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2009 North Carolina Medicare Part D Plans

North Carolina State Flag .
North and South Carolina were one colony until 1729. Carolina was named to honor Charles IX of France and then Charles I and Charles II of England. Carolina is rooted in Latin and comes from the word Caroliinus. This word is derived from the name Carolus, translated as "Charles." (Source: Shearer, Benjamin F. and Barbara S. State Names, Seals, Flags and Symbols Greenwood Press, Westport, Connecticut - 2001)

2009 Medicare Part D Plans for Residents of North Carolina

North Carolina is CMS Region 8.

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

Click on the Enroll enroll icon or plan name below to access enrollment options (including download of the enrollment form for many plans) OR Click on one of these links for further help finding a plan:

: : PDP-Wizard to help you find your 2009 plan
: : Click here to view North Carolina national and regional plan details
    (copays/ coinsurance, plan ratings, 2009 enrollment figures, etc. in a separate window)

: : Click here to compare 2009 North Carolina plan details with the 2008 plans
: : Click here to show 2009 Medicare Part D plans for a different state


2009 Medicare Part D - North Carolina Plan Information
:: Print Version     :: 2008 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
AARP Plans by United HealthCare
:: Summary of Benefits Saver Plan
:: Summary of Benefits Preferred Plan
:: Summary of Benefits Enhanced Plan
:: Saver Plan Drug List (Formulary)
:: Preferred Plan Drug List
:: Enhanced Plan Drug List
EnrollAARP MedicareRx Saver $28.00$295YesNo Gap CoverageBasicS5921-111
EnrollAARP MedicareRx Preferred $39.90$0NoNo Gap CoverageBasicS5820-007
EnrollAARP MedicareRx Enhanced $74.40$0NoMany GenericsEnhancedS5921-113
Aetna Life Insurance Company
:: Summary of Benefits All Aetna Plans
:: Aetna Preferred Drug List
EnrollAetna Medicare Rx Essentials $33.90$215NoNo Gap CoverageBasicS5810-042
EnrollAetna Medicare Rx Plus $63.50$0NoSome GenericsEnhancedS5810-144
EnrollAetna Medicare Rx Premier $128.50$0NoMany GenericsEnhancedS5810-178
Blue Cross and Blue Shield
EnrollBlue Medicare Rx Standard $39.40$0NoNo Gap CoverageBasicS5540-002
EnrollBlue Medicare Rx Enhanced $68.80$0NoAll GenericsEnhancedS5540-004
Cigna Insurance Company
  :: Plan One Formulary
:: Summary of Benefits All CIGNA Plans
:: Transition Policy
:: Plan Two Formulary
:: Plan Three Formulary
EnrollCIGNA Medicare Rx Plan One $35.00$295NoNo Gap CoverageBasicS5617-038
EnrollCIGNA Medicare Rx Plan Two $45.50$0NoNo Gap CoverageEnhancedS5617-040
EnrollCIGNA Medicare Rx Plan Three $68.10$0NoSome GenericsEnhancedS5617-178
Coventry AdvantraRx
:: Summary of Benefits All AdvantraRx Plans
:: AdvantraRx Formulary
EnrollAdvantraRx Premier $39.10$0NoNo Gap CoverageBasicS5670-046
EnrollAdvantraRx Value $23.40$0NoNo Gap CoverageEnhancedS5670-045
EnrollAdvantraRx Premier Plus $54.80$0NoMany GenericsEnhancedS5670-048
EnvisionRx Plus
EnrollEnvisionRxPlus Silver $34.50$295NoNo Gap CoverageBasicS7694-008
EnrollEnvisionRxPlus Gold $73.40$0NoNo Gap CoverageEnhancedS7694-042
First Health Part D
EnrollFirst Health Part D-Premier $31.70$0YesNo Gap CoverageBasicS5768-039
EnrollFirst Health Part D-Secure $15.20$175NoNo Gap CoverageEnhancedS5768-090
Health Net
EnrollHealth Net Orange Option 1 $35.80$295NoNo Gap CoverageBasicS5678-022
EnrollHealth Net Orange Option 2 $55.60$0NoNo Gap CoverageEnhancedS5678-021
Humana Health Insurance Company
:: Humana Summary of Benefits All 3 Plans :: Humana Formulary
EnrollHumana PDP Standard S5884-066 $43.70$295NoNo Gap CoverageBasicS5884-066
EnrollHumana PDP Enhanced S5884-007 $39.40$0NoNo Gap CoverageEnhancedS5884-007
EnrollHumana PDP Complete S5884-036 $98.90$0NoMany GenericsEnhancedS5884-036
