Massachusetts Medicare; MA; Medicare Part D in Massachusetts
Topics on this page:
Massachusetts Medicare eligibility • Medicare Reform • Medicare Basic Information • Medicare Insurance • Part D, Drug & Prescription Programs
Massachusetts Medicare eligibility • Medicare Reform • Medicare Basic Information • Medicare Insurance • Part D, Drug & Prescription Programs
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Massachusetts Medicare Insurance Coverage, Eligibility
web page:
Who is Eligible for Medicare?
source: Medicare.gov
languages: English
from the web page: "Generally, you are eligible for Medicare if you or your spouse worked for at least 10 years in Medicare-covered employment and you are 65 years or older and a citizen or permanent resident of the United States. If you aren’t yet 65, you might also qualify for coverage if you have a disability or with End-Stage Renal disease (permanent kidney failure requiring dialysis or transplant)..."
web page:
Medicare Beneficiaries... Do You Have Medicare Part B Premium Problems?
source: Medicare Advocacy Project
languages: English
from the web page: "...If you enrolled late in Medicare and are facing a waiting period before you get coverage, or are being told you must pay penalties, the MEDICARE ADVOCACY PROJECT (MAP) may be able to help you have them waived if you qualify for "equitable relief..."
web page:
Medicare Part D Premium Withholding Problems Continue
source:Franklin County Home Care Corporation
languages: English
from the web page: "...Medicare Part D has been providing coverage of prescription medications since January 2006. Part D is administered by private insurance companies, such as Humana, AARP, WellCare, and BlueCross/BlueShield. These plans charge monthly premiums, which in Massachusetts range from $13 to $87. People who enroll in a Part D plan have the option of having the monthly premium withheld from their regular Social Security check, much like the system for the Part B premium..."
web page:
Standard Medigap Plans Offered in Massachusetts - Medigap Effective 01/01/06
source:Massachusetts Division of Insurance
languages: English
Medicare brochure or publication:
Uncompensated Care Pool: Frequently Asked Questions (FAQs) - Over 65 Applications; Medicare Part D
source:Massachusetts Department of Health and Human Services
file size: 3 pg. languages: English
from the brochure: "...This document has been prepared to address concern about the impact of Medicare Part-D on UCP users (section 1), and the extension of the integrated eligibility process for those pool users who are over 65..."
Medicare brochure or publication:
Massachusetts Medicare Drug Plan Ratings
source:AARP
file size:5 pg. languages: English
from the brochure: "...This AARP rating tool contains information about “stand-alone” Medicare plans in your state that cover only prescription drugs...."
Medicare brochure or publication: Choosing A MediGap Policy: 2007 - A Guide to Health Insurance for People with Medicare
source:Medicare.gov, "The Official U.S. Government Site for People with Medicare"
file size: 100 pg, available also in large print version languages: English
from the brochure: "This is the official government guide with important information about: - what a Medigap (Medicare Supplement Insurance) policy is; - what Medigap policies cover; - your rights to buy a Medigap policy; - steps to follow when you buy a Medigap policy; - switching Medigap policies."
Medicare Advocacy Project
languages: English
from the web site: "...MAP is devoted to assisting both elderly and disabled people who may have been unfairly denied Medicare. MAP will provide help by giving advice or free legal representation.... MAP and Greater Boston Legal Services maintains a staff of attorneys and paralegals who are fully devoted to serving individuals who are unable to pay for legal representation.
more from Medicare Advocacy Project:
web Page:
Medicare Advocacy Project
languages: English
from the web page: "...What is a Medicare Assignment? ... If you are enrolled in Medicare, here's a tip that might save you money: When you require medical treatment and services, ask your provider if he or she accepts Medicare Assignment..."
web page:
800-AGE-INFO
source: Massachusetts Executive Office of Elder Affairs and Mass Home Care Association.
languages: English
from the web page: "...to assist consumers and caregivers as well as professionals seeking information and resources on eldercare services..."
web page:
(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 Massachusetts Medicare Prescription Drug plans
Medicare 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 Consumer Advisory:
Medicare Reform
source:Massachusetts Attorney General's Office
file size: 11 pg. languages: English
Attorney General's advice "to help elders and other consumers in Massachusetts as they deal with these changes in the law. Inside you will find the information and resources you need to make the best choices for yourself or a family member."
