| The Medicare Project a consumer's guide to New Mexico 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 New Mexico help & articles | Who Offers New Mexico Medicare Prescription Drug Plans? | The Medicare Project (Home) | New Mexico MEDICAID help |
New Mexico Medicare, New Mexico 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 Mexico Medicare help and information
resources. |
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Medicare Web Page: Details of the New Mexico Discount Prescription Drug Program source:NM Retiree Health Care Authority Discount Prescription Drug Program languages: English from the web page: "...What You Need to Know - In 2006, the Legislature and Governor Richardson expanded a State-supported program to be available to all New Mexico residents. The name of the program is the Discount Prescription Drug Program (DPDP)..." Medicare, Extra Help & Prescription Drug Coverage source: New Mexico Aging and Long-Term Services Department languages: English from the web page: "2007 – What is on the horizon? Presentation by NM Aging & Long-Term Services Department ..." more from New Mexico Aging and Long-Term Services Department : Medicare Web Page: NEARING MEDICARE AGE? THINGS TO CONSIDER languages: English from the web page: "Most people qualify for Medicare when they reach age 65, or when they have been receiving social security disability benefits for two years. As you approach either of those milestones, you should be aware of some choices, rights, and benefits you will have—and not just those involving Medicare’s infamous new drug coverage..." Medicare Publication: DON’T OVERLOOK MEDICARE HOME HEALTH SERVICES 1 page; languages: English from the publication: "Medicare beneficiaries who need home care should always look into whether they can qualify for home health services. It is not a general personal care or chore-worker service. Rather, Medicare home health covers limited, specifically defined at-home care related to identified medical conditions, and includes personal care services..." Prescription Drug Pricing Guide source:New Mexico Attorney General 14 pages; languages: English from the publication: ...Your medicines have changed. They are more powerful and more effective. They are also more expensive. This booklet can help you save money.... " Medicare Carve-Out: source: New Mexico Medical Insurance Pool languages: English from the web page: "...This NMMIP Carve-Out Plan is designed to “coordinate” benefits with Medicare and usually pays benefits only after Medicare has paid its portion of your covered health care services. Medicare is called the “primary” coverage or carrier and pays its benefits first..." Fair Rx Prices For All New Mexicans source: NEW MEXICO PUBLIC INTEREST RESEARCH GROUP languages: English from the web page: "...Are you tired of paying high drug costs? Enroll today in the SenioRx program to begin saving up to 55 percent off of your prescription drugs..." Medicare Frequently Asked Questions source: Blue Cross and Blue Shield of New Mexico languages: English from the web page: "...What is not covered by Original Medicare? What is Medicare Prescription Drug coverage? When can I switch Medicare plans? ..." New Mexico 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...." New Mexico: Medicare Prescription Drug Plan (PDP) Premiums, 2007 source:Kaiser Family Foundation / statehealthfacts.org languages: English from the web page: "...Beneficiaries can join a prescription drug plan (PDP) for drug coverage only and get their other Medicare benefits through the fee-for-service program, as the majority of people with Medicare currently do. Alternatively they can join a Medicare Advantage (MA) plan..." The Medicare Prescription Drug Benefit (Part D) source:Medicare Rights Center languages: English from the web page:...(Part D) covers most outpatient prescription drugs (the kind you get at the pharmacy or through mail-order). Unlike Medicare health benefits, though, Part D is only offered through private plans..." 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. Medicaid brochure or publication: A CONSUMER’S GUIDE TO GETTING AND KEEPING HEALTH INSURANCE IN NEW MEXICO source:healthinsuranceinfo.net file size: 48pg. languages: English from GEORGETOWN UNIVERSITY HEALTH POLICY INSTITUTE. from the publication: "...As a New Mexico resident, 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 New Mexico resident..." State Pharmacy Listing - Aetna Medicare RxSM Plans - New Mexico 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. Medicare & You 2007 (New Mexico specific version) source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services 152pp languages: English and Spanish from www.medicare.gov: "Medicare & You 2007... contains important information about what’s new, health plans, prescription drug plans, and rights and protections to help people with Medicare review their coverage options and prepare to enroll in a new plan if they choose. These files are ... the printed version that people with Medicare will get in the mail this fall. Plan information contained in each book may change after printing." Lanscape: 2007 New Mexico 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 Mexico 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: New Mexico Medicare Advantage, Cost Plans, and Demonstrations source:CENTERS FOR MEDICARE & MEDICAID SERVICES file size:18 pg. languages: English "New Mexico 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." |
| 43 Prescription Drug Plans in New Mexico 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 (S5820-025) |
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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| AdvantraRx Premier (S5674-039) |
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 (S5674-041) |
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 (S5674-038) |
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 (S5810-060) |
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 (S5810-162) |
