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

   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
Medicare Help & Information, Medicare Part D In Alabama, 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 Alabama Medicare help and information resources.
 

Alabama Medicare; AL; Medicare Part D in Alabama

Alabama Medicaid: Medicaid assistance and Alabama Medicaid help Were you looking for Alabama Medicaid instead of Alabama 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.

Alabama Medicare Coverage, Prescription Drug Plans
Alabama Medicare Help Articles & Resources

Information from varied resources about Medicare in Alabama
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. Use this web page for informational purposes only.

 
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medicaid
 
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 Web Page:
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 Web Page:
Medicare Part D – Tips to Know

source:Alabama Association of Regional Councils
languages: English
.
Medicare Web Page:
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 Web Page:
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..."
.
Medicare Web Page:
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..."
.
Medicare brochure or publication:
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...."
.
Medicare Web Page:
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
.
Medicare Web Page:
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..."
.
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.
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.
.
Medicare brochure or publication:
State Pharmacy Listing - Aetna Medicare RxSM Plans - Alabama / Tennessee State

Aetna Medicare
.
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 brochure or publication:
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."

How to get more information about Alabama Medicare Prescription Drug Programs

Medicare.gov has summary information about the plans offered by the companies listed in the tables below. 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 Alabama: 

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.

 
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.)
Plan Name and
ID Numbers
Company
(w. link to
plan web site)
Coverage in
the Gap
About the gap
Contact Service
Phones
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

 
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
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
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
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
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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