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

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

Nebraska Medicare; NE; Medicare Part D in Nebraska

Nebraska Medicaid: Medicaid assistance and Nebraska Medicaid help Were you looking for Nebraska Medicaid instead of Nebraska 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.

Nebraska Medicare Information  

Information from varied resources about Medicare in Nebraska
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 Web Page:
Nebraska Medicare Prescription Drug Coalition - RESOURCES FOR UNDERSTANDING MEDICARE PART D

source:The Answers4Families project (Nebraska Network for Children and Families)
languages: English

"...The drug benefit is voluntary. No one HAS to sign up for it. But, it is important to know that you will pay a 1% higher premium for each month you delay signing up after May 15, 2006..."

 
more from The Answers4Families project (Nebraska Network for Children and Families):
Medicare brochure or publication:
DO YOU NEED HELP WITH MEDICARE’S PRESCRIPTION DRUG BENEFIT?
2 pages; languages: English
"Information andD Enrollment Assistance are Available..."

Medicare brochure or publication:
Medicare's Prescription Drug Benefit: Who, What, When, Where & Why
2 pages; languages: English
"Information AND eNROLLMENT Assistance are Available..."

.
Medicare brochure or publication:
The Medicare Prescription Drug

source:Nebraska Department of Insurance
file size: 2 pg.   languages: English
Basic information about coverage and plan details, as well as information about Medicare Prescription Drug Plan assistance for those with limited income.

 
more from Nebraska Department of Insurance:
Medicare brochure or publication:
Qualifying for Extra Help and Joining a Medicare Drug Plan
6 pages; languages: English
(Jan 2007) "...People with Medicare with limited income and resources may qualify for extra help paying for Medicare prescription drug coverage costs. If they qualify, they will get help paying for their drug plan’s monthly premium, yearly deductible, and prescription copayments..."

Medicare brochure or publication:
Have You Reached the “Doughnut Hole” in Your Medicare Prescription Drug Plan?
languages: English
"...Several Medicare prescription drug plans have a gap in coverage, sometimes referred to as a “doughnut hole.” In 2006, after you have accumulated $2,250 in total covered drug costs (what you and the plan have paid), you pay 100% of your covered drug costs until you have spent $3,600 out-of-pocket...."

.
Medicare Web Page:
Nebraska Medicare Participating Physicians/Suppliers Directory

source:Wheatlands Administrative Services, a new subsidiary of Blue Cross and Blue Shield of Kansas,
languages: English

View all Nebraska physicians/suppliers
.
Medicare brochure or publication:
Do You Have the Right Medicare Part D Plan?"

source:Lincoln Area Agency On Aging
1 page; languages: English

.
Medicare brochure or publication:
Medicare Prescription Drug Coverage Personal Information Worksheet

source:Nebraska Department of Health and Human Services
file size: 4 pg.   languages: English
Worksheet to help gather all the information you need to choose a Medicare drug plan that meets your needs.

 
more from Nebraska Department of Health and Human Services:
Medicare Web Page:
Medicare Supplemental Insurance
languages: English
"All Medicare supplemental plans sold in Nebraska must comply with one of ten plans approved by federal law. The plans are labeled "A" through "J"...

Medicare Web Page:
Nebraska Medicare for Older Adults
languages: English
"Medicare is a health insurance program sponsored by the federal government. Claims are processed by private insurance companies called intermediaries and carriers. Nebraska has two intermediaries for Part A:...

.
Medicare brochure or publication:
Nebraska 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:
Nebraska: 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 Nebraska

source:healthinsuranceinfo.net
file size: 35pg.   languages: English
from GEORGETOWN UNIVERSITY HEALTH POLICY INSTITUTE. As a resident of Nebraska, 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 Nebraska.
.
Medicare brochure or publication:
State Pharmacy Listing - Aetna Medicare RxSM Plans - Nebraska 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 Nebraska 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
Nebraska 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: Nebraska Medicare Advantage, Cost Plans, and Demonstrations

source:CENTERS FOR MEDICARE & MEDICAID SERVICES
file size:31 pg.   languages: English
"Nebraska 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 Nebraska 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 Nebraska: 

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.

