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a consumer's guide to North Dakota Medicare programs, Medicare Part D Prescription Drug Reimbursement and Coverage

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

North Dakota Medicare; ND; Medicare Part D in North Dakota

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

North Dakota Medicare Coverage, Prescription Drug Plans
North Dakota Medicare Help Articles & Resources

Information from varied resources about Medicare in North Dakota
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:
Medicare Supplement Insurance

source:North Dakota Insurance Department
languages: English
from the web page: "...Medicare supplement insurance (also referred to as Med Sup or Medigap insurance) is private insurance that helps pay health care expenses that Medicare covers in part or not at all. Medicare supplement insurance can provide coverage for Medicare deductibles, co-insurance amounts and even some expenses not eligible under Medicare..."

 
more from North Dakota Insurance Department:
Medicare Web Page:
Approved ND Medicare Supplement Plans
languages: English


Medicare Web Page:
Medicare Advantage Plans
languages: English
Medicare Advantage plans are available from private companies that contract with the Centers for Medicare and Medicaid Services to provide Medicare benefits to enrollees. The company offering a Medicare Advantage plan combines the health care and financing. The plans must provide all benefits provided by Medicare. They may provide additional benefits.

Medicare Publication:
Medicare Advantage Plans - What you need to know before you buy.
4 pages; languages: English
from the publication: Medicare Advantage (MA) plans are available from private companies that contract with the Centers for Medicare and Medicaid Services (CMS) to provide Medicare benefits to enrollees. The company offering a Medicare Advantage plan combines the health care and financing.

.
Medicare Web Page:
North Dakota Medicare Rural Hospital Flexibility Program

source: The University of North Dakota, Center for Rural Health
languages: English
from the web page: "The North Dakota Medicare Rural Hospital Flexibility (Flex) program is a state based partnership that works with and assists rural hospitals to stabilize and sustain their local health care infrastructure. ..."
.
Medicare Web Page:
Medicare Prescription Drug Coverage - Part D

source:North Dakota Department of Human Services
languages: English
from the web page: ...TCoverage under the new federal Medicare Prescription Drug Program began January 1, 2006. If you or a loved one participates in both MEDICARE and Medicaid ("dually eligible individuals") and received prescriptions through Medicaid before January 1, you should now be receiving your medications through the federal government's new MEDICARE Prescription Drug Program. ... "
.
Medicare Web Page:
Find a Free or Discounted Drug Program:

source: Prescription Connection for North Dakota
languages: English
from the web page: "...The first step in determining what patient assistance programs you may be eligible for is to select your medicines..."
.
Medicare Web Page:
Prescription Drug Guide

source: ND.gov - State of North Dakota
languages: English
from the web page: "...Prescription drugs play an important role in good health care. North Dakota citizens should have the ability to choose to purchase prescription drugs from safe sources at the most competitive rates available. On this site, the State of North Dakota offers three options that may help you find the prescription drugs you need at the lowest available cost..."
.
Medicare brochure or publication:
North Dakota 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:
North Dakota: Medicare Rx Fact Sheet
languages: English
from the web page: "North Dakota already runs two programs that help people with limited incomes pay for drugs and a third program that helps pay for other Medicare-related costs like premiums. These programs are: Medicaid, HIV Drug Assistance Program (HDAP), and Medicare Savings Programs..."

.
Medicare Web Page:
North Dakota: 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 North Dakota

source:healthinsuranceinfo.net
file size: 38pg.   languages: English
from GEORGETOWN UNIVERSITY HEALTH POLICY INSTITUTE. from the publication: "...As a North Dakota 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 North Dakota resident..."
.
Medicare brochure or publication:
State Pharmacy Listing - Aetna Medicare RxSM Plans - Iowa / Minnesota / Montana / North Dakota / Nebraska / South Dakota / Wyoming

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 (North Dakota 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:
Landscape: 2007 North Dakotah 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
North Dakota 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: North Dakota Medicare Advantage, Cost Plans, and Demonstrations

source:CENTERS FOR MEDICARE & MEDICAID SERVICES
file size:16 pg.   languages: English
"North Dakota 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 North Dakota 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. 
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Medicare prescription drug coverage plans offered in North Dakota: 

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 North Dakota  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 Blue Shield of North Dakota 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 Blue Shield of North Dakota 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 Blue Shield of North Dakota 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


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