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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 Kentucky Medicare directory of help and information resources.
 

Kentucky Medicare; KY; Medicare Insurance in Kentucky

Kentucky Medicaid: Medicaid assistance and Kentucky Medicaid help Were you looking for Kentucky Medicaid instead of Kentucky Medicare? This link provides a directory of Medicare web sites, articles, publications, brochures
 

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

Information from varied resources about Medicare in Kentucky
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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Web Page:
Services for Seniors

source:Kentucky.gov - Health & Public Safety
languages: English
"Find activities and assistance for seniors..."
.
Brochure or publication:
Medicare Supplement Guide - 2007

source:Kentucky Office of Insurance
68 pp; languages: English
"The Kentucky Office of Insurance offers this consumer guide providing detailed comparison of rates that insurance companies charge for Medicare supplement, also referred to as Medigap, coverage in Kentucky..."
.
Web Page:
The Kentucky State Health Insurance Assistance Program (SHIP)

source: Kentucky: Cabinet for Health and Family Services - CHFS
languages: English
"The Kentucky State Health Insurance Assistance Program (SHIP) provides information, counseling and assistance to seniors and disabled individuals, their family members and caregivers. This service is provided at no charge by local, well-trained counselors..."

 
more from Kentucky: Cabinet for Health and Family Services - CHFS:
Web Page:
Medicare-Approved Drug Discount Card
languages: English
"Medicare offers a prescription drug discount card as the first step toward a drug benefit that began Jan. 1, 2006. The discount card provides price reductions on some pharmaceutical medications to Medicare beneficiaries... "

.

Web Page:
Mission of Kentucky Seniors Saving Medicare (KSSM)

source:Morehead State University
languages: English  
from the web page: "In September 2001, KSSM became a part of the MSU Retired and Senior Volunteer Program through a grant from Administration on Aging, with the purpose of educating Medicare beneficiaries, their caregivers, and the general public about how to avoid fraud, waste and abuse in the Medicare Insurance program..."
.
Web Page:
Kentucky: 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
.
Web Page:
A Medicare Primer

source:WAVE 3 TV Louisville, Kentucky
languages: English  
our comments: "If you're celebrating your 65th birthday within the next year or so, get ready for a big gift from the government: Medicare coverage..."
.
Web page:
Retired Members: Medical Benefits: Age 65 Older

source:Kentucky Teachers' Retirement System
languages: English  
our comments: Member guidebooks and other help for retired teachers with and without Medicare
.
Web Page:
Medicare Patients' Rights Overview

source:Health Care Excel (Health Care Excel (HCE) serves as the contractor for the Medicare QIO for Indiana and Kentucky)
  languages: English  
our comments: "Medicare Quality Improvement Organizations (QIOs) were created by Congress in 1984 to protect the rights of persons with Medicare and to protect the Medicare Trust Fund by assuring that Medicare was paying for medically necessary care in the appropriate health-care setting. These services are free to persons with Medicare..." (Kentucky)
.
Web Page:
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
.
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.
Brochure or publication:
A Consumer's Guide to Getting and Keeping Health Insurance in Kentucky

source:healthinsuranceinfo.net
file size: 39pg.   languages: English
from GEORGETOWN UNIVERSITY HEALTH POLICY INSTITUTE. As a resident of Kentucky, 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 Kentucky.
.
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.
.
 

Kentucky Seniors Prescription Coverage & help

Web Page:
Are you struggling with the cost of prescription drugs?

source:Kentucky: Office of the Attorney General
languages: English
"...If you are on Medicare, have no prescription drug coverage and have an annual income of less than $28,000 ($38,000 for couples) you may qualify for a new program called Together Rx. ..."
.
Web Page:
Information on Medicare Rx Discount Cards

source:Kentucky: Office of the Attorney General
languages: English
"Determine legitimate companies and spot bogus ones "
.
Brochure or publication:
Kentucky 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...."

 
more from AARP:
Web Page:
Kentucky: Medicare Rx Fact Sheet
languages: English
"...Kentucky already runs two programs that help people with limited incomes pay for drugs, a third program that helps pay for other Medicare-related costs like premiums, and will start a new program on January 1, 2006... "

.
Web page:
Retiree - Medicare-Eligible Prescription Drug Benefit

source:University of Kentucky
languages: English  
our comments: "Prescription Drug Benefit Coverage Levels - Drugs in our formulary are organized into different drug tiers or groups of drug types. Your coinsurance depends upon the tier in which your drug is placed. Please look at the 2007 Medicare Formulary to determine the "tier" placement of your medication."
.
Brochure or publication:
State Pharmacy Listing - Aetna Medicare RxSM Plans - Indiana / Kentucky State

Aetna Medicare

.
Brochure or publication:
Lanscape: 2007 Kentucky 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
Kentucky 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."

