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

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

New Mexico Medicare; NM; Medicare Part D in New Mexico

New Mexico Medicaid: Medicaid assistance and New Mexico Medicaid help Were you looking for New Mexico Medicaid instead of New Mexico Medicare? This link provides a directory of Medicare web sites, articles, publications, brochures
 

New Mexico Medicare Coverage, Prescription Drug Plans
New Mexico Medicare Help Articles & Resources

Information from varied resources about Medicare in New Mexico
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:
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 Web Page:
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..."


.
Medicare Web Page:
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 Web Page:
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..."
.
Medicare Web Page:
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 Web Page:
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? ..."
.
Medicare brochure or publication:
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...."
.
Medicare Web Page:
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..."
.
Medicare Web Page:
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..."
.
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.
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..."
.
Medicare brochure or publication:
State Pharmacy Listing - Aetna Medicare RxSM Plans - New Mexico

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.
.
Medicaid brochure or publication:
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."
.
Medicare brochure or publication:
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."

How to get more information about New Mexico 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 New Mexico: 

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.

 
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.)
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
(S5820-025)
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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


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
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
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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