| The Medicare Project a consumer's guide to Alabama 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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| Who Offers Alabama Medicare Prescription Drug Plans? | Medicare Alabama help & articles | The Medicare Project (Home) | Alabama MEDICAID help |
Alabama Medicare, Alabama 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 Alabama Medicare help and information
resources. |
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Medicare Prescription Drug Program (Part D) Excluded Drugs Information Sheet languages: English "Although Medicare beneficiaries will be provided with prescription drug coverage under Part D, Medicare has excluded certain drugs from their coverage (see list below). Alabama Medicaid will continue to cover these excluded drugs for our dual eligibles...." more from www.medicaid.alabama.gov: Medicare brochure or publication: Getting Drugs After Your Transition Period file size: 1 pg. languages: English "What if I am taking a drug that isn’t covered by my plan, and I haven’t switched to an alternate drug by March 31, 2006?" Medicare Web Page: Medicare Part D - Consumer Information languages: English "Choosing a Medicare Drug Plan; Official Information from Medicare; Notices Sent By Medicare; Official Information from Alabama Medicaid Agency ; Helpful Resources & Links Medicare Supplement Companies source: Alabama Department of Insurance languages: English "As of January 31, 2005..." more from Alabama Department of Insurance: Medicare Web Page: Alabama's Shopper's Guide for Health Insurance for Senior Citizens languages: English "This guide is designed to provide you with a listing of insurance companies that have been licensed to sell Medicare Supplement, Medicare+Choice, Medicare Select, Medicare Savings and Long Term Care policies in the state of Alabama." Medicare Web Page: Medicare Supplement Insurance FAQ's languages: English Medicare Part D – Tips to Know source:Alabama Association of Regional Councils languages: English Senior Health Insurance Program (SHIP) source:Alabama Department of Senior Services languages: English Do you have questions about your Medicare benefits? Do you need help understanding your Medicare Summary Notice? Have your Medicare claims been denied and you don’t know why? Maybe the SHIP can help!" more from Alabama Department of Senior Services : Medicare Web Page: SenioRx - Prescription Drug Assistance Program for Senior Citizens languages: English "SenioRx is a prescription drug assistance program that helps thousands of Alabama senior citizens receive free prescription drugs from pharmaceutical manufacturers... " Medicare Beneficiary Plans source:Blue Cross and Blue Shield of Alabama languages: English "Today, seniors have more Medicare health care plan options than ever before. Knowing which plan is best for you can be confusing. Blue Cross and Blue Shield of Alabama wants to take some of that confusion away..." The ABCs of Medicare Part D source: Southern Alabama Regional Council On Aging languages: English "Anyone who has Medicare will be able to participate in the new Medicare drug benefit (also known as Medicare Part D). It can be complicated, so here is an easy way to remember the basic steps..." Alabama 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...." Alabama: Medicare Hospital Payments source:Kaiser Family Foundation / statehealthfacts.org languages: English Range of Medicare Payments (Low-25th Percentile/High-75th Percentile) for Top Five Elective Inpatient Hospital Procedures, FY2005 The Medicare Prescription Drug Benefit (Part D) source:Medicare Rights Center languages: English from the web page:...(Part D) covers most outpatient prescription drugs (the kind you get at the pharmacy or through mail-order). Unlike Medicare health benefits, though, Part D is only offered through private plans..." 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. Medicaid brochure or publication: A Consumer's Guide to Getting and Keeping Health Insurance in Alabama source:healthinsuranceinfo.net file size: 36pg. languages: English from GEORGETOWN UNIVERSITY HEALTH POLICY INSTITUTE. As a resident of Alabama, you have rights under federal and state law that will protect you when you seek to buy, keep, or switch your health insurance, even if you have a serious health condition. This guide describes your protections as a resident of Alabama. State Pharmacy Listing - Aetna Medicare RxSM Plans - Alabama / Tennessee State Aetna Medicare 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. Lanscape: 2007 Alabama Stand-Alone Prescription Drug Plans source:CENTERS FOR MEDICARE & MEDICAID SERVICES, U.S. Department of Health and Human Services file size:3 pg. languages: English date:2007 Alabama 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." Medicare brochure or publication: Landscape: Alabama Medicare Advantage, Cost Plans, and Demonstrations source:CENTERS FOR MEDICARE & MEDICAID SERVICES file size:15 pg. languages: English "Alabama 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." |
| 41 Prescription Drug Plans in Alabama 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.) | ||||||
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| 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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| AARP MedicareRx Plan (S5820-011) |
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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| Advantage Allegiance Plan (S5644-012) |
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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| Advantage Freedom Plan (S5644-056) |
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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| AdvantraRx Premier (S5670-064) |
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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| AdvantraRx Premier Plus (S5670-066) |
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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| AdvantraRx Value (S5670-063) |
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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| Aetna Medicare Rx Essentials (S5810-046) |
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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| Aetna Medicare Rx Plus (S5810-148) |
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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| Aetna Medicare Rx Premier (S5810-182) |
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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| AmeriHealth Advantage Rx Option l (S5783-005) |
