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| Medicare New Jersey help & articles | Who Offers New Jersey Medicare Prescription Drug Plans? | The Medicare Project (Home) | New Jersey MEDICAID help |
New Jersey Medicare, New Jersey 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 New Jersey Medicare help and information
resources. |
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Medicare Web Page: State Pharmaceutical Assistance Programs and Medicare Prescription Drug Coverage source:State of New Jersey, Department of Health and Senior Services languages: English "New Jersey's Department of Health & Senior Services has created this Web site to help Pharmaceutical Assistance to the Aged and Disabled program (PAAD) and Senior Gold Prescription Discount program (Senior Gold) beneficiaries and caregivers..." Medicare and You - 2006 source:Medicare & You 2006 file size: 104 pg. languages: English This handbook describes important changes in Medicare. You can find basic information about the Medicare Program as well as specific information about each type of Medicare Advantage Plan or other Medicare Health Plan and prescription drug coverage choice. Medicare Participating Physician/Supplier Directory source:EMPIRE MEDICARE SERVICESlanguages: English Search by County and Specialty source:New Jersey Department of Health and Senior Services languages: English The State Health Insurance Assistance Program (SHIP) provides free help to New Jersey Medicare beneficiaries who have problems with, or questions about their health insurance. more from New Jersey Department of Health and Senior Services: Medicare Web Page: HOT TOPIC: New Medicare Prescription Drug Program languages: English "Beginning January 1, 2006, new Medicare prescription drug plans were made available to people with Medicare. Insurance companies and other private companies are working with Medicare to offer these drug plans... " Medicare brochure or publication: New Jersey State Strategic Plan on Aging, 2005-2008 161 pages; languages: English "This U.S. Administration on Aging approved plan establishes priorities for meeting the needs of New Jersey's older adults... " New Jersey 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...." more from AARP: Medicare Web Page: Medicare Prescription Drug Coverage - New Jersey: Medicare Rx Fact Sheet languages: English "New Jersey already runs three programs that help people with limited incomes pay for drugs and a fourth program that helps pay for other Medicare-related costs like premiums. These programs are: Medicaid, New Jersey Pharmaceutical Assistance to the Aged and Disabled (PAAD), Senior Gold, and Medicare Savings Programs..." Indiana: 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 A Consumer's Guide to Getting and Keeping Health Insurance in New Jersey source:healthinsuranceinfo.net file size: 47pg. languages: English from GEORGETOWN UNIVERSITY HEALTH POLICY INSTITUTE. As a resident of New Jersey, 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 New Jersey. 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 New Jersey 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 New Jersey 2007 Medicare Part D Stand-Alone Prescription Drug Plans. Data as of September 12, 2006. 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: New Jersey Medicare Advantage, Cost Plans, and Demonstrations source:CENTERS FOR MEDICARE & MEDICAID SERVICES file size:9 pg. languages: English "New Jersey 2007 Medicare Advantage, Cost, and Demonstration Plans. Data as of September 12, 2006. Includes all contracts/plans regardless of 2007 approval status. Employer sponsored plans (800 series) are excluded." |
| 44 Prescription Drug Plans in New Jersey 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 |
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| Humana PDP Standard S5884-062 (S5884-062) |
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 Enhanced S5884-003 (S5884-003) |
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 (S5967-038) |
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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| PacifiCare Saver Plan (S5921-288) |
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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| AdvantraRx Value (S5674-014) |
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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| Health Net Orange (S5678-005) |
Health Net | No gap coverage | 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 |
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| MedicareRx Rewards (S5960-004) |
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 (S5820-003) |
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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| Health Net Orange (S5678-011) |
Health Net | No gap coverage | 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 |
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| First Health Premier (S5768-007) |
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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| United Medicare MedAdvance (S5820-107) |
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 4 (S5597-069) |
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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| Horizon Medicare Rx Plan 1 (S5993-001) |
Horizon Blue Cross Blue Shield of New Jersey, Inc. | No gap coverage | Non-Members 1-800-224-1234 Members 1-866-236-7376 TTY Users should call: 1-800-365-2223 |
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| Horizon Medicare Rx Plan 2 (S5993-002) |
Horizon Blue Cross Blue Shield of New Jersey, Inc. | No gap coverage | Non-Members 1-800-224-1234 Members 1-866-236-7376 TTY Users should call: 1-800-365-2223 |
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| SilverScript (S5601-008) |
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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| PacifiCare Select Plan (S5921-286) |
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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| AdvantraRx Premier (S5674-015) |
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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| MedicareRx Rewards Plus (S5960-040) |
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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| Community Care Rx BASIC (S5803-073) |
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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| YOURx PLAN (S5660-035) |
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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| Aetna Medicare Rx Essentials (S5810-038) |
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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| Advantage Allegiance Plan (S5644-005) |
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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| UA Medicare Part D Prescription Drug Cov (S5755-007) |
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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| PacifiCare Comprehensive Plan (S5921-293) |
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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| Advantage Freedom Plan (S5644-049) |
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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| WellCare Complete (S5967-072) |
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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| CIGNATURE Rx Value Plan (S5617-018) |
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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| Prescription Pathway Silver Plan Reg 4 (S5825-074) |
American Progressive Life & Health Ins Co of NY | No gap coverage | Non-Members 1-800-825-8200 TTY Users should call: 1-866-222-3904 Members 1-800-698-8396 TTY Users should call: 1-850-432-1700 |
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| Prescription Pathway Silver Plan Reg 4 (S5597-168) |
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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| WellCare Premier (S5967-107) |
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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| Community Care Rx CHOICE (S5803-141) |
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 (S5617-020) |
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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| MedicareRx Rewards Premier (S5960-074) |
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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| Aetna Medicare Rx Plus (S5810-140) |
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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| AdvantraRx Premier Plus (S5674-017) |
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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| Community Care Rx GOLD (S5803-107) |
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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| Humana PDP Complete S5884-032 (S5884-032) |
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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| Prescription Pathway Gold Plan Reg 4 (S5825-018) |
American Progressive Life & Health Ins Co of NY | No gap coverage | Non-Members 1-800-825-8200 TTY Users should call: 1-866-222-3904 Members 1-800-698-8396 TTY Users should call: 1-850-432-1700 |
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| Prescription Pathway Gold Plan Reg 4 (S5597-036) |
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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| CIGNATURE Rx Complete Plan (S5617-174) |
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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| Sterling Prescription Drug Plan (S4802-001) |
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 Plus (S5601-009) |
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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| Aetna Medicare Rx Premier (S5810-174) |
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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| Prescription Pathway Platinum Plan Reg 4 (S5825-032) |
American Progressive Life & Health Ins Co of NY | No gap coverage | Non-Members 1-800-825-8200 TTY Users should call: 1-866-222-3904 Members 1-800-698-8396 TTY Users should call: 1-850-432-1700 |
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| 2 Medicare Special Needs Plans in New Jersey 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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| Aetna Golden Medicare Select Plan (H3152-067-0) |
Aetna Medicare | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-800-445-1796 TTY Users should call: 1-800-628-3323 Members 1-800-282-5366 TTY Users should call: 1-800-628-3323 |
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| AmeriChoice Personal Care Plus (H3164-003-0) |
AmeriChoice Personal Care Plus | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-877-289-1915 TTY Users should call: 1-800-421-1220 Members 1-800-514-4911 TTY Users should call: 1-800-421-1220 |
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