98.80$0NoAll GenericsEnhancedS5810-202
Cigna Insurance Company
:: Summary of Benefits All Cignature Plans
:: Cignature Value Plan Formulary
:: Cignature Plus Formulary
 
CIGNA Medicare Rx Plan One$32.90$275NoNo Gap CoverageBasicS5617-158
CIGNA Medicare Rx Plan Two$35.10$0NoNo Gap CoverageEnhancedS5617-160
CIGNA Medicare Rx Plan Three$67.90$0NoSome GenericsEnhancedS5617-202
Coventry AdvantraRx
  :: AdvantraRx Formulary
:: Summary of Benefits All Plans  
AdvantraRx Value$20.70$0NoNo Gap CoverageEnhancedS5674-056
AdvantraRx Premier$34.40$0NoNo Gap CoverageBasicS5674-057
AdvantraRx Premier Plus$46.80$0NoAll Preferred GenericsEnhancedS5674-059
EnvisionRx Plus
EnvisionRxPlus Standard$68.50$275NoNo Gap CoverageBasicS7694-032
EnvisionRxPlus Gold$99.50$0NoAll Preferred GenericsEnhancedS7694-066
First Health Part D
First Health Part D-Secure$14.30$175NoNo Gap CoverageEnhancedS5768-114
First Health Part D-Premier$19.60$0YesNo Gap CoverageBasicS5768-082
First Health Part D-Select$42.30$0NoAll Preferred GenericsEnhancedS5768-079
Health Net
Health Net Orange Option 1$16.70$275YesNo Gap CoverageBasicS5678-002
Health Net Orange Option 2$30.20$0NoNo Gap CoverageBasicS5678-008
Humana Health Insurance Company
  :: Humana Formulary
:: Humana Summary of Benefits All 3 Plans (Prescription Drug Guide)
Humana PDP Standard S5884-090$23.00$275NoNo Gap CoverageBasicS5884-090
Humana PDP Enhanced S5884-030$26.40$0NoNo Gap CoverageEnhancedS5884-030
Humana PDP Complete S5884-060$102.70$0NoAll Preferred GenericsEnhancedS5884-060
Medco Medicare Prescription Plan
Medco Medicare Prescription Plan - Value$24.10$275NoNo Gap CoverageBasicS5660-134
Medco Medicare Prescription Plan - Choice$37.30$0NoNo Gap CoverageEnhancedS5660-032
Medco Medicare Prescription Plan - Access$69.50$0NoAll GenericsEnhancedS5660-202
MEMBERHEALTH - CCRx
  :: CCRx Basic Plan Formulary
:: Summary of Benefits All CCRx Plans
:: CCRx Choice & Gold Plan Formulary
Community CCRx Basic$32.30$275NoNo Gap CoverageBasicS5803-101
Community CCRx Choice$41.20$0NoNo Gap CoverageEnhancedS5803-169
Community CCRx Gold$42.50$0NoAll GenericsEnhancedS5803-249
Prescription Pathway
:: Summary of Benefits for all Plans :: Prescription Pathway Formulary
Prescription Pathway Bronze Plan Reg 32$26.30$275NoNo Gap CoverageBasicS5597-097
Prescription Pathway Gold Plan Reg 32$30.00$0NoNo Gap CoverageEnhancedS5597-064
Prescription Pathway Platinum Plan Reg 32$63.60$0NoAll GenericsEnhancedS5597-229
RxAmerica
Advantage Star Plan by RxAmerica$14.70$275YesNo Gap CoverageBasicS5644-084
Advantage Freedom Plan by RxAmerica$21.70$0NoNo Gap CoverageEnhancedS5644-064
Advantage Allegiance Plan by RxAmerica$42.50$0NoAll Preferred GenericsEnhancedS5644-317
SierraRx
 :: SierraRx Basic Formulary
:: SierraRx Basic Summary of Benefits
:: SierraRx Summary of Benefits
:: SierraRx Formulary
SierraRx Basic$24.80$275NoNo Gap CoverageBasicS5917-033
SierraRx$26.80$0NoNo Gap CoverageBasicS5917-008
SilverScript
SilverScript$23.00$275NoNo Gap CoverageBasicS5601-064
SilverScript Plus$31.40$0NoAll GenericsEnhancedS5601-065
SilverScript Complete$37.00$0NoAll GenericsEnhancedS5601-103
Sterling Prescription Drug Plan
Sterling Rx$30.30$275NoNo Gap CoverageBasicS4802-067
Sterling Rx Plus$75.70$100NoAll GenericsEnhancedS4802-068
Unicare - MedicareRx Rewards
MedicareRx Rewards Standard$14.60$275YesNo Gap CoverageBasicS5960-138
MedicareRx Rewards Value$18.20$0YesNo Gap CoverageBasicS5960-032
United American Insurance Company
UA Medicare Part D Rx Covg - Silver Plan$40.30$90NoNo Gap CoverageBasicS5755-070
UA Medicare Part D Prescription Drug Cov$41.90$0NoNo Gap CoverageBasicS5755-035
United HealthCare Insurance Company
  :: Basic Plan Drug List (Formulary)
:: Summary of Benefits
:: Pharmacy List
:: Value Plan Drug List
UnitedHealth Rx Value$23.10$275NoNo Gap CoverageEnhancedS5820-135
UnitedHealth Rx Basic$40.90$0NoNo Gap CoverageBasicS5921-002
UnitedHealthcare - AARP
AARP MedicareRx Saver$21.00$275NoNo Gap CoverageBasicS5921-001
AARP MedicareRx Preferred$28.60$0NoNo Gap CoverageBasicS5820-031
AARP MedicareRx Enhanced$66.80$0NoAll Preferred GenericsEnhancedS5921-003
WellCare Health Plans
  :: Classic Plan Formulary
:: Signature Plan Formulary
:: Summary of Benefits for all WellCare Plans :: WellCare Pharmacy Directory
WellCare Classic$19.00$250YesNo Gap CoverageBasicS5967-169
WellCare Signature$23.60$0NoNo Gap CoverageBasicS5967-066




