The Medicare Project   
a consumer's guide to Georgia 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 Georgia Medicare Prescription Drug Plans?   Medicare Georgia help & articles The Medicare Project (Home)   Georgia MEDICAID help

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

Georgia Medicare; GA; Medicare Part D in Georgia

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

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

Information from varied resources about Medicare in Georgia
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
 
web page:
Consumer Education Medicare consumer education

source: Georgia Medical Care Foundation (gmcf)
languages: English
"We strive to reach as many of the 950,000+ Georgia Medicare consumers as possible, to help them understand their rights under Medicare and how the Medicare program works..."
.
Medicare Web Page:
Medicare Supplement Insurance Q & A

source: Georgia Insurance and Safety Fire Commissioner
languages: English
Questions and Answers (FAQ's) about Georgia Medicare supplement Insurance
.
Medicare Web Page:
GeorgiaCares Senior Medicare Patrol

source:Division of Aging Services, Georgia Department of Human Resources
languages: English
"Each year, billions of dollars are lost to Medicare and Medicaid programs due to error, fraud and abuse. Senior Medicare Patrol Projects are dedicated to promoting consumer awareness, preventing elder victimization, and working to implement community partnerships..."
.
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 Georgia Medicare Prescription Drug plans
.
Medicare Web Page:
Medicare INTRODUCTION

source: State Bar of Georgia
languages: English
Thorough explanations of Georgia Medicare Part A, Part B, eligibility, claims, appeals, and other topics.
.
Medicaid brochure or publication:
A Consumer's Guide to Getting and Keeping Health Insurance in Georgia

source:healthinsuranceinfo.net
file size: 37pg.   languages: English
from GEORGETOWN UNIVERSITY HEALTH POLICY INSTITUTE. As a resident of Georgia, 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 Georgia.
.
Medicare brochure or publication:
2005 Georgia Medicaid Survey

source:The Office of Research Services at The University of Georgia
file size: 18pg.   languages: English
"...The purpose of the study was to assess perceptions of Georgia residents about opinions and attitudes toward possible Medicaid waiver changes being contemplated by the state of Georgia..."
.
Medicare brochure or publication:
Georgia 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...."
.
web page:
WellCare Georgia - Medicare

source:WellCare
languages: English
Information about Medicare policies in Georgia offered through WellCare:
.
web page:
Georgia Medicare Part A

source:BlueCross and BlueShield of Georgia, Inc.
languages: English
"The Medicare program is divided into two parts: Hospital Insurance (Part A) and Medical Insurance (Part B). Medicare Part A provides coverage of inpatient hospital services, skilled nursing facilities, home health services and hospice care..."

.
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 Georgia 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
Georgia 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: Georgia Medicare Advantage, Cost Plans, and Demonstrations

source:CENTERS FOR MEDICARE & MEDICAID SERVICES
file size:61 pg.   languages: English
"Georgia 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 Georgia 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 Georgia, 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.

