| The Medicare Project a consumer's guide to South Carolina Medicare programs, Medicare Part D Prescription Drug Reimbursement and Coverage topics: Medicare Prescription Drug Help, Medicare coverage, Medicare Advantage prescription drug programs, supplement insurance, what is Medicare? help |
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| Medicare South Carolina help & articles |
Who Offers South Carolina Medicare Prescription Drug Plans? |
The Medicare Project (Home) | South Carolina MEDICAID help |
South Carolina Medicare, South Carolina Medicare Prescription Drug Coverage
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. |
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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 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. 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 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..." 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 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 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...." 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." |
| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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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