Prescription Advantage
source: Mass.Gov - Executive Office of Elder Affairs
languages: English
"Prescription Advantage is a prescription drug insurance plan available to all Massachusetts residents age 65 and older, as well as younger individuals with disabilities who meet income and employment guidelines..."
more from Executive Office of Elder Affairs:
Medicare Web Page:
Medicare Part D Resource Center
languages: English
Links to more Massachusetts Medicare related information such as State Programs, Help Understanding or Enrolling in Medicare Part D, and Frequently Asked Questions
Medicare brochure or publication:
SHINE: Serving the Health Information Needs of Elders
source:Massachusetts Executive Office of Elder Affairs
languages: English
"The SHINE Program (Serving Health Information Needs of Elders) is a state health insurance assistance program that provides free health care information, assistance and counseling to Medicare beneficiaries of all ages. The SHINE Program is administered with elder service agencies, social service agencies and Councils on Aging. The program is partially funded by the Centers for Medicare & Medicaid Services. "
Medicare brochure or publication:
Massachusetts: Medicare Rx Fact Sheet
source:AARP
languages: English
"...Medicare's new prescription drug insurance - called Medicare Part D-began January 1, 2006. To get this insurance, most people will have to sign up for one of the Part D Plans Medicare has approved..."
Medicare brochure or publication:
Medicare Part D In Massachusetts: Successes and Continuing Challenges
source:Massachusetts Health Policy Forum, Brandeis University
languages: English
"Voluntary drug benefit implemented January 1, 2006; • Prescription drug coverage through private drug plans; (PDP) and Medicare Advantage (MA-PD) integrated health plans; • Standard drug benefit or at least equivalent; • Medicaid dual eligibles autoenrolled into private drug plans; • State maintenance of effort (“clawback”) payments to CMS; • Subsidy to employers to maintain coverage; • Extra assistance for low income beneficiaries, based on income and assets; • Formularies and other drug management techniques used by drug plans..."
Medicare brochure or publication: New Medicare Drug Discount Card Program: Is It For You?
source:Congressman Michael Capuano, U.S. House of Representatives
file 11 pg. languages: English
Discussion and advice about the Medicare Prescription Drug Card Program, which will be replaced by the new Medicare Reform Programs by December 2005
Medicare brochure or publication:
Lanscape: 2007 Massachusetts 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
Massachusetts 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: Massachusetts Medicare Advantage, Cost Plans, and Demonstrations
source: CENTERS FOR MEDICARE & MEDICAID SERVICES
file size:8 pg. languages: English
"Massachusetts 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 Massachusetts Medicare Insurance Prescription Drug Programs and Massachusetts Medicare Health Insurance / HMO Plans
Medicare HMO - What if your Medicare HMO does not approve care you need?
source: Medicare Advocacy Project
languages: English
"Ask the Medicare HMO for a letter explaining why your request was not approved... Tip: You do not need a reason to get this information in writing. You have a right to it. If anyone at your Medicare HMO asks you why you want the information in writing, tell them Medicare says you have a right to it..."
web page:
Health Insurance: Best Health Plans 2006: (Massachusetts)
source: U.S. News & World Report
languages: English
"Commercial, Medicare and medicaid plans.."
web page:
Medicare Supplements and Medicare HMOs
source: Health Care For All
languages: English
"For most people, Medicare coverage is not enough. There are gaps in what's covered; for example, Medicare doesn’t pay for most prescription drugs. Also, deductibles and co-insurance may be too expensive for some people. Click here to see a table on what Medicare covers and what it doesn’t. You can also go to the Medicare webpage to learn more. "
Who is Eligible for Medicare?
source: Medicare.gov
languages: English
from the web page: "Generally, you are eligible for Medicare if you or your spouse worked for at least 10 years in Medicare-covered employment and you are 65 years or older and a citizen or permanent resident of the United States. If you aren’t yet 65, you might also qualify for coverage if you have a disability or with End-Stage Renal disease (permanent kidney failure requiring dialysis or transplant)..."