 
41 Prescription Drug Plans in Nebraska  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
(S5820-024)
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
Advantage Freedom Plan
(S5644-059)
RxAmerica No gap coverage Non-Members
1-877-279-0370
Members
1-800-429-6686
TTY Users should call:
1-800-429-6686
Advantage Star Plan
(S5644-080)
RxAmerica No gap coverage Non-Members
1-877-279-0370
Members
1-800-429-6686
TTY Users should call:
1-800-429-6686
AdvantraRx Premier
(S5674-033)
Coventry AdvantraRx No gap coverage 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
(S5674-035)
Coventry AdvantraRx No gap coverage 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 Value
(S5674-032)
Coventry AdvantraRx No gap coverage 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
Aetna Medicare Rx Essentials
(S5810-059)
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
(S5810-161)
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
(S5810-195)
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
(S5617-195)
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
(S5617-125)
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
(S5617-123)
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
(S5803-094)
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
(S5803-162)
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
(S5803-128)
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
Fox Rx Care
(S5557-003)
FOX Insurance Company No gap coverage Non-Members
1-888-369-7979
TTY Users should call:
1-866-369-7373
Members
1-888-369-7373
TTY Users should call:
1-480-423-8184 ext: 5917
Humana PDP Complete S5884-053
(S5884-053)
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 S5884-023
(S5884-023)
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 S5884-083
(S5884-083)
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
MedicareBlue Rx Option 1
(S5743-001)
Blue Cross and Blue Shield of Nebraska No gap coverage Non-Members
1-866-456-3725
TTY Users should call:
1-866-456-1550
Members
1-888-832-0075
TTY Users should call:
1-888-832-0075
MedicareBlue Rx Option 2
(S5743-003)
Blue Cross and Blue Shield of Nebraska No gap coverage Non-Members
1-866-456-3725
TTY Users should call:
1-866-456-1550
Members
1-888-832-0075
TTY Users should call:
1-888-832-0075
MedicareBlue Rx Option 3
(S5743-004)
Blue Cross and Blue Shield of Nebraska Generic and Brand Non-Members
1-866-456-3725
TTY Users should call:
1-866-456-1550
Members
1-888-832-0075
TTY Users should call:
1-888-832-0075
MedicareRx Rewards
(S5960-025)
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
(S5960-061)
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
(S5960-095)
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
(S5921-249)
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
(S5921-248)
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
(S5921-247)
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 25
(S5597-090)
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 25
(S5597-057)
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 Silver Plan Reg25
(S5597-189)
Pennsylvania Life Insurance Company No gap coverage Non-Members
1-800-765-8900
TTY Users should call:
1-866-222-3904
Members
1-800-698-8394
TTY Users should call:
1-850-432-1700
SilverScript
(S5601-050)
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
(S5601-051)
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
(S4802-030)
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
(S5755-028)
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
(S5820-128)
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
UnitedHealthRx
(S5820-139)
UnitedHealthcare No gap coverage Non-Members
1-888-556-7052
TTY Users should call:
1-888-556-7053
Members
1-888-556-7060
TTY Users should call:
1-888-556-7060
WellCare Complete
(S5967-094)
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
(S5967-128)
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
(S5967-059)
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
(S5660-025)
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

 
2 Medicare Special Needs Plans in Nebraska  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
Evercare Plan DH-POS
(H2803-010-0)
SecureHorizons For people who are eligible for both Medicare and Medicaid. Non-Members
1-800-641-1998
TTY Users should call:
1-888-685-8480
Members
1-888-867-5570
TTY Users should call:
1-888-685-8480
Evercare Plan IH
(H2802-005-0)
SecureHorizons For people in certain long-term care facilities. Non-Members
1-800-641-1998
TTY Users should call:
1-888-685-8480
Members
1-800-393-0993
TTY Users should call:
1-888-685-8480


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