The Medicare Project   
a consumer's guide to Delaware 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

  Medicare Delaware help & articles    Who Offers Delaware Medicare Prescription Drug Plans? The Medicare Project (Home)   Delaware MEDICAID help

Delaware Medicare, Delaware Medicare Prescription Drug Coverage
Medicare Help & Information, Medicare Part D In Delaware, 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 Delaware Medicare help and information resources.
 

Delaware Medicare; IN; Medicare Part D in Delaware

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

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

Information from varied resources about Medicare in Delaware
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 Web Page:
Delaware Medicare Fraud Alert

source:Delaware Health and Social Services - Division of Services for Aging and Adults with Physical Disabilities
languages: English
"The Delaware Medicare Fraud Alert provides public information to encourage people who have Medicare to carefully read their Medicare summary notices and ask questions if they do not think the information is correct..."

.
Medicare brochure or publication:Delaware Prescription Assistance Program (

source:Delaware Medical Assistance Program (DMAP)
1 pagelanguages: English  
Fact sheet about Medicare Prescription Drug Coverage in Delaware
 
more from Delaware Medical Assistance Program (DMAP) :
Medicare brochure or publication:
Medicare Prescription Drug Coverage (Delaware)
languages: English
.
Medicare brochure or publication:
Delaware 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:
Your Medicare Rights

source:Quality Insights of Delaware
languages: English  
"As the Quality Improvement Organization for Delaware, Quality Insights protects your three basic Medicare rights..."
.
Medicare Web Page:
Medicare Fraud Alert Program, Delaware

source:Delaware Helpline Inc
languages: English  
Delaware Medicare Fraud Alert Program (DMFAP) educates senior citizens and their families in detecting, preventing and reporting cases of Medicare fraud and abuse.
.
Medicare Web Page:
Delaware: 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:
ELDERinfo

source:State of Delaware Insurance Commissioner & Department of Insurance
languages: English  
ELDERinfo provides free health insurance counseling for people with Medicare.
 
more from State of Delaware Insurance Commissioner & Department of Insurance:
Medicare Web Page:
Reality Check Express - Is A Medicare Prescription Drug Plan Right Or Wrong For You?
languages: English
"...The “Reality Check Express” is a bus with internet-connected computers and trained staff from the Delaware Insurance Commissioner’s ELDERinfo office who can provide one-on-one help in comparing Medicare prescription drug plans based on your specific information..."

Medicare brochure or publication:
2006 Guide To 2006 Guide To Health Insurance For Delaware Senior Citizens
languages: English
"...What you need to know to make informed decisions about Medicare, Medigap insurance, Medicare Advantage, the new Medicare prescription drug plans and long-term care insurance..."

Medicare Web Page:
Delaware Insurance Department's Medigap Premium Compare
languages: English
"This is an interactive tool designed to give you the approximate cost of the Medigap plans available in the State of Delaware..."

.
Medicare Web Page:
What Medicare Covers & How Much You Will Pay

source:Medicare Rights Center
languages: English  
Charts of premiums, deductables, and other information for medicare coverage under Part A, Part B, and Part D
.
Medicaid brochure or publication:
A Consumer's Guide to Getting and Keeping Health Insurance in Delaware

source:healthinsuranceinfo.net
file size: 38pg.   languages: English
from GEORGETOWN UNIVERSITY HEALTH POLICY INSTITUTE. As a resident of Delaware, 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 Delaware.
.
Medicare insurance web page:
State Pharmacy Listing - Aetna Medicare RxSM Plans - District of Columbia/Delaware/Maryland

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 Delaware 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
Delaware 2007 Medicare Part D Stand-Alone Prescription Drug Plans. Data as of September 12, 2006. 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: Delaware Medicare Advantage, Cost Plans, and Demonstrations

source:CENTERS FOR MEDICARE & MEDICAID SERVICES
file size:2 pg.   languages: English
"Delaware 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 Delaware 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 Delaware, 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.