Medicare Beneficiaries... Do You Have Medicare Part B Premium Problems?
source: Medicare Advocacy Project
languages: English
from the web page: "...If you enrolled late in Medicare and are facing a waiting period before you get coverage, or are being told you must pay penalties, the MEDICARE ADVOCACY PROJECT (MAP) may be able to help you have them waived if you qualify for "equitable relief..."
Medicare Part D Premium Withholding Problems Continue
source:Franklin County Home Care Corporation
languages: English
from the web page: "...Medicare Part D has been providing coverage of prescription medications since January 2006. Part D is administered by private insurance companies, such as Humana, AARP, WellCare, and BlueCross/BlueShield. These plans charge monthly premiums, which in Massachusetts range from $13 to $87. People who enroll in a Part D plan have the option of having the monthly premium withheld from their regular Social Security check, much like the system for the Part B premium..."
Standard Medigap Plans Offered in Massachusetts - Medigap Effective 01/01/06
source:Massachusetts Division of Insurance
languages: English
Uncompensated Care Pool: Frequently Asked Questions (FAQs) - Over 65 Applications; Medicare Part D
source:Massachusetts Department of Health and Human Services
file size: 3 pg. languages: English
from the brochure: "...This document has been prepared to address concern about the impact of Medicare Part-D on UCP users (section 1), and the extension of the integrated eligibility process for those pool users who are over 65..."
Massachusetts Medicare Drug Plan Ratings
source:AARP
file size:5 pg. languages: English
from the brochure: "...This AARP rating tool contains information about “stand-alone” Medicare plans in your state that cover only prescription drugs...."
source:Medicare.gov, "The Official U.S. Government Site for People with Medicare"
file size: 100 pg, available also in large print version languages: English
from the brochure: "This is the official government guide with important information about: - what a Medigap (Medicare Supplement Insurance) policy is; - what Medigap policies cover; - your rights to buy a Medigap policy; - steps to follow when you buy a Medigap policy; - switching Medigap policies."
Medicare in Massachusetts Basic Help & Assistance
web site:Medicare Advocacy Project
languages: English
from the web site: "...MAP is devoted to assisting both elderly and disabled people who may have been unfairly denied Medicare. MAP will provide help by giving advice or free legal representation.... MAP and Greater Boston Legal Services maintains a staff of attorneys and paralegals who are fully devoted to serving individuals who are unable to pay for legal representation.
more from Medicare Advocacy Project:
web Page:
Medicare Advocacy Project
languages: English
from the web page: "...What is a Medicare Assignment? ... If you are enrolled in Medicare, here's a tip that might save you money: When you require medical treatment and services, ask your provider if he or she accepts Medicare Assignment..."
800-AGE-INFO
source: Massachusetts Executive Office of Elder Affairs and Mass Home Care Association.
languages: English
from the web page: "...to assist consumers and caregivers as well as professionals seeking information and resources on eldercare services..."
(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 Massachusetts Medicare Prescription Drug 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.
source:Massachusetts Attorney General's Office
file size: 11 pg. languages: English
Attorney General's advice "to help elders and other consumers in Massachusetts as they deal with these changes in the law. Inside you will find the information and resources you need to make the best choices for yourself or a family member."
Part D Medicare and Prescription Drug Topics
web page:Prescription Advantage
source: Mass.Gov - Executive Office of Elder Affairs
languages: English
"Prescription Advantage is a prescription drug insurance plan available to all Massachusetts residents age 65 and older, as well as younger individuals with disabilities who meet income and employment guidelines..."
more from Executive Office of Elder Affairs:
Medicare Web Page:
Medicare Part D Resource Center
languages: English
Links to more Massachusetts Medicare related information such as State Programs, Help Understanding or Enrolling in Medicare Part D, and Frequently Asked Questions
SHINE: Serving the Health Information Needs of Elders
source:Massachusetts Executive Office of Elder Affairs
languages: English
"The SHINE Program (Serving Health Information Needs of Elders) is a state health insurance assistance program that provides free health care information, assistance and counseling to Medicare beneficiaries of all ages. The SHINE Program is administered with elder service agencies, social service agencies and Councils on Aging. The program is partially funded by the Centers for Medicare & Medicaid Services. "
Massachusetts: Medicare Rx Fact Sheet
source:AARP
languages: English
"...Medicare's new prescription drug insurance - called Medicare Part D-began January 1, 2006. To get this insurance, most people will have to sign up for one of the Part D Plans Medicare has approved..."
