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a consumer's guide to South Carolina Medicare programs, Medicare Part D Prescription Drug Reimbursement and Coverage

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South Carolina Medicare, South Carolina Medicare Prescription Drug Coverage
Medicare Help & Information, Medicare Part D In South Carolina, Medicare help

Answers and information about Medicare, prescription drug coverage and health insurance involves searching through hundreds of pages at government and private websites. To help seniors and caregivers get started in their search, our editors have compiled this digest of South Carolina Medicare help and information resources.
 

South Carolinak Medicare; SC; Medicare Part D in South Carolina

South Carolina Medicaid: Medicaid assistance and South Carolina Medicaid help Were you looking for South Carolina Medicaid instead of South Carolina Medicare? This link provides a directory of Medicare web sites, articles, publications, brochures
 
The Medicare Coverage Gap (The Doughnut Hole) A directory of web sites, articles, and publications that helps explain what and how the Prescription Drug Coverage Gap works.
 

South Carolina Medicare Coverage, Prescription Drug Plans
South Carolina Medicare Help Articles & Resources

Information from varied resources about Medicare in South Carolina
Important advice about how to use this data: This Web Site links you to other Web Sites on the Internet. We cannot take responsibility for information found on third party Web sites outside our control. While we attempt to provide links only to Web Sites that comply with all applicable laws and regulations and appear to have responsible information, please understand that the content on these third-party Web Sites is subject to change without notice to us. We therefore cannot be responsible for, and accept no liability for, any information or opinion contained in any third-party Web Site. Nothing on this Web Site should be construed as the giving of advice or the making of a recommendation and it should not be relied on as the basis for any decision or action.

 
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medicaid
 
web page:
Governor's letter about changes to SILVERxCARD Program

source:First Health Services' South Carolina Pharmacy Services
languages: English
Letter with brief information about changes to South Carolina Prescription Drug coverage
.
web page:
An Alternative to Health Insurance - SC Department of Insurance Health Maintenance Organizations

source:South Carolina Department of Insurance
languages: English
"WHAT IS A HEALTH MAINTENANCE ORGANIZATION (HMO)... WHAT ARE SOME OF THE BENEFITS OF HMO COVERAGE..."
 
more from South Carolina Department of Insurance :
Medicare publication:
Medicare Supplement Insurance Premium Rate Comparison - A Guide For South Carolina
languages: English
Charts compare annual premium rates for plans which have been approved for the state of South Ccarolina.

.
brochure or publication:
RISKY BUSINESS: SOUTH CAROLINA’S MEDICAID WAIVER PROPOSAL

source:Center on Budget and Policy Priorities
file size: 13 pg.   languages: English
Discussion of South Carolina proposal to replace Medicaid with a system of state-funded "personal health accounts," which beneficiaries would use either to purchase health care services directly from providers or to enroll in private insurance plans or private health care networks.
.
Medicare Web Page:
Medicare Part D Prescription Drug Program

source: South Carolina Department of Health and Human Services
languages: English
"People with Medicare can choose to sign up for this voluntary Prescription Drug Program regardless of their income, health, or how they are now paying for their prescriptions. Steps to Take... "

 
more from South Carolina Department of Health and Human Services:
Medicare Web Page:
Gap Assistance Pharmacy Program for Seniors (GAPS)
languages: English
"As of January 1, 2006, the new South Carolina prescription drug coverage program for seniors eligible for Medicare is the Gap Assistance Pharmacy Program for Seniors (GAPS). This is how GAPS works with Medicare Prescription Drug Coverage..."

.
Medicare Web Page:
Gap Assistance Pharmacy Program for Seniors (GAPS) - submit your GAPS Application online

source:South Carolina Access, South Carolina Office on Aging
languages: English
Instructions and help for residents of South Carolina who are 65 or older to submit a GAPS application electronically.

 
more from South Carolina Access, South Carolina Office on Aging:
Medicare Web Page:
PART D Medicare Prescription Drug Coverage
languages: English
Topics include: EXTRA HELP FOR THOSE WHO NEED IT MOST; GAPS ASSISTANCE AVAILABLE FROM SCDHHS; MEDIGAP PLANS; MEDICARE ADVANTAGE PLANS; MEDICARE’S STANDARD PDP COVERAGE OUTLINE; and ENROLLMENT ASSISTANCE

