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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

   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
Medicare Help & Information, Medicare Part D In Michigan, 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 Michigan Medicare help and information resources.
 

Michigan Medicare; MI; Medicare Part D in Michigan

Michigan Medicaid: Medicaid assistance and Michigan Medicaid help Were you looking for Michigan Medicaid instead of Michigan Medicare? This link provides a directory of Medicare web sites, articles, publications, brochures
 
The Medicare Coverage Gap (The Doughnut Hole) A directory of web sites, articles, and publications that helps explain what and how the Prescription Drug Coverage Gap works.

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

Information from varied resources about Medicare in Michigan
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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medicaid
 
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"
.
Medicare brochure or publication:
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 brochure or publication:
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 Web Page:
Medicare Part D Helpful Tips and Resources

source:Michigan Pharmacists Association
languages: English
Tips for Avoiding Problems with Medicare Part D:
.
Medicare Web Page:
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
.
brochure or publication: The State Legislator’s Guide to Medicare Prescription Drug Coverage

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.
.
brochure or publication: brochure or publication: Medicare Prescription Drug Benefit (Part D) Implementation: Complex Design Ensures Difficult Choices

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."
.
brochure or publication: Medicare Prescription Drug Coverage facts

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.
.
medicare brochure or publication: Medigap Insurance Comparison Guide (Michigan)

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. ...."

.
medicare web page: Medicare Recipients Warned to Beware of Medicare Fraud and Identity Theft - CONSUMER ALERT

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..."
.
medicare web page: Medicare Advantage plans for 2007

source: Blue Cross Blue Shield of Michigan
languages: English

.
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:
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."

How to get more information about Florida 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 Michigan, 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 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.)
Plan Name and
ID Numbers
Company
(w. link to
plan web site)
Coverage in
the Gap
About the gap
Contact Service
Phones
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

 
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
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
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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