Medicare Part D In Massachusetts: Successes and Continuing Challenges
source:Massachusetts Health Policy Forum, Brandeis University
languages: English
"Voluntary drug benefit implemented January 1, 2006; • Prescription drug coverage through private drug plans; (PDP) and Medicare Advantage (MA-PD) integrated health plans; • Standard drug benefit or at least equivalent; • Medicaid dual eligibles autoenrolled into private drug plans; • State maintenance of effort (“clawback”) payments to CMS; • Subsidy to employers to maintain coverage; • Extra assistance for low income beneficiaries, based on income and assets; • Formularies and other drug management techniques used by drug plans..."
source:Congressman Michael Capuano, U.S. House of Representatives
file 11 pg. languages: English
Discussion and advice about the Medicare Prescription Drug Card Program, which will be replaced by the new Medicare Reform Programs by December 2005
Lanscape: 2007 Massachusetts 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
Massachusetts 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: Massachusetts Medicare Advantage, Cost Plans, and Demonstrations
source: CENTERS FOR MEDICARE & MEDICAID SERVICES
file size:8 pg. languages: English
"Massachusetts 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 Massachusetts Medicare Insurance Prescription Drug Programs and Massachusetts Medicare Health Insurance / HMO Plans
Medicare.gov has summary information about the plans offered by the companies listed in the tables below. The data sheets are called "Landscapes".
- 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)
- 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
- We have provided links to the landscape documents for this state in the list of publications above.
Medicare in MA - Special Programs, Medicare HMO
web page:Medicare HMO - What if your Medicare HMO does not approve care you need?
source: Medicare Advocacy Project
languages: English
"Ask the Medicare HMO for a letter explaining why your request was not approved... Tip: You do not need a reason to get this information in writing. You have a right to it. If anyone at your Medicare HMO asks you why you want the information in writing, tell them Medicare says you have a right to it..."
Health Insurance: Best Health Plans 2006: (Massachusetts)
source: U.S. News & World Report
languages: English
"Commercial, Medicare and medicaid plans.."
Medicare Supplements and Medicare HMOs
source: Health Care For All
languages: English
"For most people, Medicare coverage is not enough. There are gaps in what's covered; for example, Medicare doesn’t pay for most prescription drugs. Also, deductibles and co-insurance may be too expensive for some people. Click here to see a table on what Medicare covers and what it doesn’t. You can also go to the Medicare webpage to learn more. "
Medicare prescription drug coverage plans offered in Massachusetts, 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.