.
Medicaid brochure or publication:
Your Medicare Rights and Protections

source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services
44pp   languages: English
Fairly detailed explanations and descriptions about your Medicare rights and protections.
Medicare Web Page:
(Medicare Prescription Drug Plan Finder

source:Medicare: The Official U.S. Government Site for People with Medicare
languages: English
Find and compare plans for all states, including South Carolina Medicare Prescription Drug plans
.
Medicare brochure or publication:
South Carolina Medicare Drug Plan Ratings

source:AARP
file size:5 pg.  languages: English
"...This AARP rating tool contains information about “stand-alone” Medicare plans in your state that cover only prescription drugs...."
.
Medicare brochure or publication:
Landscape: South Carolina Medicare Advantage, Cost Plans, and Demonstrations

source:CENTERS FOR MEDICARE & MEDICAID SERVICES
file size:20 pg.   languages: English
"South Carolina 2007 Medicare Advantage, Cost, and Demonstration Plans. Data as of September 29, 2006. Includes all contracts/plans regardless of 2007 approval status. PACE, Special Needs Plans, and Employer sponsored plans (800 series) are excluded."


Medicare brochure or publication:
Lanscape: New York Stand-Alone Prescription Drug Plans

source:CENTERS FOR MEDICARE & MEDICAID SERVICES
file size:3 pg.   languages: English  
"South Carolina 2007 Medicare Part D Stand-Alone Prescription Drug Plans. Data as of September 12, 2006. Includes all contracts/plans regardless of 2007 approval status. Employer sponsored plans (800 series) are excluded."

How to get more information about South Carolina Medicare Prescription Drug Programs

Medicare.gov has summary information about the plans offered by the companies listed in the tables above. The data sheets are called "Landscapes".
  1. The Landscape of Local Plans is a list of all plans available in your area. You can get answers to important questions for people with Medicare based on what matters to them, including:
    • Cost (premiums, deductibles and payments)
    • Coverage (important issues around what and how drugs are covered)
    • Convenience (pharmacy and mail-order options)
  2. Medicare.gov has an important help page that explains how to read and interpret the information in both Medicare Prescription Drug Plan "Landscapes. You can access the help page through this link: How to read the Medicare Prescription Drug Plans Landscape
  3. We have provided links to the landscape documents for this state in the list of publications above. 
.
.


 

Medicare prescription drug coverage plans offered in South Carolina, Medicare Advantage Plans

Important advice about how to use this data: The data for the table below came from www.medicare.gov, "The Official U.S. Government Site for People with Medicare", in December, 2006, and is subject to change at any time. To check for changes and the newest data, you should visit www.medicare.gov. Your state insurance administrator might have different data; be sure to check with them before making any decisions. Nothing on this Web Site should be construed as the giving of advice or the making of a recommendation and it should not be relied on as the basis for any decision or action.