 
Georgia Prescription Drug Plans  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 S5884-068
(S5884-068)
Humana Insurance Company No gap coverage Non-Members
Members
1-800-281-6918
TTY Users should call:
1-800-281-6918
AdvantraRx Value
(S5670-057)
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
Blue MedicareRx Value
(S5596-009)
Blue Cross Blue Shield of Georgia No gap coverage Non-Members
1-866-892-5331
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
MedicareRx Rewards
(S5960-010)
Unicare No gap coverage Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
Humana PDP Enhanced S5884-009
(S5884-009)
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
AmeriHealth Advantage Rx Option l
(S5783-003)
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
WellCare Signature
(S5967-044)
WellCare No gap coverage Non-Members
1-888-423-5252
Members
1-888-550-5252
TTY Users should call:
1-888-550-5252
InStil Rx
(S5946-002)
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
AARP MedicareRx Plan
(S5820-009)
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
PacifiCare Saver Plan
(S5921-132)
UnitedHealthcare No gap coverage Non-Members
1-800-943-0399
Members
1-800-797-9794
TTY Users should call:
1-714-825-3600
YOURx PLAN
(S5660-009)
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
Blue MedicareRx Plus
(S5596-010)
Blue Cross Blue Shield of Georgia No gap coverage Non-Members
1-866-892-5331
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
MedicareRx Rewards Plus
(S5960-046)
Unicare No gap coverage Non-Members
1-866-892-5335
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
Community Care Rx BASIC
(S5803-079)
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
(S5644-076)
RxAmerica No gap coverage Non-Members
1-877-279-0370
Members
1-800-429-6686
TTY Users should call:
1-800-429-6686
United Medicare MedAdvance
(S5820-113)
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
Aetna Medicare Rx Essentials
(S5810-044)
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
(S5670-058)
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
Prescription Pathway Bronze Plan Reg 10
(S5597-075)
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
(S5601-020)
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
InStil Rx Plus
(S5946-004)
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
Advantage Freedom Plan
(S5644-055)
RxAmerica No gap coverage Non-Members
1-877-279-0370
Members
1-800-429-6686
TTY Users should call:
1-800-429-6686
UA Medicare Part D Prescription Drug Cov
(S5755-013)
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
(S5617-048)
CIGNA HealthCare No gap coverage Non-Members
1-800-735-1459
Members
1-800-222-6700
TTY Users should call:
1-800-222-6700
Blue MedicareRx Premier
(S5596-011)
Blue Cross Blue Shield of Georgia Generic Only Non-Members
1-866-892-5331
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
Community Care Rx CHOICE
(S5803-147)
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
MedicareRx Rewards Premier
(S5960-080)
Unicare Generic Only Non-Members
1-866-892-5335
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
CIGNATURE Rx Plus Plan
(S5617-050)
CIGNA HealthCare No gap coverage Non-Members
1-800-735-1459
Members
1-800-222-6700
TTY Users should call:
1-800-222-6700
Prescription Pathway Silver Plan Reg10
(S5597-174)
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
Aetna Medicare Rx Plus
(S5810-146)
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
(S5803-113)
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
PacifiCare Select Plan
(S5921-131)
UnitedHealthcare No gap coverage Non-Members
1-800-943-0399
Members
1-800-797-9794
TTY Users should call:
1-714-825-3600
AdvantraRx Premier Plus
(S5670-060)
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
WellCare Complete
(S5967-078)
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
(S5967-113)
WellCare No gap coverage Non-Members
1-888-423-5252
Members
1-888-550-5252
TTY Users should call:
1-888-550-5252
PacifiCare Comprehensive Plan
(S5921-133)
UnitedHealthcare Generic Only Non-Members
1-800-943-0399
Members
1-800-797-9794
TTY Users should call:
1-714-825-3600
CIGNATURE Rx Complete Plan
(S5617-180)
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 10
(S5597-042)
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
Sterling Prescription Drug Plan
(S4802-007)
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
Aetna Medicare Rx Premier
(S5810-180)
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
SilverScript Plus
(S5601-021)
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
Humana PDP Complete S5884-038
(S5884-038)
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

 
9 Medicare Special Needs Plans in Georgia  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 DH-ES
(H1111-004-0)
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
1-866-202-6370
TTY Users should call:
1-888-685-8480
Evercare Plan DP
(H1108-002-0)
United Healthcare Insurance Company For people who are eligible for both Medicare and Medicaid. Non-Members
1-800-634-0127
TTY Users should call:
1-888-685-8480
Members
1-866-266-0654
TTY Users should call:
1-888-685-8480
Evercare Plan IP
(H1108-001-0)
UnitedHealthcare For people in certain long-term care facilities. Non-Members
1-800-634-0127
TTY Users should call:
1-888-685-8480
Members
1-800-393-0993
TTY Users should call:
1-888-685-8480
Evercare Plan RD
(H5598-001-0)
UnitedHealthcare For people with certain chronic or disabling conditions. Non-Members
1-800-634-0127
TTY Users should call:
1-888-685-8480
Members
1-800-393-0993
TTY Users should call:
1-888-685-8480
SecureCare
(H5422-003-0)
Blue Cross Blue Shield Healthcare Plan of Georgia For people who are eligible for both Medicare and Medicaid. Non-Members
1-800-459-1732
TTY Users should call:
1-877-247-1657
Members
1-866-438-9966
TTY Users should call:
1-877-247-1657
WellCare Access
(H1112-006-0)
WellCare For people who are eligible for both Medicare and Medicaid. Non-Members
1-866-211-1425
TTY Users should call:
1-877-247-6272
Members
1-866-334-7730
TTY Users should call:
1-877-247-6272
WellCare Access
(H1112-007-0)
WellCare For people who are eligible for both Medicare and Medicaid. Non-Members
1-866-211-1425
TTY Users should call:
1-877-247-6272
Members
1-866-334-7730
TTY Users should call:
1-877-247-6272
WellCare Select
(H1112-005-0)
WellCare For people who are eligible for both Medicare and Medicaid. Non-Members
1-866-211-1425
TTY Users should call:
1-877-247-6272
Members
1-866-334-7730
TTY Users should call:
1-877-247-6272
WellCare Select
(H1112-008-0)
WellCare For people who are eligible for both Medicare and Medicaid. Non-Members
1-866-211-1425
TTY Users should call:
1-877-247-6272
Members
1-866-334-7730
TTY Users should call:
1-877-247-6272


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