44 Medicare Part D Prescription Drug Plans in MassachusettsThis 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 |
|||
| Aetna Medicare Rx Essentials (S5810-036) |
Aetna Medicare | No gap coverage | All Aetna Plans shown here: Non-Members 1-800-445-1796 TTY Users should call:1-800-628-3323 Members1-877-238-6211 TTY Users should call: 1-877-238-6211 |
|||
| Aetna Medicare Rx Plus (S5810-138) |
Aetna Medicare (see link above) |
Generic Only | ||||
| Aetna Medicare Rx Premier (S5810-172) |
Aetna Medicare (see link above) |
Generic Only | ||||
| Prescription Pathway Gold Plan Reg 2 (S5825-016) |
American Progressive Life & Health Ins Co of NY | No gap coverage | All American Progressive Life & Health Plans shown here: Non-Members 1-800-825-8200 TTY Users should call: 1-866-222-3904 Members1-800-698-8396 TTY Users should call: 1-850-432-1700 |
|||
| Prescription Pathway Platinum Plan Reg 2 (S5825-030) |
American Progressive Life & Health Ins Co of NY (see link above) |
No gap coverage | ||||
| Prescription Pathway Silver Plan Reg 2 (S5825-072) |
American Progressive Life & Health Ins Co of NY (see link above) |
No gap coverage | ||||
| Blue MedicareRx - Option 1 (S2893-001) |
Blue Cross and Blue Shield of Massachusetts | No gap coverage | All Blue Cross and Blue Shield of Massachusetts Plans shown here: Non-Members 1-800-936-9984 Members 1-866-755-2776 TTY Users should call: 1-866-755-2776 |
|||
| Blue MedicareRx - Option 2 (S2893-002) |
Blue Cross and Blue Shield of Massachusetts (see link above) |
No gap coverage | ||||
| Blue MedicareRx - Option 3 (S2893-003) |
Blue Cross and Blue Shield of Massachusetts (see link above) |
Generic Only | ||||
| CIGNATURE Rx Complete Plan (S5617-172) |
CIGNA HealthCare | Generic Only | All CIGNA HealthCare Plans shown here: Non-Members 1-800-735-1459 Members 1-800-222-6700 TTY Users should call: 1-800-222-6700 |
|||
| CIGNATURE Rx Plus Plan (S5617-010) |
CIGNA HealthCare (see link above) |
No gap coverage | ||||
| CIGNATURE Rx Value Plan (S5617-008) |
CIGNA HealthCare (see link above) |
No gap coverage | ||||
| AdvantraRx Premier (S5674-009) |
Coventry AdvantraRx | No gap coverage | All Coventry AdvantraRx Plans shown here: 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 |
|||
| AdvantraRx Premier Plus (S5674-011) |
Coventry AdvantraRx (see link above) |
No gap coverage | ||||
| AdvantraRx Value (S5674-008) |
Coventry AdvantraRx (see link above) |
No gap coverage | ||||
| Health Net Orange (S5678-004) |
Health Net | No gap coverage | All Health Net Plans shown here: Non-Members 1-800-806-8811 TTY Users should call: 1-800-929-9955 Members 1-800-806-8811 TTY Users should call: 1-800-806-8811 |
|||
| Health Net Orange (S5678-010) |
Health Net (see link above) |
No gap coverage | ||||
| Humana PDP Complete S5884-031 (S5884-031) |
Humana Insurance Company | Generic and Brand | All Humana Insurance Plans shown here: 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 S5884-002 (S5884-002) |
Humana Insurance Company (see link above) |
No gap coverage | ||||
| Humana PDP Standard S5884-061 (S5884-061) |
Humana Insurance Company (see link above) |
No gap coverage | ||||
| YOURx PLAN (S5660-003) |
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 |
|||
| Community Care Rx BASIC (S5803-071) |
MEMBERHEALTH | No gap coverage | All MEMBERHEALTH Plans shown here: Non-Members 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 (S5803-139) |
MEMBERHEALTH (see link above) |
No gap coverage | ||||
| Community Care Rx GOLD (S5803-105) |
MEMBERHEALTH (see link above) |
No gap coverage | ||||
| Prescription Pathway Bronze Plan Reg 2 (S5597-068) |
Pennsylvania Life Insurance Company | No gap coverage | All Pennsylvania Life Insurance Company Plans shown here: 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 2 (S5597-035) |
