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

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

Indiana Medicare; IN; Medicare Part D in Indiana

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

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

Information from varied resources about Medicare in Indiana
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:
Am I eligible for Medicare?

source:Indiana Department of Insurance
languages: English
"To receive Medicare, you must be eligible for Social Security benefits.... Part A Eligibility... Part B Eligibility"
 
more from Indiana Department of Insurance:
Medicare Web Page:
How Do I Enroll In Medicare?
languages: English
"You apply for Medicare with the Social Security Administration...."

Medicare brochure or publication::
2007 Medicare Prescription Drug Benefit (Part D) Eligibility & Enrollment Chart for Indiana
languages: English
"Medicare Supplement insurance is sold in 12 standard plans. ..."

Medicare Web Page:
What does Medicare Supplement insurance cover?
languages: English
"Medicare Supplement insurance is sold in 12 standard plans. ..."

Medicare Web Page:
Premium Comparison Tool
languages: English
(from the web page:) "Provide the following information and click 'Submit'. You will then receive a list of estimated yearly premiums customized to your demographic information. Please note that you may click on the company name to receive the premium history and other important aspects of the policy. ..."


.
Medicare Web Page:Frequently Asked Questions about HoosierRx, Indiana's Prescription Drug Plan for low income seniors

source:Indiana Family and Social Services Administration
languages: English  
Brief answers and resources about the Indiana Prescription Drug program.
.
Medicare brochure or publication:
Indiana 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 brochure or publication:
All Medicaid Members Who Also Have Medicare: Medicare Prescription Drug Coverage

source:Indiana Health Coverage Programs
file size:6 pg.   languages: English  date:October 2005
Overview: Beginning Sunday, January 1, 2006, Medicaid can no longer pay for prescription drugs for Indiana people who are eligible for both Medicare and Medicaid, commonly referred to as dual eligibles.
.
Medicare Web Page:
HoosierRx Helps Pay for your Medicare Part D Plan

source:RX For Indiana
languages: English  
"Indiana’s State Pharmaceutical Assistance Program, HoosierRx, can help pay the monthly Part D premium for members enrolled in a Medicare Part D Plan working with HoosierRx..."
.
Medicare Web Page:
Find a Free or Discounted Drug Program:

source:RX For Indiana
languages: English  
Help for low-income, uninsured Indiana residents to get free or discounted brand-name medicines.
.
Medicare Web Page:
Indiana: 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..."
.
Medicare brochure or publication:
Indiana Medicare Phone Numbers to Know

source:AdminaStar Federal
file size:1 pg.   languages: English  
Social Security Administration (SSA), General Medicare Questions, Medicare Part A Claims, etc.
.
Medicaid brochure or publication:
A Consumer's Guide to Getting and Keeping Health Insurance in Indiana

source:healthinsuranceinfo.net
file size: 39pg.   languages: English
from GEORGETOWN UNIVERSITY HEALTH POLICY INSTITUTE. As a resident of Indiana, 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 Indiana.
.
Medicare insurance web page:
State Pharmacy Listing - Aetna Medicare RxSM Plans - Indiana/Kentucky

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 Indiana 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
Indiana 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: Indiana Medicare Advantage, Cost Plans, and Demonstrations

source:CENTERS FOR MEDICARE & MEDICAID SERVICES
file size:31 pg.   languages: English
"Indiana 2007 Medicare Advantage, Cost, and Demonstration Plans. Data as of September 12, 2006. Includes all contracts/plans regardless of 2007 approval status. Employer sponsored plans (800 series) are excluded."

How to get more information about Indiana 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 Indiana, 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.