Medco Medicare Prescription Plan
EnrollMedco Medicare Prescription Plan - Value $32.20$295YesNo Gap CoverageBasicS5660-110
EnrollMedco Medicare Prescription Plan - Choice $37.30$0NoNo Gap CoverageEnhancedS5660-007
EnrollMedco Medicare Prescription Plan - Access $68.20$0NoAll GenericsEnhancedS5660-178
Prescriba (formerly Prescription Pathway)
  :: Prescriba Formulary
:: Summary of Benefits All Prescriba Plans :: Evidence of Coverage All Prescriba Plans
EnrollPrescriba Rx Bronze $32.40$295YesNo Gap CoverageBasicS5597-242
EnrollPrescriba Rx Gold $32.30$0NoNo Gap CoverageEnhancedS5597-040
EnrollPrescriba Rx Platinum $74.20$0NoAll GenericsEnhancedS5597-205
RxAmerica
EnrollAdvantage Star Plan by RxAmerica $33.40$295YesNo Gap CoverageBasicS5644-074
EnrollAdvantage Freedom Plan by RxAmerica $37.80$0NoNo Gap CoverageEnhancedS5644-053
SilverScript
EnrollSilverScript Value $30.20$295YesNo Gap CoverageBasicS5601-016
EnrollSilverScript Plus $55.50$50NoMany GenericsEnhancedS5601-017
EnrollSilverScript Complete $77.50$0NoMany GenericsEnhancedS5601-079
Sterling Prescription Drug Plan
EnrollSterling Rx $42.40$295NoNo Gap CoverageBasicS4802-005
Unicare - MedicareRx Rewards
EnrollMedicareRx Rewards Standard $32.60$295YesNo Gap CoverageBasicS5960-114
EnrollMedicareRx Rewards Value $36.70$130NoNo Gap CoverageBasicS5960-008
United American Insurance Company
EnrollUA Medicare Part D Rx Covg - Silver Plan $41.50$130NoNo Gap CoverageBasicS5755-046
EnrollUA Medicare Part D Prescription Drug Cov $45.80$0NoNo Gap CoverageEnhancedS5755-011
United HealthCare Insurance Company
:: Summary of Benefits Basic Plan :: 2009 Drug List (Formulary)
:: Evidence of Coverage Basic Plan :: UHC Transition Process
EnrollUnitedHealth Rx Basic $42.60$0NoNo Gap CoverageEnhancedS5921-112
Universal American - Community CCRx
:: Summary of Benefits All CCRx Plans
:: CCRx Basic Plan (Select) Formulary
:: CCRx Choice & Gold (Optimal) Formulary
:: Evidence of Coverage Basic Plan all States
:: Evidence of Coverage Choice Plan all States
:: Evidence of Coverage Gold Plan all States
EnrollCommunity CCRx Basic $32.80$295YesNo Gap CoverageBasicS5803-077
EnrollCommunity CCRx Choice $47.00$0NoNo Gap CoverageEnhancedS5803-145
EnrollCommunity CCRx Gold $62.30$0NoAll GenericsEnhancedS5803-225
WellCare Health Plans
  :: Signature Formulary
:: Summary of Benefits all plans
:: Pre-enrollment Brochure
:: Classic Formulary
:: Transition Policy
EnrollWellCare Classic $35.40$295NoNo Gap CoverageBasicS5967-145
EnrollWellCare Signature $36.80$0NoNo Gap CoverageEnhancedS5967-042



A few notes to help with the understanding of the 2009 Medicare Part D Plan chart above.
  • Plan Name: This is the official plan name from CMS
  • Deductible: This is the $295 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 $3453.75 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 $3453.75;

    • Some Generics: 10% to 65% of formulary generics are covered, but you must pay for Brand Drugs up to $3453.75;

    • Many Generics: 65% to 100% of formulary generics are covered, but you must pay for Brand Drugs up to $3453.75;

    • All Generics : All formulary Generics are covered, but you must pay for Brand Drugs up to $3453.75;

    • All Generics & Few Brands: One regional plan (Alliance Medicare RX), only available in Michigan covers all Generics and a few (less than 10%) of Brand drugs on the plan's formulary.

    • Many Generics & Few Brands: two regional plans, only available in Florida (Quality Rx Plus) and Wisconsin (DeanCare Rx Enhanced) cover many Generics (65%-100% of formulary generics) and a few (less than 10%) of formulary 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 2009LandscapeSourceData_PDP_09_18_08.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: 09/26/2008

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