| 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 |
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| 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
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. |
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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..." more from Delaware Health and Social Services - Division of Services for Aging and Adults with Physical Disabilities: Medicare Web Page: 2004-2005 Guide to Services for Older Delawareans languages: English 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 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...." 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 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. 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 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..." 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 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. State Pharmacy Listing - Aetna Medicare RxSM Plans - District of Columbia/Delaware/Maryland 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 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." |
| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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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