| The Medicare Project a consumer's guide to Michigan 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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| Who Offers Michigan Medicare Prescription Drug Plans? | Medicare Michigan help & articles | The Medicare Project (Home) | Michigan MEDICAID help |
Michigan Medicare, Michigan 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 Michigan Medicare help and information
resources. |
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Medicare Web Page: MMAP (Michigan Medicare/Medicaid Assistance Program) languages: English "MMAP’s Mission: To empower seniors and other people on Medicare to make educated health coverage decisions. Since 1984, MMAP (Michigan Medicare/Medicaid Assistance Program) has provided free education and personalized assistance to people with Medicare and Medicaid, their families and caregivers..." more from MMAP (Michigan Medicare/Medicaid Assistance Program): Medicare Web Page Medicare Prescription Drug Benefit (also known as Medicare Part D) languages: English Q and A about the Medicare Prescription Drug plans for seniors, as well as how you can get ready to take advantage of this new option. Medicare brochure or publication: Medigap Insurance Comparison Guide languages: English; 36 pages Although the coverage and details might be from 2005, there is a great quantity of valuable explanations about "What a Medigap policy is"; "Why you might want to buy a Medigap policy"; "When you can buy a Medigap policy"; and "Where to get more information" Michigan 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 Prescription Drug Benefit (Part D) Implementation: Complex Design Ensures Difficult Choices source:Michigan League for Human Services file size: 7 pg. languages: English from the document: "In the very near future, senior citizens across Michigan and across the country will begin studying materials produced by the federal government and the pharmacy drug plans that were awarded contracts by the federal government to implement the new Medicare Prescription Drug Benefit..." Medicare Part D Helpful Tips and Resources source:Michigan Pharmacists Association languages: English Tips for Avoiding Problems with Medicare Part D: Michigan: 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 source:American Legislative Exchange Council file size: 28 pg. languages: English Briefing document prepared for State legislators with costs, dates, State Pharmacy Assistance Programs, State Health Insurance Assistance Program issues, and other topics. source:Michigan League for Human Services file size: 7 pg. languages: English Oct. 2005 from the document: "...For the first time in the history of the Medicare program, the cost and benefit coverage for an individual will be based on his/her income and assets." source: University of Michigan Health System / MMAP (Michigan Medicare/Medicaid Assistance Program), file size: 2 pg. languages: English Fact sheet provides an overview of Michigan Medicare Supplemental Insurance. source: Michigan Medicare/Medicaid Assistance Program file size: 36 pg. languages: English "...This workbook will tell you: ... What a Medigap policy is; ... Why you might want to buy a Medigap policy; ... When you can buy a Medigap policy; ... Where to get more information; .... How to choose a Medigap policy that provides the best policy you can afford; and .. How to choose a policy that best meets your need of reducing out-of-pocket health care costs..." more from Michigan Medicare/Medicaid Assistance Program: medicare web page The new Medicare Prescription Drug Benefit languages: English "All people in Medicare need to learn how this new coverage will affect them. Here’s how you can get ready to take advantage of this new option. ...." source: Michigan Department of Attorney General , languages: English "The Attorney General provides Consumer Alerts to inform the public of unfair, misleading, or deceptive business practices, and to provide information and guidance on other issues of concern..." source: Blue Cross Blue Shield of Michigan languages: English 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. Landscape: 2007 Michigan 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 Michigan 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: Michigan Medicare Advantage, Cost Plans, and Demonstrations source:CENTERS FOR MEDICARE & MEDICAID SERVICES file size:30 pg. languages: English "Michigan 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." |
| 44 Prescription Drug Plans in Massachusetts 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 S5884-071 (S5884-071) |
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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| AdvantraRx Value (S5670-069) |
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 |
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| Humana PDP Enhanced S5884-011 (S5884-011) |
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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| WellCare Signature (S5967-047) |
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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| First Health Premier (S5768-016) |
First Health Part D | No gap coverage | Non-Members 1-800-588-3322 TTY Users should call: 1-800-508-9548 Members 1-866-865-0662 TTY Users should call: 1-866-865-0662 |
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| MedicareRx Rewards (S5960-013) |
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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| AARP MedicareRx Plan (S5820-012) |
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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| PacifiCare Saver Plan (S5921-162) |
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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| SilverScript (S5601-026) |
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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| YOURx PLAN (S5660-013) |
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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| United Medicare MedAdvance (S5820-116) |
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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| Prescription Pathway Bronze Plan Reg 13 (S5597-078) |
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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| AdvantraRx Premier (S5670-070) |
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 |
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| Community Care Rx BASIC (S5803-082) |
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 (S5644-078) |
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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| PriorityMedicareRx (S5857-001) |
PriorityMedicareRx | No gap coverage | Non-Members 1-888-389-6676 TTY Users should call: 1-888-551-6761 Members 1-888-389-6648 TTY Users should call: 1-616-464-8820 |
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| Prescription Blue Option 1 (S5584-001) |
Blue Cross Blue Shield of Michigan | No gap coverage | Non-Members 1-800-485-4415 Members 1-800-565-1770 TTY Users should call: 1-800-565-1770 |
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| MedicareRx Rewards Plus (S5960-049) |
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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| UA Medicare Part D Prescription Drug Cov (S5755-016) |
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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| Advantage Freedom Plan (S5644-057) |
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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| CIGNATURE Rx Value Plan (S5617-063) |
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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| Aetna Medicare Rx Essentials (S5810-047) |
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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| PacifiCare Select Plan (S5921-161) |
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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| Prescription Blue Option 2 (S5584-002) |
Blue Cross Blue Shield of Michigan | No gap coverage | Non-Members 1-800-485-4415 Members 1-800-565-1770 TTY Users should call: 1-800-565-1770 |
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| Prescription Pathway Silver Plan Reg13 (S5597-177) |
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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| Community Care Rx CHOICE (S5803-150) |
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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| CIGNATURE Rx Plus Plan (S5617-065) |
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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| WellCare Complete (S5967-081) |
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 (S5670-072) |
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 |
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| PacifiCare Comprehensive Plan (S5921-163) |
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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| Community Care Rx GOLD (S5803-116) |
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 (S5960-083) |
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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| WellCare Premier (S5967-116) |
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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| Aetna Medicare Rx Plus (S5810-149) |
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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| CIGNATURE Rx Complete Plan (S5617-183) |
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 13 (S5597-045) |
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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| Sterling Prescription Drug Plan (S4802-025) |
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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| SilverScript Insurance Company Plus (S5601-027) |
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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| Humana PDP Complete S5884-041 (S5884-041) |
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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| Aetna Medicare Rx Premier (S5810-183) |
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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| 3 Medicare Special Needs Plans in Michigan | ||||||
|---|---|---|---|---|---|---|
| Contract ID | Company | Number of Plans | Customer Service Phone Number | Customer Service Address | ||
| Fidelis SecureCare of Michigan (H2323-001-0) |
Fidelis SecureCare Of Michigan | For people in certain long-term care facilities. | Non-Members 1-800-931-7212 TTY Users should call: 1-888-844-5530 Members 1-866-795-7773 TTY Users should call: 1-888-844-5530 |
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| Midwest Health Plan, Inc. (H5685-001-0) |
Midwest Advantage | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-888-654-0706 TTY Users should call: 1-800-649-3777 Members 1-888-654-0706 TTY Users should call: 1-800-649-3777 |
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| Molina Advantage (H5926-001-0) |
Molina Healthcare of Michigan | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-800-665-3072 TTY Users should call: 1-248-925-1700 Members 1-800-665-3072 TTY Users should call: 1-800-649-3777 |
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