| The Medicare Project a consumer's guide to Iowa 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 Iowa help & articles | Who Offers Iowa Medicare Prescription Drug Plans? | The Medicare Project (Home) | Iowa MEDICAID help |
Iowa Medicare, Iowa 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 Iowa Medicare help and information
resources. |
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Medicare brochure or publication: “Medicare Part D — What the Experts and Others Are Saying” source: U.S. Senate - The Committee on Finance languages: English Floor Statement of U.S. Senator Chuck Grassley, of Iowa (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 Iowa Medicare Prescription Drug plans Medicare: Part A & B source: University of Iowa Hospitals and Clinics languages: English "Medicare is divided into two parts: Part A pays benefits for hospital and skilled nursing home care and Part B helps pay for doctor bills and outpatient services..." A Consumer's Guide to Getting and Keeping Health Insurance in Iowa source:healthinsuranceinfo.net file size: 41pg. languages: English from GEORGETOWN UNIVERSITY HEALTH POLICY INSTITUTE. As a resident of Iowa, 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 Iowa. 2006 - Iowa’s Guide to Medicare Supplement Insurance source:SHIIP - Senior Health Insurance Information Program - State of Iowa Insurance Division file size: 25pg. languages: English "...Medicare pays most of the health care costs for those eligible, but significant gaps can leave large bills to pay. The Medicare Benefit Chart on the next page shows Medicare's benefits and the amounts for which you are responsible...." more from SHIIP - Senior Health Insurance Information Program - State of Iowa Insurance Division: Medicare brochure or publication: Iowa Medicare Supplement Premium Comparison Guide 2 0 0 7 24 pages; languages: English The 2007 Iowa Medicare Supplement Premium Comparison Guide is provided by SHIIP, the Senior Health Insurance Information Program... SHIIP does not sell insurance or promote specific insurance companies or agents. Medicare Web Page: 10 Things You Need to Know about Your Medicare and Health Insurance Statements languages: English Iowa 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...." Enhanced Tools Available to Help People with Medicare During 2006 Open Enrollment Period source: The University of Iowa Center on Aging languages: English "Starting on January 1, 2006, Medicare began offering prescription drug coverage. In Iowa, people with Medicare selected from more than fifteen Medicare-approved drug plans sponsored by various private insurers wiith premiums ranging from $1.87 to $99.90 per month..." Don't Wait Until the Last Minute To Change Medicare Drug Plans source:Iowa Department of Elder Affairs languages: English "Medicare offers one time a year when you can change prescription drug plans or enroll in a plan if you missed earlier deadlines..." more from Iowa Department of Elder Affairs: Medicare Web Page: HANDBOOK FOR OLDER IOWANS languages: English A Legal Information and Resource Guide Produced by the Young Lawyers Division of The Iowa State Bar Association Survey Indicates that Iowa's Medicare Quality Improvement Organization is Helping Improve Care source:Iowa Foundation for Medical Care languages: English "More than 95 percent of participants in a recent survey of Iowa health care organizations and agencies say that the state's Medicare Quality Improvement Organization, the Iowa Foundation for Medical Care, helps Iowa health care professionals provide better care...." Should I Enroll in the New Medicare Prescription Drug Benefit? A Guide for Iowa Medicare Beneficiaries and Caregivers source:Center on Aging, University of Iowa file size:4 pg. languages: English our comments: Overview: Important advice about "How Can I Help My Loved One Decide to Enroll in the New Medicare Plans" 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 Iowa 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 Iowa 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: Iowa Medicare Advantage, Cost Plans, and Demonstrations source:CENTERS FOR MEDICARE & MEDICAID SERVICES file size:61 pg. languages: English "Iowa 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." |
| 41 Prescription Drug Plans in Iowa 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 S5884-083 (S5884-083) |
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 S5884-023 (S5884-023) |
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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| MedicareBlue Rx Option 1 (S5743-001) |
Wellmark Blue Cross and Blue Shield of Iowa | No gap coverage | Non-Members 1-866-456-3725 TTY Users should call: 1-866-456-1550 Members 1-888-832-0075 TTY Users should call: 1-888-832-0075 |
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| MedicareRx Rewards (S5960-025) |
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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| AdvantraRx Value (S5674-032) |
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 |
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| UnitedHealthRx (S5820-139) |
UnitedHealthcare | No gap coverage | Non-Members 1-888-556-7052 TTY Users should call: 1-888-556-7053 Members 1-888-556-7060 TTY Users should call: 1-888-556-7060 |
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| SilverScript (S5601-050) |
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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| WellCare Signature (S5967-059) |
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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| AARP MedicareRx Plan (S5820-024) |
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 25 (S5597-090) |
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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| United Medicare MedAdvance (S5820-128) |
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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| MedicareRx Rewards Plus (S5960-061) |
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 (S5803-094) |
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 (S5644-080) |
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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| PacifiCare Saver Plan (S5921-248) |
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 (S5660-025) |
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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| Advantage Freedom Plan (S5644-059) |
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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| AdvantraRx Premier (S5674-033) |
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 |
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| CIGNATURE Rx Value Plan (S5617-123) |
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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| UA Medicare Part D Prescription Drug Cov (S5755-028) |
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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| Prescription Pathway Silver Plan Reg25 (S5597-189) |
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 Essentials (S5810-059) |
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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| Community Care Rx CHOICE (S5803-162) |
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 (S5960-095) |
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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| Humana PDP Complete S5884-053 (S5884-053) |
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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| CIGNATURE Rx Plus Plan (S5617-125) |
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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| Community Care Rx GOLD (S5803-128) |
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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| WellCare Complete (S5967-094) |
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 Premier Plus (S5674-035) |
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 |
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| PacifiCare Select Plan (S5921-247) |
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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| WellCare Premier (S5967-128) |
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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| CIGNATURE Rx Complete Plan (S5617-195) |
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 25 (S5597-057) |
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 (S5810-161) |
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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| PacifiCare Comprehensive Plan (S5921-249) |
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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| SilverScript Plus (S5601-051) |
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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| MedicareBlue Rx Option 2 (S5743-003) |
Wellmark Blue Cross and Blue Shield of Iowa | No gap coverage | Non-Members 1-866-456-3725 TTY Users should call: 1-866-456-1550 Members 1-888-832-0075 TTY Users should call: 1-888-832-0075 |
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| Sterling Prescription Drug Plan (S4802-030) |
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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| Fox Rx Care (S5557-003) |
FOX Insurance Company | No gap coverage | Non-Members 1-888-369-7979 TTY Users should call: 1-866-369-7373 Members 1-888-369-7373 TTY Users should call: 1-480-423-8184 ext: 5917 |
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| Aetna Medicare Rx Premier (S5810-195) |
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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| MedicareBlue Rx Option 3 (S5743-004) |
Wellmark Blue Cross and Blue Shield of Iowa | Generic and Brand | Non-Members 1-866-456-3725 TTY Users should call: 1-866-456-1550 Members 1-888-832-0075 TTY Users should call: 1-888-832-0075 |
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| 2 Medicare Special Needs Plans in Iowa 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-POS (H2803-010-0) |
SecureHorizons | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-800-641-1998 TTY Users should call: 1-888-685-8480 Members 1-888-867-5570 TTY Users should call: 1-888-685-8480 |
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| Evercare Plan IH (H2802-005-0) |
SecureHorizons | For people in certain long-term care facilities. | Non-Members 1-800-641-1998 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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