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 (S5810-196) |
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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| Blue Medicare Rx - Plus (S5715-004) |
HISC - Blue Cross Blue Shield of New Mexico | No gap coverage | Non-Members 1-888-285-2254 TTY Users should call: 1-888-884-3757 Members 1-888-285-2254 TTY Users should call: 1-888-285-2254 |
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| Blue Medicare Rx - Standard (S5715-008) |
HISC - Blue Cross Blue Shield of New Mexico | No gap coverage | Non-Members 1-888-285-2254 TTY Users should call: 1-888-884-3757 Members 1-888-285-2254 TTY Users should call: 1-888-285-2254 |
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| Blue Medicare Rx - Value (S5715-003) |
HISC - Blue Cross Blue Shield of New Mexico | No gap coverage | Non-Members 1-888-285-2254 TTY Users should call: 1-888-884-3757 Members 1-888-285-2254 TTY Users should call: 1-888-285-2254 |
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| CIGNATURE Rx Complete Plan (S5617-196) |
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 (S5617-130) |
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 (S5617-128) |
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 (S5803-095) |
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 (S5803-163) |
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 (S5803-129) |
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 S5884-054 (S5884-054) |
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 S5884-024 (S5884-024) |
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 S5884-084 (S5884-084) |
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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| MedicareRx Rewards (S5960-026) |
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 (S5960-062) |
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 (S5960-096) |
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 (S5921-263) |
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 (S5921-262) |
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 (S5921-261) |
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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| Presbyterian Prescription Drug Plan 2 (S5902-002) |
Presbyterian Prescription Drug Plan | No gap coverage | Non-Members 1-800-347-4766 TTY Users should call: 1-888-625-6429 Members 1-800-797-5343 TTY Users should call: 1-505-923-6060 |
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| Presbyterian Prescription Drug Plan 1 (S5902-001) |
Presbyterian Prescription Drug Plan | No gap coverage | Non-Members 1-800-347-4766 TTY Users should call: 1-888-625-6429 Members 1-800-797-5343 TTY Users should call: 1-505-923-6060 |
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| Prescription Pathway Bronze Plan Reg 26 (S5597-091) |
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 26 (S5581-040) |
Marquette National Life Insurance Company | No gap coverage | Non-Members 1-800-845-2551 TTY Users should call: 1-866-222-3904 Members 1-800-698-8395 TTY Users should call: 1-800-698-8395 |
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| Prescription Pathway Gold Plan Reg 26 (S5597-058) |
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 Platinum Plan Reg 26 (S5581-064) |
Marquette National Life Insurance Company | No gap coverage | Non-Members 1-800-845-2551 TTY Users should call: 1-866-222-3904 Members 1-800-698-8395 TTY Users should call: 1-800-698-8395 |
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| Prescription Pathway Silver Plan Reg 26 (S5581-136) |
Marquette National Life Insurance Company | No gap coverage | Non-Members 1-800-845-2551 TTY Users should call: 1-866-222-3904 Members 1-800-698-8395 TTY Users should call: 1-800-698-8395 |
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| Prescription Pathway Silver Plan Reg26 (S5597-190) |
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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| SierraRx (S5917-002) |
SierraRx | No gap coverage | Non-Members 1-866-789-0565 TTY Users should call: 1-866-789-0572 Members 1-866-789-1522 TTY Users should call: 1-866-789-1522 |
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| SilverScript (S5601-052) |
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 (S5601-053) |
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 (S4802-016) |
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 (S5755-029) |
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 (S5820-129) |
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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| WellCare Complete (S5967-095) |
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 (S5967-129) |
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 (S5967-060) |
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 (S5660-026) |
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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| 3 Medicare Special Needs Plans in New Mexico 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.) | ||||||
|---|---|---|---|---|---|---|
| Evercare Plan DP (H3209-002-0) |
United Healthcare Insurance Company | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-866-968-7582 TTY Users should call: 1-888-685-8480 Members 1-888-702-8418 TTY Users should call: 1-888-685-8480 |
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| Evercare Plan DP-ES (H4522-007-0) |
SecureHorizons | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-800-330-1601 TTY Users should call: 1-888-685-8480 Members 1-866-288-3389 TTY Users should call: 1-888-685-8480 |
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| Evercare Plan IP (H3209-001-0) |
United Healthcare Insurance Company | For people in certain long-term care facilities. | Non-Members 1-866-968-7582 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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