Pennsylvania Life Insurance Company (see link above) |
No gap coverage | ||||
| Prescription Pathway Silver Plan Reg 2 (S5597-167) |
Pennsylvania Life Insurance Company (see link above) |
No gap coverage | ||||
| Advantage Freedom Plan (S5644-047) |
RxAmerica | No gap coverage | All RxAmerica Plans shown here: Non-Members 1-877-279-0370 Members 1-800-429-6686 TTY Users should call: 1-800-429-6686 |
|||
| Advantage Star Plan (S5644-068) |
RxAmerica (see link above) |
No gap coverage | ||||
| SilverScript (S5601-004) |
SilverScript Insurance Company | No gap coverage | All SilverScript Plans shown here: Non-Members TTY Users should call: 1-866-552-6288 Members 1-866-235-5660 TTY Users should call: 1-866-235-5660 |
|||
| SilverScript Plus (S5601-005) |
SilverScript (see link above) |
No gap coverage | ||||
| Sterling Prescription Drug Plan (S4802-023) |
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 |
|||
| MedicareRx Rewards (S5960-002) |
Unicare | No gap coverage | All Unicare Plans shown here: Non-Members 1-866-892-5335 Members 1-800-928-6201 TTY Users should call: 1-800-928-6201 |
|||
| MedicareRx Rewards Plus (S5960-038) |
Unicare (see link above) |
No gap coverage | ||||
| MedicareRx Rewards Premier (S5960-072) |
Unicare (see link above) |
Generic Only | ||||
| UA Medicare Part D Prescription Drug Cov (S5755-006) |
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 |
|||
| AARP MedicareRx Plan (S5820-002) |
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 |
|||
| PacifiCare Comprehensive Plan (S5921-183) |
UnitedHealthcare | Generic Only | All UnitedHealthcare Plans shown here: Non-Members 1-800-943-0399 Members1-800-797-9794 TTY Users should call: 1-714-825-3600 |
|||
| PacifiCare Saver Plan (S5921-182) |
UnitedHealthcare (see link above) |
No gap coverage | ||||
| PacifiCare Select Plan (S5921-181) |
UnitedHealthcare (see link above) |
No gap coverage | ||||
| United Medicare MedAdvance (S5820-106) |
UnitedHealthcare (see link above) |
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 (S5967-070) |
WellCare | No gap coverage | All WellCare Plans shown here: Non-Members 1-888-423-5252 Members 1-888-550-5252 TTY Users should call: 1-888-550-5252 |
|||
| WellCare Premier (S5967-105) |
WellCare (see link above) |
No gap coverage | ||||
| WellCare Signature (S5967-036) |
WellCare (see link above) |
No gap coverage | ||||
52 Medicare Health Plans (Medicare Health Insurance) in MassachusettsThis list is to familiarize you with Medicare Health Coverage 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 |
|||
| Medicare HMO Blue (H2261-005-0) |
Blue Cross and Blue Shield of Massachusetts | No gap coverage | Non-Members 1-800-678-2265 TTY Users should call: 1-800-522-1254 Members 1-800-200-4255 TTY Users should call: 1-800-522-1254 |
|||
| Medicare HMO Blue (H2261-008-0) |
Blue Cross and Blue Shield of Massachusetts, Inc. (see link above) |
No gap coverage | ||||
| Medicare HMO Blue (H2261-009-0) |
Blue Cross and Blue Shield of Massachusetts, Inc. (see link above) |
No gap coverage | See above | |||
| Medicare HMO Blue (H2261-010-0) |
Blue Cross and Blue Shield of Massachusetts, Inc. (see link above) |
No gap coverage | See above | |||
| Medicare HMO Blue (H2261-011-0) |
Blue Cross and Blue Shield of Massachusetts, Inc. (see link above) |
Generic Only | See above | |||
| Medicare HMO Blue (H2261-012-0) |
Blue Cross and Blue Shield of Massachusetts, Inc. (see link above) |
Generic Only | See above | |||
| Medicare HMO Blue (H2261-013-0) |
Blue Cross and Blue Shield of Massachusetts, Inc. (see link above) |
Generic Only | See above | |||
| Medicare HMO Blue (H2261-014-0) |
Blue Cross and Blue Shield of Massachusetts, Inc. (see link above) |
Generic Only | See above | |||
