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New Mexico National Medicare Part D Plans

New Mexico State Flag .
The name of this state is an anglicized version of "Nuevo Mexico," the Spanish name for the upper Rio Grande. Mexico, an Aztec spelling, means "place of Mexitli" one of the Aztec gods. (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 New Mexico

New Mexico is CMS Region 26.

Below are features of the National Medicare Prescription Drug plans (PDPs) for New Mexico.

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
: : PDP-Finder to view New Mexico national and regional plan details
    (copays/ coinsurance, plan ratings, 2009 enrollment figures, etc. in a separate window)

: : PDP-Compare to compare 2009 New Mexico plan details with the 2008 plans
: : Click here to show national Medicare Part D plans for a different state

2009 Medicare Part D - New Mexico 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 $24.80$295NoNo Gap CoverageBasicS5921-261
EnrollAARP MedicareRx Preferred $31.10$0NoNo Gap CoverageBasicS5820-025
EnrollAARP MedicareRx Enhanced $75.50$0NoMany GenericsEnhancedS5921-263
Aetna Life Insurance Company
:: Summary of Benefits All Aetna Plans
:: Aetna Preferred Drug List
EnrollAetna Medicare Rx Essentials $27.20$200NoNo Gap CoverageBasicS5810-060
EnrollAetna Medicare Rx - Costco Plus Plan $57.80$0NoSome GenericsEnhancedS5810-162
EnrollAetna Medicare Rx Premier $104.00$0NoMany GenericsEnhancedS5810-196
Blue Cross and Blue Shield
EnrollBlue Medicare Rx - Value $18.70$0YesNo Gap CoverageBasicS5715-003
EnrollBlue Medicare Rx - Standard $29.60$295NoNo Gap CoverageBasicS5715-008
EnrollBlue Medicare Rx - Plus $70.90$0NoAll GenericsEnhancedS5715-004
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 $29.70$295NoNo Gap CoverageBasicS5617-128
EnrollCIGNA Medicare Rx Plan Two $38.60$0NoNo Gap CoverageEnhancedS5617-130
EnrollCIGNA Medicare Rx Plan Three $66.10$0NoSome GenericsEnhancedS5617-196
Coventry AdvantraRx
:: Summary of Benefits All AdvantraRx Plans
:: AdvantraRx Formulary
EnrollAdvantraRx Premier $33.60$0NoNo Gap CoverageBasicS5674-039
EnrollAdvantraRx Value $19.30$0NoNo Gap CoverageEnhancedS5674-038
EnrollAdvantraRx Premier Plus $49.20$0NoMany GenericsEnhancedS5674-041
EnvisionRx Plus
EnrollEnvisionRxPlus Silver $22.90$295NoNo Gap CoverageBasicS7694-026
EnrollEnvisionRxPlus Gold $43.80$0NoNo Gap CoverageEnhancedS7694-060
First Health Part D
EnrollFirst Health Part D-Premier $20.80$0NoNo Gap CoverageBasicS5768-048
EnrollFirst Health Part D-Secure $10.30$175NoNo Gap CoverageEnhancedS5768-108
Health Net
EnrollHealth Net Orange Option 1 $21.80$295NoNo Gap CoverageBasicS5678-058
EnrollHealth Net Orange Option 2 $41.20$0NoNo Gap CoverageEnhancedS5678-057
Humana Health Insurance Company
:: Humana Summary of Benefits All 3 Plans :: Humana Formulary
EnrollHumana PDP Standard S5884-084 $30.40$295NoNo Gap CoverageBasicS5884-084
EnrollHumana PDP Enhanced S5884-024 $34.50$0NoNo Gap CoverageEnhancedS5884-024
EnrollHumana PDP Complete S5884-054 $95.10$0NoMany GenericsEnhancedS5884-054
Medco Medicare Prescription Plan
EnrollMedco Medicare Prescription Plan - Value $30.40$295NoNo Gap CoverageBasicS5660-128
EnrollMedco Medicare Prescription Plan - Choice $42.50$0NoNo Gap CoverageEnhancedS5660-026
EnrollMedco Medicare Prescription Plan - Access $69.00$0NoAll GenericsEnhancedS5660-196
Prescriba (formerly Prescription Pathway)
  :: Prescriba Formulary
:: Summary of Benefits All Prescriba Plans :: Evidence of Coverage All Prescriba Plans
EnrollPrescriba Rx Bronze $18.00$295YesNo Gap CoverageBasicS5597-260
EnrollPrescriba Rx Gold $33.70$0NoNo Gap CoverageEnhancedS5597-058
EnrollPrescriba Rx Platinum $71.70$0NoAll GenericsEnhancedS5597-223
RxAmerica
EnrollAdvantage Star Plan by RxAmerica $18.70$295YesNo Gap CoverageBasicS5644-199
EnrollAdvantage Freedom Plan by RxAmerica $27.10$0NoNo Gap CoverageEnhancedS5644-185
SierraRx
:: SierraRx Transition Process :: Summary of Benefits SierraRx Basic Plan
:: SierraRx Basic Formulary
:: Evidence of Coverage SierraRx Basic
EnrollSierraRx Basic $74.60$295NoNo Gap CoverageBasicS5917-027
EnrollSierraRx UnitedHealth Rx Value $18.10$0NoNo Gap CoverageEnhancedS5917-002
SilverScript
EnrollSilverScript Value $14.50$295YesNo Gap CoverageBasicS5601-052
EnrollSilverScript Plus $44.60$50NoMany GenericsEnhancedS5601-053
EnrollSilverScript Complete $62.80$0NoMany GenericsEnhancedS5601-097
Sterling Prescription Drug Plan
EnrollSterling Rx $37.80$295NoNo Gap CoverageBasicS4802-016
Unicare - MedicareRx Rewards
EnrollMedicareRx Rewards Standard $18.90$295YesNo Gap CoverageBasicS5960-132
EnrollMedicareRx Rewards Value $22.50$130NoNo Gap CoverageBasicS5960-026
United American Insurance Company
EnrollUA Medicare Part D Rx Covg - Silver Plan $35.30$150NoNo Gap CoverageBasicS5755-064
EnrollUA Medicare Part D Prescription Drug Cov $36.90$0NoNo Gap CoverageEnhancedS5755-029
United HealthCare Insurance Company
:: Summary of Benefits Basic Plan :: 2009 Drug List (Formulary)
:: Evidence of Coverage Basic Plan :: UHC Transition Process
EnrollUnitedHealth Rx Basic $32.90$0NoNo Gap CoverageEnhancedS5921-262
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 $19.00$295YesNo Gap CoverageBasicS5803-095
EnrollCommunity CCRx Choice $48.30$0NoNo Gap CoverageEnhancedS5803-163
EnrollCommunity CCRx Gold $63.10$0NoAll GenericsEnhancedS5803-243
WellCare Health Plans
  :: Signature Formulary
:: Summary of Benefits all plans
:: Pre-enrollment Brochure
:: Classic Formulary
:: Transition Policy
EnrollWellCare Classic $15.20$295YesNo Gap CoverageBasicS5967-163
EnrollWellCare Signature $26.80$0NoNo Gap CoverageEnhancedS5967-060





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, All Preferred Generics, All Generics : Various Generics are covered, but you must pay for Brand Drugs up to $3453.75;
    • 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 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: 11/14/2008

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