| 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 |
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| 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
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. |
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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 Supplement Insurance Q & A source: Georgia Insurance and Safety Fire Commissioner languages: English Questions and Answers (FAQ's) about Georgia Medicare supplement Insurance 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 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 INTRODUCTION source: State Bar of Georgia languages: English Thorough explanations of Georgia Medicare Part A, Part B, eligibility, claims, appeals, and other topics. 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. 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..." 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...." WellCare Georgia - Medicare source:WellCare languages: English Information about Medicare policies in Georgia offered through WellCare: 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..." more from BlueCross and BlueShield of Georgia, Inc.: Medicare Web Page: Most Commonly Asked Medicare Part A Questions languages: English 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 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." |
| 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.) | ||||||
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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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| 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 |
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| 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 |
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| 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 |
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| MedicareRx Rewards (S5960-010) |
Unicare | No gap coverage | Members 1-800-928-6201 TTY Users should call: 1-800-928-6201 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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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