| Medicare PPO Blue (H2230-002-0) |
Blue Cross And Blue Shield Of Massachusetts, Inc. (see link above) |
No gap coverage | See above | |||
| Medicare PPO Blue (H2230-003-0) |
Blue Cross And Blue Shield Of Massachusetts, Inc. (see link above) |
No gap coverage | See above | |||
| Medicare PPO Blue (H2230-004-0) |
Blue Cross And Blue Shield Of Massachusetts, Inc. (see link above) |
No gap coverage | See above | |||
| Medicare PPO Blue (H2230-005-0) |
Blue Cross And Blue Shield Of Massachusetts, Inc. (see link above) |
No gap coverage | See above | |||
| Medicare PPO Blue (H2230-006-0) |
Blue Cross And Blue Shield Of Massachusetts, Inc. (see link above) |
Generic Only | See above | |||
| Medicare PPO Blue (H2230-007-0) |
Blue Cross And Blue Shield Of Massachusetts, Inc. (see link above) |
Generic Only | See above | |||
| Medicare PPO Blue (H2230-008-0) |
Blue Cross And Blue Shield Of Massachusetts, Inc. (see link above) |
Generic Only | See above | |||
| Medicare PPO Blue (H2230-009-0) |
Blue Cross And Blue Shield Of Massachusetts, Inc. (see link above) |
Generic Only | See above | |||
| Fallon Senior Plan Plus Basic Rx (H9001-006-0) |
Fallon Community Health Plan | No gap coverage | Non-Members 1-800-868-5200 TTY Users should call: 1-877-608-7677 Members 1-800-868-5200 TTY Users should call: 1-877-608-7677 |
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| Fallon Senior Plan Plus Enhanced Rx (H9001-017-0) |
Fallon Community Health Plan (see link above) |
No gap coverage | ||||
| Fallon Senior Plan Preferred Basic Rx (H2411-001-0) |
Fallon Community Health Plan (see link above) |
No gap coverage | See above | |||
| Fallon Senior Plan Preferred Enhanced Rx (H2411-002-0) |
Fallon Community Health Plan (see link above) |
No gap coverage | See above | |||
| Fallon Senior Plan Saver Basic Rx (H9001-011-0) |
Fallon Community Health Plan (see link above) |
No gap coverage | See above | |||
| Fallon Senior Plan Saver Enhanced Rx (H9001-013-0) |
Fallon Community Health Plan (see link above) |
No gap coverage | See above | |||
| Fallon Senior Plan Standard Basic Rx (H9001-014-0) |
Fallon Community Health Plan (see link above) |
No gap coverage | See above | |||
| Fallon Senior Plan Standard Enhanced Rx (H9001-015-0) |
Fallon Community Health Plan (see link above) |
No gap coverage | See above | |||
| Medicare Preferred HMO Prime Rx (H2256-015-1) |
Tufts Health Plan | No gap coverage | Non-Members 1-800-394-3969 TTY Users should call: 1-800-208-9562 Members 1-800-701-9000 TTY Users should call: 1-888-899-8977 |
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| Medicare Preferred HMO Prime Rx (H2256-015-2) |
Tufts Health Plan (see link above) |
No gap coverage | ||||
| Medicare Preferred HMO Prime Rx (H2256-015-5) |
Tufts Health Plan (see link above) |
No gap coverage | See above | |||
| Medicare Preferred HMO Prime Rx (H2256-015-3) |
Tufts Health Plan (see link above) |
No gap coverage | See above | |||
| Medicare Preferred HMO Prime Rx (H2256-015-4) |
Tufts Health Plan (see link above) |
No gap coverage | See above | |||
| Medicare Preferred HMO Prime Rx Plus (H2256-001-1) |
Tufts Health Plan (see link above) |
Generic Only | See above | |||
| Medicare Preferred HMO Prime Rx Plus (H2256-001-2) |
Tufts Health Plan (see link above) |
Generic Only | See above | |||
| Medicare Preferred HMO Prime Rx Plus (H2256-001-5) |
Tufts Health Plan (see link above) |
Generic Only | See above | |||
| Medicare Preferred HMO Prime Rx Plus (H2256-001-3) |
Tufts Health Plan (see link above) |
Generic Only | See above | |||
| Medicare Preferred HMO Prime Rx Plus (H2256-001-4) |
Tufts Health Plan (see link above) |
Generic Only | See above | |||
| Medicare Preferred HMO Value Rx (H2256-018-2) |
Tufts Health Plan (see link above) |
No gap coverage | See above | |||