Brochure or publication:
Landscape: Kentucky Medicare Advantage, Cost Plans, and Demonstrations

source:CENTERS FOR MEDICARE & MEDICAID SERVICES
file size:35 pg.   languages: English
"Kentucky 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 Kentucky 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 Kentucky: 

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.

 
40 Prescription Drug Plans in Kentucky  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
AARP MedicareRx Plan
(S5820-023)
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
AdvantraRx Premier
(S5670-130)
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
AdvantraRx Premier Plus
(S5670-132)
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
AdvantraRx Value
(S5670-129)
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
Aetna Medicare Rx Essentials
(S5810-058)
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
Aetna Medicare Rx Plus
(S5810-160)
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
Aetna Medicare Rx Premier
(S5810-194)
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
Blue MedicareRx Plus
(S5726-014)
Blue MedicareRx No gap coverage Non-Members
1-877-471-4121
TTY Users should call:
1-800-430-1270
Members
1-866-755-2776
TTY Users should call:
1-866-755-2776
Blue MedicareRx Premier
(S5726-015)
Blue MedicareRx Generic Only Non-Members
1-877-471-4121
TTY Users should call:
1-800-430-1270
Members
1-866-755-2776
TTY Users should call:
1-866-755-2776
Blue MedicareRx Value
(S5726-013)
Blue MedicareRx No gap coverage Non-Members
1-877-471-4121
TTY Users should call:
1-800-430-1270
Members
1-866-755-2776
TTY Users should call:
1-866-755-2776
CIGNATURE Rx Complete Plan
(S5617-194)
CIGNA HealthCare Generic Only Non-Members
1-800-735-1459
Members
1-800-222-6700
TTY Users should call:
1-800-222-6700
CIGNATURE Rx Plus Plan
(S5617-120)
CIGNA HealthCare No gap coverage Non-Members
1-800-735-1459
Members
1-800-222-6700
TTY Users should call:
1-800-222-6700
CIGNATURE Rx Value Plan
(S5617-118)
CIGNA HealthCare No gap coverage Non-Members
1-800-735-1459
Members
1-800-222-6700
TTY Users should call:
1-800-222-6700
Community Care Rx BASIC
(S5803-093)
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
Community Care Rx CHOICE
(S5803-161)
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
Community Care Rx GOLD
(S5803-127)
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
Humana PDP Complete S5884-052
(S5884-052)
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
Humana PDP Enhanced S5884-022
(S5884-022)
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
Humana PDP Standard S5884-082
(S5884-082)
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
MedicareRx Rewards
(S5960-024)
Unicare No gap coverage Non-Members
1-866-892-5335
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
MedicareRx Rewards Plus
(S5960-060)
Unicare No gap coverage Non-Members
1-866-892-5335
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
MedicareRx Rewards Premier
(S5960-094)
Unicare Generic Only Non-Members
1-866-892-5335
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
PacifiCare Comprehensive Plan
(S5921-283)
UnitedHealthcare Generic Only Non-Members
1-800-943-0399
Members
1-800-797-9794
TTY Users should call:
1-714-825-3600
PacifiCare Saver Plan
(S5921-282)
UnitedHealthcare No gap coverage Non-Members
1-800-943-0399
Members
1-800-797-9794
TTY Users should call:
1-714-825-3600
PacifiCare Select Plan
(S5921-281)
UnitedHealthcare No gap coverage Non-Members
1-800-943-0399
Members
1-800-797-9794
TTY Users should call:
1-714-825-3600
Prescription Pathway Bronze Plan Reg 24
(S5597-089)
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 24
(S5581-039)
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
Prescription Pathway Gold Plan Reg 24
(S5597-056)
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 Platinum Plan Reg 24
(S5581-063)
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
Prescription Pathway Silver Plan Reg 24
(S5581-135)
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
Prescription Pathway Silver Plan Reg24
(S5597-188)
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
(S5601-048)
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
SilverScript Plus
(S5601-049)
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
Sterling Prescription Drug Plan
(S4802-015)
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
UA Medicare Part D Prescription Drug Cov
(S5755-027)
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
United Medicare MedAdvance
(S5820-127)
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
WellCare Complete
(S5967-093)
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
(S5967-127)
WellCare No gap coverage Non-Members
1-888-423-5252
Members
1-888-550-5252
TTY Users should call:
1-888-550-5252
WellCare Signature
(S5967-058)
WellCare No gap coverage Non-Members
1-888-423-5252
Members
1-888-550-5252
TTY Users should call:
1-888-550-5252
YOURx PLAN
(S5660-024)
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

 
1 Medicare Special Needs Plans in Kentucky  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.)
UnitedHealthcareMedicare
CompChoicePlus Rx

(H1717-006-0)
SecureHorizons For people who are eligible for both Medicare and Medicaid. Non-Members
1-316-291-3646
TTY Users should call:
1-888-685-8480
Members
1-866-815-5326
TTY Users should call:
1-888-685-8480


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