AmeriHealth Advantage | No gap coverage | Non-Members 1-866-456-1694 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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| CIGNATURE Rx Complete Plan (S5617-182) |
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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| CIGNATURE Rx Plus Plan (S5617-060) |
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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| CIGNATURE Rx Value Plan (S5617-058) |
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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| Community Care Rx BASIC (S5803-081) |
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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| Community Care Rx CHOICE (S5803-149) |
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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| Community Care Rx GOLD (S5803-115) |
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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| First Health Premier (S5768-015) |
First Health Part D | No gap coverage | Non-Members 1-800-588-3322 TTY Users should call: 1-800-508-9548 Members 1-866-865-0662 TTY Users should call: 1-866-865-0662 |
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| HealthSpring Prescription Drug Plan (S5932-001) |
HealthSpring Prescription Drug Plan | No gap coverage | Non-Members 1-888-583-3346 TTY Users should call: 1-800-391-9806 Members 1-888-501-3965 TTY Users should call: 1-888-501-3965 |
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| Humana PDP Complete S5884-040 (S5884-040) |
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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| Humana PDP Enhanced S5884-001 (S5884-001) |
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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| Humana PDP Standard S5884-070 (S5884-070) |
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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| MedicareRx Rewards (S5960-012) |
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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| MedicareRx Rewards Plus (S5960-048) |
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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| MedicareRx Rewards Premier (S5960-082) |
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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| PacifiCare Comprehensive Plan (S5921-153) |
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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| PacifiCare Saver Plan (S5921-152) |
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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| PacifiCare Select Plan (S5921-151) |
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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| Prescription Pathway Bronze Plan Reg 12 (S5597-077) |
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 12 (S5581-029) |
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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| Prescription Pathway Gold Plan Reg 12 (S5597-044) |
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 Platinum Plan Reg 12 (S5581-053) |
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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| Prescription Pathway Silver Plan Reg 12 (S5581-125) |
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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| Prescription Pathway Silver Plan Reg12 (S5597-176) |
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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| SilverScript (S5601-024) |
SilverScript Insurance Company | 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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| SilverScript Plus (S5601-025) |
SilverScript Insurance Company | 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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| UA Medicare Part D Prescription Drug Cov (S5755-015) |
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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| United Medicare MedAdvance (S5820-115) |
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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| WellCareComplete (S5967-080) |
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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| WellCare Premier (S5967-115) |
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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| WellCare Signature (S5967-046) |
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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| YOURx PLAN (S5660-012) |
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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| 5 Medicare Special Needs Plans in Alabama This list is to familiarize you with Medicare Special Needs 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.) | ||||||
|---|---|---|---|---|---|---|
| Blue Advantage Option VI (H0104-006-0) |
Blue Cross Blue Shield of Alabama | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-888-578-6775 TTY Users should call: 1-800-257-3384 Members 1-888-234-8266 TTY Users should call: 1-800-257-3384 |
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| Evercare Plan IH (H0151-017-0) |
SecureHorizons | For people in certain long-term care facilities. | Non-Members 1-800-791-9233 TTY Users should call: 1-888-685-8480 Members 1-800-393-0993 TTY Users should call: 1-888-685-8480 |
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| Seniors First Special Care (H0150-015-0) |
Healthspring of Alabama, Inc. | For people in certain long-term care facilities. | Non-Members 1-888-212-5475 TTY Users should call: 1-877-262-9090 Members 1-800-952-1992 TTY Users should call: 1-877-262-9090 |
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| Seniors First Total Care (H0150-007-0) |
Healthspring of Alabama, Inc. | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-888-212-5475 TTY Users should call: 1-800-952-1992 TTY Users should call: 1-877-262-9090 |
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| UnitedHealthcare Medicare Complete Plus Rx (H0151-015-0) |
SecureHorizons | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-800-945-0146 TTY Users should call: 1-888-685-8480 Members 1-800-945-0150 TTY Users should call: 1-888-685-8480 |
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