| Medicare Preferred HMO Value Rx (H2256-018-1) |
Tufts Health Plan (see link above) |
No gap coverage | See above | |||
| Medicare Preferred HMO Value Rx (H2256-018-3) |
Tufts Health Plan (see link above) |
No gap coverage | See above | |||
| Medicare Preferred HMO Value Rx (H2256-018-6) |
Tufts Health Plan (see link above) |
No gap coverage | See above | |||
| Medicare Preferred HMO Value Rx (H2256-018-4) |
Tufts Health Plan (see link above) |
No gap coverage | See above | |||
| Medicare Preferred HMO Value Rx (H2256-018-5) |
Tufts Health Plan (see link above) |
No gap coverage | See above | |||
| Medicare Preferred HMO Value Rx Plus (H2256-017-2) |
Tufts Health Plan (see link above) |
Generic Only | See above | |||
| Medicare Preferred HMO Value Rx Plus (H2256-017-1) |
Tufts Health Plan (see link above) |
Generic Only | See above | |||
| Medicare Preferred HMO Value Rx Plus (H2256-017-3) |
Tufts Health Plan (see link above) |
Generic Only | See above | |||
| Medicare Preferred HMO Value Rx Plus (H2256-017-6) |
Tufts Health Plan (see link above) |
Generic Only | See above | |||
| Medicare Preferred HMO Value Rx Plus (H2256-017-4) |
Tufts Health Plan (see link above) |
Generic Only | See above | |||
| Medicare Preferred HMO Value Rx Plus (H2256-017-5) |
Tufts Health Plan (see link above) |
Generic Only | See above | |||
| Medicare Preferred PPO Rx (H2229-010-2) |
Tufts Health Plan (see link above) |
No gap coverage | See above | |||
| Medicare Preferred PPO Rx (H2229-010-1) |
Tufts Health Plan (see link above) |
No gap coverage | See above | |||
| Medicare Preferred PPO Rx (H2229-010-3) |
Tufts Health Plan (see link above) |
No gap coverage | See above | |||
| Medicare Preferred PPO Rx Plus (H2229-011-2) |
Tufts Health Plan (see link above) |
Generic Only | See above | |||
| Medicare Preferred PPO Rx Plus (H2229-011-1) |
Tufts Health Plan (see link above) |
Generic Only | See above | |||
| Medicare Preferred PPO Rx Plus (H2229-011-3) |
Tufts Health Plan (see link above) |
Generic Only | See above | |||
7 Medicare Special Needs Plans in MassachusettsThis 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) |
Coverage in the Gap About the gap |
Contact Service Phones |
|||
| Commonwealth Care Connection (H5838-001-0) |
Commonwealth Care Alliance | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-800-311-9529 TTY Users should call: 1-866-322-7357 Members 1-800-311-9529 TTY Users should call: 1-866-322-7357 |
|||
| Senior Care Options Program (H2225-001-0) |
Commonwealth Care Alliance, Inc. | For people who are eligible for both Medicare and Medicaid. | See above | |||
| Fallon Senior Plan Value (H9001-012-0) |
Fallon Community Health Plan | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-800-868-5200 TTY Users should call: 1-877-608-7677 Members 1-800-868-5200 TTY Users should call: 1-877-608-7677 |
|||
| Senior Whole Health (H2224-001-0) |
Senior Whole Health | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-888-566-3526 TTY Users should call: 1-888-749-6455 Members 1-888-794-7268 TTY Users should call: 1-888-749-6455 |
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| Evercare Mass SCO (H2226-001-0) |
United Health Group | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-800-393-0939 TTY Users should call: 1-888-685-8480 Members 1-800-939-0993 TTY Users should call: 1-888-685-8480 |
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| Evercare Plan DP (H2228-004-0) |
United Healthcare Insurance Company | For people who are eligible for both Medicare and Medicaid. | See above | |||
| Evercare Plan IP (H2228-001-0) |
United Healthcare Insurance Company | For people in certain long-term care facilities. | See above | |||
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data from federal and state agencies