A few notes to help with the understanding of the 2008 Medicare Part D Plan chart above.
  • Plan Name: This is the official plan name from CMS
  • Deductible: This is the $275 deductible that was presented in the CMS Standard Plan. Many provider's plans do not have a deductible, however the premium may be higher.
  • Qualifies for $0 Premium with Full Low-Income Subsidy?: If Yes is in the field, then you would pay a $0 premium if you have a Full Low-Income Subsidy. If No is in the field, then you would be responsible for the difference between what the state provides as the Full Low-Income Subsidy and the actual cost of the plan even if you have a Full Low-Income Subsidy.
  • Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3216.25 in drug costs (the Donut Hole). Many provider's plans cover the costs that fall into this category for an additional premium. In our chart, you will see one of the following:
    • No Gap Coverage: you must pay the $3216.25;
    • Some Generics, All Preferred Generics, All Generics : Various Generics are covered, but you must pay for Brand Drugs up to $3216.25;
    • All Generic & Some Brands: One regional plan, only available in Florida covers all Generics and some of the Brands.
  • Benefit Type: Basic means that this plan follows the standard CMS plan. Enhanced means that this plan has features above and beyond the standard CMS plan.
  • Plan ID: This is the unique id for this particular plan.



(Chart Source: Centers for Medicare and Medicaid file 2008LandscapeSourceData_PDP_09_25_07.xls)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information. Through the application process we will provide you with the most up-to-the-minute information/pricing.


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Last updated on: 11/29/2008

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2008 California Quick Facts
Total Number of PDP Plans:56
Nbr of Enhanced PDP Plans:27
Net Change in Enhanced PDP Plans (2008 vs 2007):2
PDP Beneficiaries who can pay less premium in 2008 than in 2007:96.13%
Number of $0 Deductible PDP Plans (EA and BA):33
Number of PDP Plans with Premium <$20:10
Lowest Cost PDP Plan:$14.30
Lowest Cost PDP Plan with Any Generic Coverage in the Gap:$31.40
Access to $0 Prem Plan:100.00%
Access to $0 Deductible Plan:100.00%
Total Beneficiaries with LIS:1168851
Number of LIS 2008 PDP Plans:9






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