 
42 Prescription Drug Plans in Indiana  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 S5884-073
(S5884-073)
Humana Insurance Company No gap coverage on-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
AdvantraRx Value
(S5674-026)
Coventry AdvantraRx No gap coverage Non-Members
1-800-882-3822
TTY Users should call:
1-800-508-9548
Members
1-866-823-5178
TTY Users should call:
1-866-823-5178
Blue MedicareRx Value
(S5596-017)
Anthem Blue Cross and Blue Shield No gap coverage Non-Members
1-800-467-8065
TTY Users should call:
1-888-853-7754
Members
1-866-755-2776
TTY Users should call:
1-866-755-2776
MedicareRx Rewards
(S5960-015)
Unicare No gap coverage Non-Members
1-866-892-5335
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
Humana PDP Enhanced S5884-013
(S5884-013)
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
(S5783-007)
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
(S5967-049)
WellCare No gap coverage Non-Members
1-888-423-5252
Members
1-888-550-5252
TTY Users should call:
1-888-550-5252
First Health Premier
(S5768-018)
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
AARP MedicareRx Plan
(S5820-014)
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
Blue MedicareRx Plus
(S5596-018)
Anthem Blue Cross and Blue Shield No gap coverage Non-Members
1-800-467-8065
TTY Users should call:
1-888-853-7754
Members
1-866-755-2776
TTY Users should call:
1-866-755-2776
MedicareRx Rewards Plus
(S5960-051)
Unicare No gap coverage Non-Members
1-866-892-5335
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
United Medicare MedAdvance
(S5820-118)
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
Community Care Rx BASIC
(S5803-084)
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 Saver Plan
(S5921-062)
UnitedHealthcare No gap coverage Non-Members
1-800-943-0399
Members
1-800-797-9794
TTY Users should call:
1-714-825-3600
SilverScript
(S5601-030)
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
Prescription Pathway Bronze Plan Reg 15
(S5597-080)
Pennsylvania Life Insurance Company No gap coverage 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
AdvantraRx Premier
(S5674-027)
Coventry AdvantraRx No gap coverage Non-Members
1-800-882-3822
TTY Users should call:
1-800-508-9548
Members
1-866-823-5178
TTY Users should call:
1-866-823-5178
YOURx PLAN
(S5660-015)
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
CIGNATURE Rx Value Plan
(S5617-073)
CIGNA HealthCare No gap coverage Non-Members
1-800-735-1459
Members
1-800-222-6700
TTY Users should call:
1-800-222-6700
Aetna Medicare Rx Essentials
(S5810-049)
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
Blue MedicareRx Premier
(S5596-019)
Anthem Blue Cross and Blue Shield Generic Only Non-Members
1-800-467-8065
TTY Users should call:
1-888-853-7754
Members
1-866-755-2776
TTY Users should call:
1-866-755-2776
Community Care Rx CHOICE
(S5803-152)
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
UA Medicare Part D Prescription Drug Cov
(S5755-018)
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
MedicareRx Rewards Premier
(S5960-085)
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
(S5617-075)
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 Reg15
(S5597-179)
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 15
(S5581-127)
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
Community Care Rx GOLD
(S5803-118)
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
(S5674-029)
Coventry AdvantraRx No gap coverage Non-Members
1-800-882-3822
TTY Users should call:
1-800-508-9548
Members
1-866-823-5178
TTY Users should call:
1-866-823-5178
PacifiCare Select Plan
(S5921-061)
UnitedHealthcare No gap coverage Non-Members
1-800-943-0399
Members
1-800-797-9794
TTY Users should call:
1-714-825-3600
WellCare Complete
(S5967-083)
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
(S5810-151)
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
CIGNATURE Rx Complete Plan
(S5617-185)
CIGNA HealthCare Generic Only Non-Members
1-800-735-1459
Members
1-800-222-6700
TTY Users should call:
1-800-222-6700
WellCare Premier
(S5967-118)
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
(S5921-063)
UnitedHealthcare Generic Only Non-Members
1-800-943-0399
Members
1-800-797-9794
TTY Users should call:
1-714-825-3600
Prescription Pathway Gold Plan Reg 15
(S5597-047)
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 15
(S5581-031)
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
Sterling Prescription Drug Plan
(S4802-009)
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
(S5601-031)
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
(S5810-185)
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
Humana PDP Complete S5884-043
(S5884-043)
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
Prescription Pathway Platinum Plan Reg 15
(S5581-055)
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

 
1 Medicare Special Needs Plans in Indiana  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
UnitedHealthcareMedicareCompChoicePlus Rx
(H1509-004-0)
SecureHorizons For people who are eligible for both Medicare and Medicaid. Non-Members
1-800-450-8590
TTY Users should call:
1-888-685-8480
Members
1-866-540-5908
TTY Users should call:
1-888-685-8480


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