 
46 Prescription Drug Plans in South Carolina  This list is to familiarize you with Medicare Prescription Plans available in your state, and to provide you with contact information to specific carriers. Check with the insurance provider or medicare.gov for information about coverage options, annual deductibles, approved drugs, and other limitations. Do NOT use this web page as the basis for any decision or action. (All data is subject to change. Check with medicare.gov or the insurance provider for latest data.)
Plan Name and
ID Numbers
Company
(w. link to
plan web site)
Coverage in
the Gap
About the gap
Contact Service
Phones
Humana PDP Standard S5884-067
(S5884-067)
Humana Insurance Company No gap coverage Non-Members
1-800-706-0872
TTY Users should call:
1-877-833-4486Members
1-800-281-6918
TTY Users should call:
1-800-281-6918
AdvantraRx Value
(S5670-051)
Coventry AdvantraRx No gap coverage Non-Members
1-800-882-3822
TTY Users should call:
1-800-508-9548Members
1-866-823-5177
TTY Users should call:
1-866-823-5177
First Health Premier
(S5768-012)
First Health Part D No gap coverage Non-Members
1-800-588-3322
TTY Users should call:
1-800-508-9548Members
1-866-865-0662
TTY Users should call:
1-866-865-0662
PerformRx Medicare Standard
(S5650-001)
PerformRx No gap coverage Non-Members
1-866-456-1692
TTY Users should call:
1-866-456-1683
Members
1-888-457-3007
TTY Users should call:
1-888-457-3007
Humana PDP Enhanced S5884-008
(S5884-008)
Humana Insurance Company No gap coverage Non-Members
1-800-706-0872
TTY Users should call:
1-877-833-4486
Members
1-800-281-6918
TTY Users should call:
1-800-281-6918
WellCare Signature
(S5967-043)
WellCare No gap coverage Non-Members
1-888-423-5252
Members
1-888-550-5252
TTY Users should call:
1-888-550-5252
PacifiCare Saver Plan
(S5921-122)
UnitedHealthcare No gap coverage Non-Members
1-800-943-0399
Members
1-800-797-9794
TTY Users should call:
1-714-825-3600
InStil Rx
(S5946-001)
InStil Health Insurance Company No gap coverage Non-Members
1-877-446-7845
TTY Users should call:
1-800-503-3118
Members
1-877-446-7845
TTY Users should call:
1-803-763-7893
AARP MedicareRx Plan
(S5820-008)
UnitedHealthcare No gap coverage Non-Members
1-888-867-5564
TTY Users should call:
1-877-730-4192
Members
1-888-867-5575
TTY Users should call:
1-888-867-5575
MedBlue Rx
(S5953-001)
Blue Cross Blue Shield of South Carolina No gap coverage Non-Members
1-888-645-6025
TTY Users should call:
1-888-645-6023
Members
1-888-645-6025
TTY Users should call:
1-888-645-6025
MedicareRx Rewards
(S5960-009)
Unicare No gap coverage Non-Members
1-866-892-5335
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
YOURx PLAN
(S5660-008)
Medco YOURx PLAN No gap coverage Non-Members
1-800-758-3605
TTY Users should call:
1-800-716-3231
Members
1-800-758-4574
TTY Users should call:
1-800-758-4574
Community Care Rx BASIC
(S5803-078)
MEMBERHEALTH No gap coverage Non-Members
1-866-684-5353
TTY Users should call:
1-866-684-5351
Members
1-866-684-5353
TTY Users should call:
1-518-449-6800
Advantage Star Plan
(S5644-075)
RxAmerica No gap coverage Non-Members
1-877-279-0370
Members
1-800-429-6686
TTY Users should call:
1-800-429-6686
United Medicare MedAdvance
(S5820-112)
UnitedHealthcare No gap coverage Non-Members
1-888-556-6657
TTY Users should call:
1-888-556-7065
Members
1-888-556-7047
TTY Users should call:
1-888-556-7047
AdvantraRx Premier
(S5670-052)
Coventry AdvantraRx No gap coverage Non-Members
1-800-882-3822
TTY Users should call:
1-800-508-9548
Members
1-866-823-5177
TTY Users should call:
1-866-823-5177
SilverScript
(S5601-018)
SilverScript No gap coverage Non-Members
1-866-552-6106
TTY Users should call:
1-866-552-6288
Members
1-866-235-5660
TTY Users should call:
1-866-235-5660
Prescription Pathway Bronze Plan Reg 9
(S5597-074)
Pennsylvania Life Insurance Company No gap coverage Non-Members
1-800-765-8900
TTY Users should call:
1-866-222-3904
Members
1-800-698-8394
TTY Users should call:
1-850-432-1700
Advantage Freedom Plan
(S5644-054)
RxAmerica No gap coverage Non-Members
1-877-279-0370
Members
1-800-429-6686
TTY Users should call:
1-800-429-6686
UA Medicare Part D Prescription Drug Cov
(S5755-012)
United American Insurance Company No gap coverage Non-Members
1-866-524-4169
TTY Users should call:
1-866-524-4170
Members
1-866-524-4169
TTY Users should call:
1-866-524-4169
CIGNATURE Rx Value Plan
(S5617-043)
CIGNA HealthCare No gap coverage Non-Members
1-800-735-1459
Members
1-800-222-6700
TTY Users should call:
1-800-222-6700
InStil Rx Plus
(S5946-003)
