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

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

Louisiana Medicare; LA; Medicare Part D in Louisiana

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

Louisiana Medicare Information  

Information from varied resources about Medicare in Louisiana
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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medicare
 
Medicare Web Page:
Medicare Savings - Frequently Asked Questions

source:Louisiana Medicare Savings Program - Louisiana Department of Health and Hospitals
languages: English

"What is the Medicare Savings Program? - Do I have Medicare Part A? - What are the income and resource limits and benefits for each program in the Medicare Savings Program? - What are resources? - How do I apply for the Medicare Savings Program? - Where can I call for help with the Medicare Savings Program? ..."
.
Medicare Web Page:
Who We Are

source:LouisianaSenioRx
languages: English

"LouisianaSenioRx.org is a program that connects qualified, low-income people with discount prescription drugs, direct from the pharmaceutical manufacturer..."
.
Medicare Web Page:
Medicare Clarifies Stand On Louisiana Enrollments For Prescription Drug Benefit

source:Louisiana Answers
languages: English
(press release, May 2006) "...The Center for Medicare/ Medicaid Services has clarified its position on enrollment dates and penalties for seniors in Louisiana who enroll in Medicare Part D, announced Alan Heumann, Director, Louisiana Senior Health Insurance Information Program..."
.
brochure or publication:
Medicare Supplement Comparison Guide

source:Louisiana Department of Insurance
file size: 75 pg.   languages: English
"...This guide is designed to assist you in selecting a Medicare supplement insurance policy..."

 
more from Louisiana Department of Insurance:
Medicare Web Page:
What is SHIIP? (Louisiana)
2 pages; languages: English
"...SHIIP is a program funded by a grant from the Health Care Financing Administration, implemented April 1993 by Insurance Commissioner James H. "Jim" Brown to provide counseling and assistance to seniors who need health insurance information..."

Medicare Web Page:
Medicare HMO - To HMO or Not to HMO? That is the Question
languages: English
" For Most Seniors, Medicare Alone is not Enough..."

Medicare brochure or publication:
Medicare Comparison Chart (Louisiana)
1 page; languages: English
"Use this chart to compare your Medicare options..."

.
Medicare brochure or publication:
Louisiana 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 Web Page:
Louisiana: 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:
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
.
Medicaid brochure or publication:
A Consumer's Guide to Getting and Keeping Health Insurance in Louisiana

source:healthinsuranceinfo.net
file size: 40pg.   languages: English
from GEORGETOWN UNIVERSITY HEALTH POLICY INSTITUTE. As a resident of Louisiana, 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 Louisiana.
.
Medicare brochure or publication:
State Pharmacy Listing - Aetna Medicare RxSM Plans - Louisiana State

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

source:CENTERS FOR MEDICARE & MEDICAID SERVICES
file size:22 pg.   languages: English
"Louisiana 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 Louisiana 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 Louisiana: 

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.

 
39 Prescription Drug Plans in Louisiana  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
(S5820-020)
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
(S5670-112)
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
(S5670-114)
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
(S5670-111)
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
(S5810-055)
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
(S5810-157)
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
(S5810-191)
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
AmeriHealth Advantage Rx Option l
(S5783-008)
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
CIGNATURE Rx Complete Plan
(S5617-191)
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
(S5617-105)
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
(S5617-103)
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
(S5803-090)
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
(S5803-158)
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
(S5803-124)
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 S5884-049
(S5884-049)
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 S5884-019
(S5884-019)
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 S5884-079
(S5884-079)
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
(S5960-021)
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
(S5960-057)
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
(S5960-091)
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
(S5921-333)
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
(S5921-332)
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
(S5921-331)
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 21
(S5597-086)
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 21
(S5581-036)
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 21
(S5597-053)
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 21
(S5581-060)
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 21
(S5581-132)
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 Reg21
(S5597-185)
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
RxBlue
(S5937-001)
Blue Cross and Blue Shield of Louisiana No gap coverage Non-Members
1-800-223-4240
TTY Users should call:
1-800-947-5277
Members
1-888-223-2583
TTY Users should call:
1-225-298-7788
SilverScript
(S5601-042)
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
(S5601-043)
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
(S4802-012)
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
(S5755-024)
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
(S5820-124)
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
(S5967-089)
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
(S5967-124)
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
(S5967-055)
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
(S5660-021)
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

 
7 Medicare Special Needs Plans in Louisiana  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
Secure Health
(H1961-003-0)
Peoples Health For people who are eligible for both Medicare and Medicaid. Non-Members
1-800-631-8443 ext: 1
TTY Users should call:
1-888-631-9979
Members
1-800-631-8443 ext: 1
TTY Users should call:
1-888-631-9979
WellCare Access
(H1903-011-0)
WellCare For people who are eligible for both Medicare and Medicaid. Non-Members
1-866-238-4526
TTY Users should call:
1-877-247-6272
Members
1-866-804-5926
TTY Users should call:
1-877-247-6272
WellCare Access
(H1903-012-0)
WellCare For people who are eligible for both Medicare and Medicaid. Non-Members
1-866-238-4526
TTY Users should call:
1-877-247-6272
Members
1-866-804-5926
TTY Users should call:
1-877-247-6272
WellCare Access
(H1903-013-0)
WellCare For people who are eligible for both Medicare and Medicaid. Non-Members
1-866-238-4526
TTY Users should call:
1-877-247-6272
Members
1-866-804-5926
TTY Users should call:
1-877-247-6272
WellCare Select
(H1903-014-0)
WellCare For people who are eligible for both Medicare and Medicaid. Non-Members
1-866-238-4526
TTY Users should call:
1-877-247-6272
Members
1-866-804-5926
TTY Users should call:
1-877-247-6272
WellCare Select
(H1903-015-0)
WellCare For people who are eligible for both Medicare and Medicaid. Non-Members
1-866-238-4526
TTY Users should call:
1-877-247-6272
Members
1-866-804-5926
TTY Users should call:
1-877-247-6272
WellCare Select
(H1903-016-0)
WellCare Non-Members
1-866-238-4526
TTY Users should call:
1-877-247-6272
Members
1-866-804-5926
TTY Users should call:
1-877-247-6272
WellCare Select
(H1903-017-0)
WellCare For people who are eligible for both Medicare and Medicaid. Non-Members
1-866-238-4526
TTY Users should call:
1-877-247-6272
Members
1-866-804-5926
TTY Users should call:
1-877-247-6272


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