| 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 |
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| 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
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. |
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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..." 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...." 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 Do You Have the Right Medicare Part D Plan?" source:Lincoln Area Agency On Aging 1 page; languages: English 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:... 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...." 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 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 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. State Pharmacy Listing - Aetna Medicare RxSM Plans - Nebraska State Aetna Medicare 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. 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." |
| 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.) | ||||||
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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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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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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