InStil Health Insurance Company No gap coverage Non-Members
1-877-446-7845
TTY Users should call:
1-800-503-3118
Members
1-877-446-7845
TTY Users should call:
1-803-763-7893
Aetna Medicare Rx Essentials
(S5810-043)
Aetna Medicare No gap coverage Non-Members
1-800-445-1796
TTY Users should call:
1-800-628-3323
Members
1-877-238-6211
TTY Users should call:
1-877-238-6211
MedicareRx Rewards Plus
(S5960-045)
Unicare No gap coverage Non-Members
1-866-892-5335
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
MedBlue Rx Plus
(S5953-002)
Blue Cross Blue Shield of South Carolina No gap coverage Non-Members
1-888-645-6025
TTY Users should call:
1-888-645-6023
Members
1-888-645-6025
TTY Users should call:
1-888-645-6025
Community Care Rx CHOICE
(S5803-146)
MEMBERHEALTH No gap coverage Non-Members
1-866-684-5353
TTY Users should call:
1-866-684-5351
Members
1-866-684-5353
TTY Users should call:
1-518-449-6800
CIGNATURE Rx Plus Plan
(S5617-045)
CIGNA HealthCare No gap coverage Non-Members
1-800-735-1459
Members
1-800-222-6700
TTY Users should call:
1-800-222-6700
Prescription Pathway Silver Plan Reg 9
(S5597-173)
Pennsylvania Life Insurance Company No gap coverage Non-Members
1-800-765-8900
TTY Users should call:
1-866-222-3904
Members
1-800-698-8394
TTY Users should call:
1-850-432-1700
Prescription Pathway Silver Plan Reg 9
(S5581-123)
Marquette National Life Insurance Company No gap coverage Non-Members
1-800-845-2551
TTY Users should call:
1-866-222-3904
Members
1-800-698-8395
TTY Users should call:
1-800-698-8395
PacifiCare Select Plan
(S5921-121)
UnitedHealthcare No gap coverage Non-Members
1-800-943-0399
Members
1-800-797-9794
TTY Users should call:
1-714-825-3600
AdvantraRx Premier Plus
(S5670-054)
Coventry AdvantraRx No gap coverage Non-Members
1-800-882-3822
TTY Users should call:
1-800-508-9548
Members
1-866-823-5177
TTY Users should call:
1-866-823-5177
Community Care Rx GOLD
(S5803-112)
MEMBERHEALTH No gap coverage Non-Members
1-866-684-5353
TTY Users should call:
1-866-684-5351
Members
1-866-684-5353
TTY Users should call:
1-518-449-6800
WellCare Complete
(S5967-077)
WellCare No gap coverage Non-Members
1-888-423-5252
Members
1-888-550-5252
TTY Users should call:
1-888-550-5252
CIGNATURE Rx Complete Plan
(S5617-179)
CIGNA HealthCare Generic Only Non-Members
1-800-735-1459
Members
1-800-222-6700
TTY Users should call:
1-800-222-6700
PacifiCare Comprehensive Plan
(S5921-123)
UnitedHealthcare Generic Only Non-Members
1-800-943-0399
Members
1-800-797-9794
TTY Users should call:
1-714-825-3600
Aetna Medicare Rx Plus
(S5810-145)
Aetna Medicare Generic Only Non-Members
1-800-445-1796
TTY Users should call:
1-800-628-3323
Members
1-877-238-6211
TTY Users should call:
1-877-238-6211
WellCare Premier
(S5967-112)
WellCare No gap coverage Non-Members
1-888-423-5252
Members
1-888-550-5252
TTY Users should call:
1-888-550-5252
MedicareRx Rewards Premier
(S5960-079)
Unicare Generic Only Non-Members
1-866-892-5335
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
Prescription Pathway Gold Plan Reg 9
(S5597-041)
Pennsylvania Life Insurance Company No gap coverage Non-Members
1-800-765-8900
TTY Users should call:
1-866-222-3904
Members
1-800-698-8394
TTY Users should call:
1-850-432-1700
Prescription Pathway Gold Plan Reg 9
(S5581-027)
Marquette National Life Insurance Company No gap coverage Non-Members
1-800-845-2551
TTY Users should call:
1-866-222-3904
Members
1-800-698-8395
TTY Users should call:
1-800-698-8395
Sterling Prescription Drug Plan
(S4802-006)
Sterling Life Insurance Company No gap coverage Non-Members
1-888-909-1713
TTY Users should call:
1-888-858-8567
Members
1-866-865-0664
TTY Users should call:
1-866-865-0664
SilverScript Plus
(S5601-019)
SilverScript No gap coverage Non-Members
1-866-235-4582
TTY Users should call:
1-866-552-6288
Members
1-866-235-5660
TTY Users should call:
1-866-235-5660
Aetna Medicare Rx Premier
(S5810-179)
Aetna Medicare Generic Only Non-Members
1-800-445-1796
TTY Users should call:
1-800-628-3323
Members
1-877-238-6211
TTY Users should call:
1-877-238-6211
Humana PDP Complete S5884-037
(S5884-037)
Humana Insurance Company Generic and Brand Non-Members
1-800-706-0872
TTY Users should call:
1-877-833-4486
Members
1-800-281-6918
TTY Users should call:
1-800-281-6918
Prescription Pathway Platinum Plan Reg 9
(S5581-051)
Marquette National Life Insurance Company No gap coverage Non-Members
1-800-845-2551
TTY Users should call:
1-866-222-3904
Members
1-800-698-8395
TTY Users should call:
1-800-698-8395

 

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