 
47 Prescription Drug Plans in Delaware  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 S5884-063
(S5884-063)
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 Enhanced S5884-004
(S5884-004)
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
(S5967-039)
WellCare No gap coverage Non-Members
1-888-423-5252
Members
1-888-550-5252
TTY Users should call:
1-888-550-5252
AdvantraRx Value
(S5670-027)
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
PacifiCare Saver Plan
(S5921-238)
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
First Health Premier
(S5768-008)
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
AmeriHealth Advantage Rx Option l
(S5783-001)
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
MedicareRx Rewards
(S5960-005)
Unicare No gap coverage Non-Members
1-866-892-5335
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
AARP MedicareRx Plan
(S5820-004)
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
SilverScript
(S5601-010)
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
Elder Health PDP Mid-Atlantic
(S5822-001)
Bravo by Elder Health No gap coverage Non-Members
1-888-787-0272
TTY Users should call:
1-800-964-2561
Members
1-800-593-0324
TTY Users should call:
1-800-593-0324
United Medicare MedAdvance
(S5820-108)
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
Prescription Pathway Bronze Plan Reg 5
(S5597-070)
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
Community Care Rx BASIC
(S5803-074)
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
(S5644-071)
RxAmerica No gap coverage Non-Members
1-877-279-0370
Members
1-800-429-6686
TTY Users should call:
1-800-429-6686
YOURx PLAN
(S5660-004)
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
Aetna Medicare Rx Essentials
(S5810-039)
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
AdvantraRx Premier
(S5670-028)
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
MedicareRx Rewards Plus
(S5960-041)
Unicare No gap coverage Non-Members
1-866-892-5335
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
PacifiCare Select Plan
(S5921-237)
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 Freedom Plan
(S5644-050)
RxAmerica No gap coverage Non-Members
1-877-279-0370
Members
1-800-429-6686
TTY Users should call:
1-800-429-6686
Medi-CareFirst Rx $250 Deductible Plan
(S5766-001)
Medi-CareFirst BlueCross BlueShield No gap coverage Non-Members
1-888-784-0790
TTY Users should call:
1-888-784-0868
Members
1-800-693-1434
TTY Users should call:
1-800-693-1434
Medi-CareFirst Rx $0 Deductible Plan
(S5766-002)
Medi-CareFirst BlueCross BlueShield No gap coverage Non-Members
1-888-784-0790
TTY Users should call:
1-888-784-0868
Members
1-800-693-1434
TTY Users should call:
1-800-693-1434
UA Medicare Part D Prescription Drug Cov
(S5755-008)
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
(S5617-023)
CIGNA HealthCare No gap coverage Non-Members
1-800-735-1459
Members
1-800-222-6700
TTY Users should call:
1-800-222-6700
PacifiCare Comprehensive Plan
(S5921-239)
UnitedHealthcare Generic Only 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
WellCare Complete
(S5967-073)
WellCare No gap coverage Non-Members
1-888-423-5252
Members
1-888-550-5252
TTY Users should call:
1-888-550-5252
Community Care Rx CHOICE
(S5803-142)
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
Prescription Pathway Silver Plan Reg 5
(S5825-075)
American Progressive Life & Health Ins Co of NY No gap coverage Non-Members
1-800-825-8200
TTY Users should call:
1-866-222-3904
Members
1-800-698-8396
TTY Users should call:
1-850-432-1700
Prescription Pathway Silver Plan Reg 5
(S5597-169)
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 5
(S5581-121)
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
CIGNATURE Rx Plus Plan
(S5617-025)
CIGNA HealthCare No gap coverage Non-Members
1-800-735-1459
Members
1-800-222-6700
TTY Users should call:
1-800-222-6700
WellCare Premier
(S5967-108)
WellCare No gap coverage Non-Members
1-888-423-5252
Members
1-888-550-5252
TTY Users should call:
1-888-550-5252
Aetna Medicare Rx Plus
(S5810-141)
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
Community Care Rx GOLD
(S5803-108)
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
AdvantraRx Premier Plus
(S5670-030)
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
MedicareRx Rewards Premier
(S5960-075)
Unicare Generic Only Non-Members
1-866-892-5335
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
CIGNATURE Rx Complete Plan
(S5617-175)
CIGNA HealthCare Generic Only Non-Members
1-800-735-1459
Members
1-800-222-6700
TTY Users should call:
1-800-222-6700
Prescription Pathway Gold Plan Reg 5
(S5825-019)
American Progressive Life & Health Ins Co of NY No gap coverage Non-Members
1-800-825-8200
TTY Users should call:
1-866-222-3904
Members
1-800-698-8396
TTY Users should call:
1-850-432-1700
Prescription Pathway Gold Plan Reg 5
(S5597-037)
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 5
(S5581-025)
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
Humana PDP Complete S5884-033
(S5884-033)
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
Sterling Prescription Drug Plan
(S4802-002)
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
(S5601-011)
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
Aetna Medicare Rx Premier
(S5810-175)
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
Prescription Pathway Platinum Plan Reg 5
(S5581-049)
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 Platinum Plan Reg 5
(S5825-033)
American Progressive Life & Health Ins Co of NY No gap coverage Non-Members
1-800-825-8200
TTY Users should call:
1-866-222-3904
Members
1-800-698-8396
TTY Users should call:
1-850-432-1700

 
1 Medicare Special Needs Plans in Delaware  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.)
Plan Name and
ID Numbers
Company
(w. link to
plan web site)
Special Rules for Enrolling Contact Service
Phones
Evercare Plan IP
(H2111-003-0)
United Healthcare Insurance Company For people in certain long-term care facilities. Non-Members
1-800-393-0395
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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